Surgery and Neuroablative Procedures in Spasticity
NCT04670783 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 63
Last updated 2023-06-05
Summary
For many patients with spasticity, traditional therapies have not achieved maximal outcomes. Due to common complaints such as pain, limb positioning and hygiene concerns, there has been an increase demand for other adjunctive therapies like surgeries and other interventions. This spasticity multidisciplinary clinic consisting of a physiatrist, plastic surgeon and anesthesiologist is performing a novel approach to refractory spasticity to triage and designed a treatment plan for them as routine medical care. This study will document the efficacy of this novel designed multidisciplinary approaches for intervention in complex spasticity patients, and will develop a decision-making algorithm in spasticity including both traditional treatment (i.e. botulinum toxin , bracing) and novel treatments(i.e. neurectomy , cryoneurotomy).
Conditions
- Upper Extermity Spasticity
- Multidisciplinary Approach
- Novel Algorithm
- Diagnostic Nerve Block
- Surgery
- Percutaneous Neuroablative Procedures
- Refractory Spasticity
Interventions
- PROCEDURE
-
Surgery
Orthopedic surgery (i.e. tenotomy, tendon transfer) or percutaneous neuroablative procedures (i.e. cryoneurotomy) which will be done for upper limb refractory spasticity after being triaged by DNB.
Sponsors & Collaborators
-
Vancouver Island Health Authority
lead OTHER
Principal Investigators
-
Paul Winston, MD FRCPC · VIHA
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-09-15
- Primary Completion
- 2023-05-30
- Completion
- 2023-05-30
Countries
- Canada
Study Locations
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