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Botulinum Toxin (BOTOX) for Cerebral Palsy



Botulinum Toxin (BOTOX) for Cerebral Palsy

For Condition: Muscle Spasticity,Cerebral Palsy
Status: Recruiting
Sponsor(s): National Institute of Child Health and Human Development (NICHD) ,
Synopsis: This study examines botulinum toxin (BOTOX, or BTX) for the treatment of muscle twitches and spasticity associated with cerebral palsy in children. Botulinum toxin is a naturally occurring bacterial toxin (botulinum toxin) that inactivates certain parts of muscles.
Details: This trial will test the effectiveness of BTX injections versus placebo to reduce plantar-flexor spasticity and improve function and mobility in children with spastic diplegia, a common form of cerebral palsy. The study will evaluate the effects of the treatment across five domains that relate to disability: pathophysiology, impairment, functional limitation, disability, and societal limitation. Forty children, ages 4 to 12 years, will be recruited and randomized into one of two groups. Group A will receive BTX. Group B will receive a placebo injection. Participants will be assessed at the beginning of the trial and at Weeks 3, 8, 12, and 24. Assessments include quantitative electromyographic kinesiology measurements, electromechanical measurement of joint torque across the ankle joint using the Spasticity Measurement System, Gross Motor Function Measure, physical exam parameters, energy expenditure using the Energy Cost Index, kinematic gait analysis, and the Canadian Occupational Performance Measure. Participants are followed for a total of 6 months. Participants initially randomized to Group B will have the opportunity for BTX treatment after 24 weeks.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 3 Years/12 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Spastic diplegic cerebral palsy - Community or independent ambulators - Expressive communication skills at age 3 or above - Stable social environment - Reasonable proximity to the medical center - Physical therapy at least once per week - No other serious health problems that would interfere with the study Exclusion Criteria: - Other forms of cerebral palsy - Previous treatment with botulinum toxin - Musculoskeletal contractures greater than 15 degrees - Unstable social environment
Total Enrollment: 40

Location and Contact Information:

Overall Study Official:
RossHays,  Principal Investigator,  Children's Hospital and Regional Medical Center

Children's Hospital and Regional Medical Center *Recruiting*
Seattle,  Washington,  98105
United States
Recruiting  


Additional Information:
Study ID Numbers:
  1R01HD35750-01; 
Study Start Date: July 1997
Record last reviewed: March 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00060957

Other Muscle Spasticity Studies:
1. Classification of Cerebral Palsy Subtypes

2. Constraint-based Therapy to Improve Motor Function in Children with Cerebral Palsy

3. Relaxation Training to Decrease Pain and Improve Function in Adolescents with Cerebral Palsy

4. Magnesium Sulfate to Prevent Brain Injury in Premature Infants

5. Beneficial Effects of Antenatal Magnesium Sulfate (BEAM Trial)

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Botulinum Toxin (BOTOX) for Cerebral Palsy

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