MEOPA to Improve Physical Therapy Results After Multilevel Surgery - Full Text View

Purpose

Children with cerebral palsy commonly undergo "multilevel surgery", meaning several lower limb combined procedures performed during the same surgical intervention. The aim of this type of surgery is to correct all deformities together in order to restore near to normal anatomy and muscular function. It is very important to be able to obtain good range of motion after surgery, in order to consolidate surgical results. During the first days after the operation, children are sore and it may be difficult to realize adequate physical therapy. In order to palliate this situation, MEOPA gaz is used during REHAB sessions. Good results have been obtained so far but no study is available to demonstrate these results. The goal of our research is to prove that there is a benefit in using MEOPA postoperatively in these patients.

Condition	Intervention	Phase
Cerebral Palsy Spastic Diplegia Quadriplegia Hemiplegia	Drug: MEOPA Drug: Medicinal air	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Investigator) Primary Purpose: Treatment
Official Title:	Evaluation of the Efficacy of "MEOPA" Used to Obtain Better ROM Immediately After Multilevel Surgery in Children With Spastic Diplegia, Quadriplegia or Hemiplegia.

Resource links provided by NLM:

Genetic and Rare Diseases Information Center resources: Hemiplegia Cerebral Palsy

U.S. FDA Resources

Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:

Knee range of motion [ Time Frame: at 7 days ]

Secondary Outcome Measures:

Improvement of function after surgery [ Time Frame: at 7 days ]


Enrollment:	64
Study Start Date:	March 2008
Study Completion Date:	March 2011
Primary Completion Date:	March 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: 1 Administration of MEOPA gaz during postoperative physical therapy	Drug: MEOPA Administration of MEOPA gaz during postoperative physical therapy
Placebo Comparator: 2 Administration of medical air during postoperative physical therapy	Drug: Medicinal air Administration of medical air during postoperative physical therapy

Detailed Description:

The study is a randomized, single blinded, controlled clinical trial. It consist of two groups of patients: one group will receive MEOPA (FDA approval-"AMM" in France, 2003) and the other will receive medical air.

Results, in terms of articular range of motion, will be compared between groups after five sessions of REHAB. The following items will be evaluated: degree of pain, measured by a pain scale; joint ROM; number of sessions to obtain the desired results; parents, patients and caregivers satisfaction.

Patients aging from 6 to 20 years will be included if they meet selection criteria. Inclusions are confirmed before the first session starts. At this time, informed consent is to be signed by patients or parents and the Clinical Epidemiology Unit will assign a study number to the patient.

All patients get morphine therapy before the REHAB session; a new dose is administrated 10 minutes later if pain is higher than 4/10; ten minutes later, if pain is still over 4/10, MEOPA (or medical air) will be administrated. If this is not enough to diminish pain, the session will be interrupted. Five physical therapy sessions are provided after surgery, during inpatient time.

Knee ROM will be measured by goniometry and will be the measure of reference to evaluate the influence of MEOPA. Two types of pain scale will be used: analogical scale from 1 to 10 and faces scale (FPS-R) for small children.

For security reasons, the person who administrates de gaz will be informed of the nature of the product (MEOPA or medical air), the bottle will be masked and the therapist won't know what kind of product is being administrated.

Eligibility


Ages Eligible for Study:	6 Years to 20 Years (Child, Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Multilevel surgery
Spastic cerebral palsy

Exclusion Criteria:

Patient not being able to walk

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00632528

Locations


France
Robert Debré University Hospital
Paris, France, 75019

Sponsors and Collaborators

Assistance Publique - Hôpitaux de Paris

Investigators


Principal Investigator:	Ana PRESEDO, MD	Assistance Publique - Hôpitaux de Paris

More Information


Responsible Party:	Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier:	NCT00632528 History of Changes
Other Study ID Numbers:	P061007 CRC 06 013 ( Other Identifier: CRC )
Study First Received:	February 28, 2008
Last Updated:	January 9, 2012

Keywords provided by Assistance Publique - Hôpitaux de Paris:


MEOPA spasticity multilevel surgery cerebral palsy children

Additional relevant MeSH terms:


Cerebral Palsy Muscle Spasticity Hemiplegia Quadriplegia Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Nervous System Diseases	Muscular Diseases Musculoskeletal Diseases Muscle Hypertonia Neuromuscular Manifestations Neurologic Manifestations Signs and Symptoms Paralysis

ClinicalTrials.gov processed this record on September 20, 2017

MEOPA to Improve Physical Therapy Results After Multilevel Surgery (KINOPA)