Pros and Cons of Botulinum Injection Treatment in Cerebral Palsy

Study Overview
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Brief Summary
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The aim of this study is to quantitatively record the opinions regarding the pros and cons of this treatment of the caregivers of children with cerebral palsy who had botulinum toxin applied in investigators' clinic.

Detailed Description
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Spasticity is defined as an increase in physiological resistance of the muscles associated with a lack of supraspinal inhibition against passive strain. It is a common and prohibitive problem associated with an increase in tendon reflex and tension reflex associated with upper motor neuron dysfunction. One of the most common problems in patients with CP. Methods used in the treatment of spasticity; medical therapy, physical therapy, intrathecal baclofen pump, botulinum toxin injection, and orthopedic correction operations. However, botulinum toxin type-A (BTX-A) injections, which are applied to the muscles especially for localized spasticity, have become an effective adjuvant option that increases the effectiveness of classical methods and diversifies the treatment options. BTX-A, which is basically a chemodenervation method; It is a treatment method that blocks the transmission of signal in the neuromuscular junction by preventing the release of acetylcholine vesicles into the presynaptic space. In spastic muscles, relaxation can be achieved by correct injection. Botulinum toxin type A has been shown to be an effective and safe treatment for children to reduce spasticity. In Turkish society, there is no study evaluating the caregivers' experiences and opinions about botox treatments of patients with the diagnosis of cerebral palsy and limited studies in the literature are from countries with different sociodemographic features such as the United States and the United Kingdom. Although these patients have been receiving this treatment in investigators' center for years, there is no study in the literature that evaluates the plus and minus aspects of caregivers' experiences in this regard.

Official Title
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Pros and Cons of Botulinum Injection Treatment in Cerebral Palsy: A Qualitative Study Examining the Caregiver's Perspectives

Conditions
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Cerebral Palsy, Botulinum Toxin

Intervention / Treatment
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* Other: Qualitative interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be the caregiver of a patient under 18 years old with cerebral palsy No attempt has been made to reduce spasticity such as botulinum toxin injection in the last 3 months. Exclusion Criteria: Not knowing Turkish Refusing to participate in the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Healthy group<br>Caregivers of children who treated with botulinum toxin. | Other: Qualitative interview<br>* Qualitative interviews to sample the patient's feelings, experiences and thoughts risen by the treatments in the program.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Experience of Botulinum toxin treatment | Qualitative interview performed at one occasion where the caregivers describes the experience about the their childrens' botulinum toxin treatment. | Day 0 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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botulinum toxin, cerebral palsy, experiences, spasticity, caregivers