MOSAiC SDR study

  • Research type

    Research Study

  • Full title

    Medium to long-term outcomes after selective dorsal rhizotomy in ambulatory children and young people with cerebral palsy: A mixed-methods study

  • IRAS ID

    331711

  • Contact name

    Deepti Chugh

  • Contact email

    deepti.chugh@gosh.nhs.uk

  • Sponsor organisation

    Great Ormond Street Hospital for Children NHS Foundation Trust

  • Duration of Study in the UK

    2 years, 3 months, 20 days

  • Research summary

    Children and young people with cerebral palsy (CYPwCP) have difficulties with muscle stiffness (spasticity) that affects their movements and walking. Selective Dorsal Rhizotomy (SDR) is a specialised operation performed to permanently reduce spasticity in the legs to improve function. This operation involves cutting some of the spinal nerves controlling sensation to lessen spasticity. We know improvements are reported in the first two years, but we do not know if CYPwCP are doing better, worse, or the same 3-10 years after the operation. It is important to understand how big the changes are, how long they last and what that means for the lives of CYPwCP and their parents.

    Aims of the research:

    • How has movement, walking or quality of life changed 3-10 years after SDR surgery for CYPwCP?
    • What do CYPwCP and their parents feel now about the results of the SDR operation compared to their initial expectations?
    • Do results of tests and measurements at the hospital match with changes CYPwCP and their parents have noticed or believe are important 3-10 years after SDR surgery?

    In this study, I will collect information in two different ways, which will then be combined together to give us a complete picture.

    Part 1: I will ask all CYPwCP who had SDR surgery more than two years ago at Great Ormond Street Hospital to complete an online survey, questionnaires and come to the hospital for a single visit. I will measure how much they can move and walk, using the same tests they had in the first two years after the SDR operation.

    Part-2: I will interview 20-25 CYPwCP aged seven years and above and 18-20 parents to understand their experiences, what helped and what did not after the operation, and how it affected their lives.

  • REC name

    West Midlands - Coventry & Warwickshire Research Ethics Committee

  • REC reference

    24/WM/0078

  • Date of REC Opinion

    18 Apr 2024

  • REC opinion

    Further Information Favourable Opinion