Functional Benefits of Multisite Upper Limb Surgery in Children With Unilateral Cerebral Palsy (RETRO-CHIRc)
Key facts
- Where
- Lyon, FranceSee the site
Where in France
- Centre Médico chirurgical de Réadaptation des MassuesLyon, FranceContact: Julie Rozaire, PhDTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- Centre Médico-Chirurgical de Réadaptation des Massues Croix Rouge Française
- Trial code
- NCT07891078
- Record updated
- 23 October 2026
- Original description
This retrospective study evaluates the functional impact of individualized multisite neuro-orthopedic upper limb surgery in children with unilateral cerebral palsy (hemiplegic CP). Using a before-and-after design in which each patient serves as their own control, the study analyzes data collected in routine clinical care up to 3-5 years before and 1-2 years after surgery. The primary outcome is upper limb function as measured by the Modified Melbourne Assessment (MA2), which assesses range of motion and dexterity. Secondary outcomes include unimanual precision and fluidity (MA2), global manual dexterity (Box and Block Test), bimanual performance (Assisting Hand Assessment), and patient/parent satisfaction. Approximately 70 patients operated at the Centre Médico-Chirurgical de Réadaptation des Massues between January 2012 and June 2025 will be included. The study also aims to identify factors influencing surgical outcomes, such as age at surgery, associated cognitive or sensory impairments, and adherence to post-operative orthotic protocols.Read full original descriptionShow less
Retrospective Study of Functional Benefits of Individualized Multisite Neuro-Orthopedic Upper Limb Surgery in Children With Unilateral Cerebral Palsy
This retrospective study evaluates the functional impact of individualized multisite neuro-orthopedic upper limb surgery in children with unilateral cerebral palsy (hemiplegic CP). Using a before-and-after design in which each patient serves as their own control, the study analyzes data collected in routine clinical care up to 3-5 years before and 1-2 years after surgery. The primary outcome is upper limb function as measured by the Modified Melbourne Assessment (MA2), which assesses range of motion and dexterity. Secondary outcomes include unimanual precision and fluidity (MA2), global manual dexterity (Box and Block Test), bimanual performance (Assisting Hand Assessment), and patient/parent satisfaction. Approximately 70 patients operated at the Centre Médico-Chirurgical de Réadaptation des Massues between January 2012 and June 2025 will be included. The study also aims to identify factors influencing surgical outcomes, such as age at surgery, associated cognitive or sensory impairments, and adherence to post-operative orthotic protocols.
Inclusion: Minor patient (age < 18 years at the time of the surgical project); Unilateral upper limb involvement due to Cerebral Palsy; Having undergone neuro-orthopedic upper limb surgery; Surgery performed by the surgeon who participated in the multidisciplinary surgical planning meeting (EMC); Surgery performed between January 1, 2012 and June 30, 2025; Availability of at least one pre-operative assessment and one comparative post-operative assessment at more than 12 months after surgery; Followed at the CMCR des Massues; NON-INCLUSION CRITERIA; Refusal of medical data processing for research purposes.