Incontinence and MRI Results in Children With Cerebral Palsy

Sponsor

University Hospital, Ghent (Other)

Overall Status

Recruiting

CT.gov ID

NCT05060211

Collaborator

University Ghent (Other)

250

Enrollment

Location

23.2

Anticipated Duration (Months)

10.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

More than 50 % of children and adults with cerebral palsy experience lower urinary tract symptoms (LUTS). This can negatively influence quality of life of the child and the total social environment.

Previous research demonstrated that the brain lesion, characteristic for cerebral palsy (CP), is a prognostic factor for the functional abilities of a child with CP. Previous research within our department demonstrated functional impairment as a risk factor for incontinence. This demonstrates an indirect connection between the brain lesion and incontinence of a child with CP. However, this connection isn't alway correct as some children with high functionality also demonstrate incontinence.

As bladder control is also regulated by higher brain centers, the present study wants to investigate a direct connection between the brain lesion of the child, visible by means of MRI, and the incontinence status of the child. .

Condition or Disease	Intervention/Treatment	Phase
Cerebral Palsy Lower Urinary Tract Symptoms	Other: Vancouver symptom score for dysfunctional elimination syndroms Other: Magnetic resonance imaging

Detailed Description

The current study is a cross-sectional observational study in which a correlation is investigated between known anatomical MRI results and the continence status of a child with CP.

Although neuroimaging isn't seen as a requirement for the definition and diagnosis of CP2, MRI imaging is often part of diagnostic evaluation. The Surveillance of Cerebral Palsy in Europe (SCPE) working group composed the MRI classification system or MRICS classifying neuroimaging results in maldevelopments, predominant white matter injury, predominant grey matter injury, miscellaneous and normal. These results will be correlated with results of the validated Vancouver symptoms score for dysfunctional elimination syndrome.

Study Design

Study Type:

Observational

Anticipated Enrollment :

250 participants

Observational Model:

Cohort

Time Perspective:

Cross-Sectional

Official Title:

Correlation Between Brain Lesion and Continence in Children With Cerebral Palsy: an Anatomical MRI Study

Actual Study Start Date :

Oct 25, 2021

Anticipated Primary Completion Date :

Sep 30, 2023

Anticipated Study Completion Date :

Sep 30, 2023

Outcome Measures

Primary Outcome Measures

Incontinence ratio [During cross-sectional testing]
Amount of patients with incontinence in the different MRICS-groups (MRI classification system for children with CP).

Secondary Outcome Measures

Amount of Lower urinary tract symptoms in different MRICS-groups [During cross-sectional testing]
Score of 'Vancouver symptom score for dysfunctional elimination syndrome'-questionnaire and individual questions in the different MRICS- groups (MRI classification system for children with CP).
Amount of bladder symptoms in different MRICS-groups [During cross-sectional testing]
Score of individual questions from the 'Vancouver symptom score for dysfunctional elimination syndrome' questionnaire in the different MRICS- groups (MRI classification system for children with CP).