About this trial
Children with cerebral palsy (CP) often develop gait abnormalities, with crouch gait being a common and challenging issue that affects their posture and daily function. Numerous studies indicate that crouch gait is primarily caused by hamstring tightness and quadriceps weakness. Traditional treatment approaches focus on hamstring stretching and quadriceps strengthening exercises to improve gait patterns. highlight the importance of strengthening muscles like the quadriceps and stretching tight muscles such as the hamstrings in improving gait abnormalities source.
Despite these common treatments, results often fall short of achieving full correction of crouch gait. Therefore, I propose a novel approach to treating abnormal gait in children with CP by targeting the anterior pelvic tilt and strengthening the soleus muscle. This approach aims to address biomechanical factors that are not typically considered in traditional treatments, potentially leading to better functional outcomes
we use Surface EMG to record activity of key muscle (soleus) during Seated Calf Raises exercise Muscle activity will be recorded before and after a series of physical therapy sessions focused on pelvic alignment and soleus strengthening.
EMG Data Analysis: Root Mean Square (RMS), timing of activation, and amplitude changes will be assessed.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
BMI from 18.5 to 21..
didn't submit to Selective Dorsal Rhizotomy surgery.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
phusical therapy program
Other interventionphysical therapy program including stretching of the hamstrings and strengthening of the quadriceps only. The program will be delivered 3 times per week for 8 weeks under therapist supervisio
physical therapy program
Other interventionA targeted physical therapy program including correction of anterior pelvic tilt, strengthening of the soleus, core strengthening, stretching of the hamstrings, and strengthening of the quadriceps. The program will be delivered 3 times per week for 8 weeks under therapist supervision.
Treatment groups
Trial outcomes
Primary outcomes
EMG and we calculate RMS for soleus muscle
Secondary outcomes
step length
step wedth
Sponsors and contacts
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