Effect of Treatment on Cerebral Palsy Patient With Crouch Gait Associated With Anterior Pelvic Tilt and Soleus Muscle Weakness"Marouf Syndrome", and Muscle Assesment by Using EMG

Официальное название

Physical Therapy Protocol for Crouch Gait Associated to the Anterior Pelvic Tilt and Soleus Muscle Weakness in CP Patient

Обзор

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.

Вмешательства

• Другое phusical therapy program
  physical 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
• Другое physical therapy program
  A 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.

Первичные конечные точки

• EMG and we calculate RMS for soleus muscle [Срок оценки: the primary outcome measures by using EMG before treatment paln and after 8 weeks]

Вторичные конечные точки (2)

• step length [Срок оценки: before treatment plan and after 8 weeks]
• step wedth [Срок оценки: before treatment plan and after 8 weeks]

Критерии участия

Критерии включения

patient with cp have a crouch gait. ages from 4 to 10 years . have a anterior pelvic tilt . muscle weakness (Soleus) on EMG.

• BMI from 18.5 to 21..
• didn't submit to Selective Dorsal Rhizotomy surgery.

Критерии исключения

have a posterior pelvic tilt.

-above 10 or below 4 years. not able to walk. . submitted to SDR surgery. BMI above 21 or below 18.5.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Иордания · 1 центр

• Queen Rania AL Abdullah hospital for children — Amman

Идентификаторы

NCT: NCT07147933 · 2/5/2024-2025

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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