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

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

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07147933
Enrollment
40
Registered
2025-08-29
Start date
2025-07-02
Completion date
2026-03-02
Last updated
2026-01-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anterior Pelvic Tilt, Cerebral Palsy (CP), Crouch Gait, Diaplegia, Muscle Weakness | Patient

Brief summary

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.

Interventions

OTHERphusical 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

OTHERphysical 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.

Sponsors

Philadelphia University, Jordan
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Masking description

(single blind) the Outcomes Assessor who was unaware to the approach of treatment that would be executed to the children into two groups

Intervention model description

This study is a randomized controlled trial designed using a parallel assignment model. Participants will be randomly divided into two groups. One group will receive the physical therapy intervention being studied, while the other group will receive tradtional physical therapy protocol. The aim is to compare the effects of the intervention by measuring muscle activity using surface electromyography (sEMG) before and after the treatment.

Eligibility

Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No

Inclusion criteria

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.

Exclusion criteria

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.

Design outcomes

Primary

MeasureTime frame
EMG and we calculate RMS for soleus musclethe primary outcome measures by using EMG before treatment paln and after 8 weeks

Secondary

MeasureTime frame
step lengthbefore treatment plan and after 8 weeks
step wedthbefore treatment plan and after 8 weeks

Countries

Jordan

Contacts

Primary ContactAhmed Yasser Mostafa Marouf, bachelor's physical thrapy
ahmedmarouf00@icloud.com+201026913232

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026