Anterior Pelvic Tilt, Cerebral Palsy (CP), Crouch Gait, Diaplegia, Muscle Weakness | Patient
Conditions
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
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
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
Study design
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
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
| Measure | Time frame |
|---|---|
| EMG and we calculate RMS for soleus muscle | the primary outcome measures by using EMG before treatment paln and after 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| step length | before treatment plan and after 8 weeks |
| step wedth | before treatment plan and after 8 weeks |
Countries
Jordan