Calf Muscle Strength and Standing Efficiency in Children With Spastic Diplegia

Cairo University (CU)

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Strengthening exercise + Electrical stimulation of calf muscle; Other: selected physical therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT02105649

12345

Details and patient eligibility

About

It will be hypothesized that strengthening the calf muscles will improve standing efficiency in children with spastic diplegia.

Enrollment: 30 patients

Sex: All

Ages: 2 to 4 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children age will be ranging between 2 and 4 years.
• They are classified at level III by GMFCS-ER, i.e. they can stand with minimal support.
• Full mobile lower limbs joints.
• Children with mild and moderate spasticity ( i.e. grade 1 and 2, according to Modified Ashworth Scale).

Exclusion criteria

• Children with severe spasticity ( i.e. grade 4, according to Modified Ashworth Scale).
• Fixed deformities.
• Uncontrolled seizures.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

calf muscle strengthenig group

Experimental group

Description:

experimental group will receive the same selected physical therapy program in addition to manual and mechanical strengthening exercises and electrical stimulation program for calf muscles of both lower limbs.

Treatment:

Other: Strengthening exercise + Electrical stimulation of calf muscle

Other: selected physical therapy program

No calf muscle strengthening group

Other group

Description:

control group will receive only the selected physical therapy program

Treatment:

Other: selected physical therapy program