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
NCT07147933 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-01-09
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.
Conditions
- Cerebral Palsy (CP)
- Diaplegia
- Muscle Weakness | Patient
- Anterior Pelvic Tilt
- Crouch Gait
Interventions
- OTHER
-
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
- OTHER
-
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.
Sponsors & Collaborators
-
Philadelphia University, Jordan
lead OTHER
Principal Investigators
-
Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy · Bachelor's of Physical Therapy, Faculty of Allied Medical Sciences, Philadelphia University, Amman
-
Mayar Mostafa Rady Abdelmogaly, bachelor's physical thrapy · Mayar Mostafa Rady Abdelmogaly Bachelor's of physical therapy, Galala university
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 4 Years
- Max Age
- 10 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-02
- Primary Completion
- 2026-03-02
- Completion
- 2026-03-02
Countries
- Jordan
Study Locations
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