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 | Recruiting

• 1 other identifier: 2/5/2024-2025
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

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.

Conditions

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

Outcome Measures

Primary Outcomes (1)

• EMG and we calculate RMS for soleus muscle

  the primary outcome measures by using EMG before treatment paln and after 8 weeks

Secondary Outcomes (2)

• step length

  before treatment plan and after 8 weeks

• step wedth

  before treatment plan and after 8 weeks

Study Arms (2)

Arm A

EXPERIMENTAL

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.

Other: phusical therapy program; Other: physical therapy program

Arm B

ACTIVE COMPARATOR

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 supervision

Other: phusical therapy program; Other: physical therapy program

Interventions

phusical therapy program OTHER

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

Arm A; Arm B

physical therapy program OTHER

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.

Arm A; Arm B

Eligibility Criteria

• Age: 4 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Philadelphia University, Jordan: lead

Study Sites (1)

Queen Rania AL Abdullah hospital for children

Amman, Jordan

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy

  Bachelor's of Physical Therapy, Faculty of Allied Medical Sciences, Philadelphia University, Amman

  PRINCIPAL INVESTIGATOR

• Mayar Mostafa Rady Abdelmogaly, bachelor's physical thrapy

  Mayar Mostafa Rady Abdelmogaly Bachelor's of physical therapy, Galala university

  STUDY DIRECTOR

Central Study Contacts

Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy

CONTACT

+201026913232; ahmedmarouf00@icloud.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: (single blind) the Outcomes Assessor who was unaware to the approach of treatment that would be executed to the children into two groups
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physical therapist (BSc PT)

Model Details: 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.

Study Record Dates

• First Submitted: August 22, 2025
• First Posted: August 29, 2025
• Study Start: July 2, 2025
• Primary Completion: March 2, 2026
• Study Completion: March 2, 2026
• Last Updated: January 9, 2026

Record last verified: 2026-01

Locations

JO (1)