A New Multimodal Treatment Approach for Children With Spastic Diplegic Cerebral Palsy
Spastic Diplegic Cerebral Palsy
About this trial
This is an interventional treatment trial for Spastic Diplegic Cerebral Palsy focused on measuring Diplegia, Neuromuscular electrical stimulation, Casting.
Eligibility Criteria
Inclusion Criteria:
- The children will have grade 2 or 3 on Modified Ashworth Scale.
- The children will have Level II, or III according to the Gross Motor Function Classification System.
- The children walk with equinus or jump gait patterns with spasticity of the hamstrings and hip flexors in addition to calf muscles spasticity.
- Children take their Antispastic drug use such as baclofen, diazepam or tizanidine.
- All children will be able to follow instructions.
Exclusion Criteria:
children will be excluded from the study if they have any problems of the following:
- Cognitive dysfunction.
- Poor skin integrity.
- History of or recent nonunion fracture.
- Fixed contractures and deformities.
- Previous surgery (tendon lengthening).
- Received Botulinum toxin A injections in the last six months.
- Impaired circulation.
Sites / Locations
- Faculty of Physical TherapyRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Group (A)
Group (B)
Group (C)
will receive a selected physical therapy program.
will receive interrupted progressive serial casting in addition to a modified selected physical therapy program during casting.
will receive interrupted progressive serial casting and the modified selected physical therapy as group (B) in addition to neuromuscular electrical stimulation for ankle dorsiflexors and knee extensors muscles through cast windows