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Weight Bearing Exercises With NMES on Balance and Functional Abilities In Children With Hemiplegia
Sponsor: Cairo University
Summary
This study will be conducted to investigate the combining effect of weight-bearing exercises program with neuromuscular electrical stimulation on balance and functional abilities in children with hemiplegic cerebral palsy.
Official title: Effect of Weight Bearing Exercises With Neuromuscular Electrical Stimulation on Balance and Functional Abilities In Children With Hemiplegia
Key Details
Gender
All
Age Range
6 Years - 10 Years
Study Type
INTERVENTIONAL
Enrollment
30
Start Date
2025-07-15
Completion Date
2025-12-15
Last Updated
2025-07-17
Healthy Volunteers
No
Conditions
Interventions
traditional physical therapy and weight-bearing exercise
They will receive 60 minute session, 3 times/ week for 8 weeks as following: * 30 minutes of traditional physical therapy program : Includes: Strengthening, Stretching, Balance, Postural Control, Functional Mobility and Gait Training. * 30 minutes of seven different weight-bearing exercises program of exercises with three of those being repeated on the left and right sides to make a total of ten exercises, each held for 3 minutes, the exercises include: hamstring stretch, calf stretch, half kneeling balance, static squat, bridge, four point kneeling and four point kneeling with leg extension the exercises include: : Hamstring stretch,Calf stretch , Half kneeling balance , Static Squat, Bridge, Four point kneeling with leg extension, and Four point kneeling.
neuromuscular electrical stimulation , traditional physical therapy and weight-bearing exercise
They will receive 60 minute session, 3 times/ week for 8 weeks as following: * 30 minutes of the same traditional physical therapy as the control group. * 30 minutes of the same weight-bearing exercises program as the control group adding to it the neuromuscular electrical stimulation on: Tibialis anterior, Quadriceps, Paraspinal muscles. * NMES Parameters : * Device: Everyway-EV-906. * Frequency: 30-35 Hz (to optimize muscle endurance and motor unit recruitment). * Pulse Width: 250-300 µs. * Intensity: Adjusted to elicit visible muscle contraction without discomfort (submaximal, (25-30 mA). * Electrode Placement: * Lower Limb: Tibialis anterior (for dorsiflexion) and quadriceps (for knee stability) during weight-bearing (El-Shamy and El Kafy, 2021). * Trunk: Paraspinal muscles (for postural control) during static squats and bridging