protocolSection identificationModule nctId: NCT06332729, orgStudyIdInfo id: EG,KFS,lab reserach 6, briefTitle: Universal Exercise Unit Versus Functional Electrical Stimulation On Genu Recurvatum In Diplegic Cerebral Palsy, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-02-01, primaryCompletionDateStruct date: 2024-05-15, completionDateStruct date: 2024-06-15, studyFirstPostDateStruct date: 2024-03-27, lastUpdatePostDateStruct date: 2024-03-27, sponsorCollaboratorsModule leadSponsor name: Mahmoud Reda Elsharkawy, class: OTHER, descriptionModule briefSummary: Summary:Inclusion Criteria:* Children aged four to eight years.* Grade of spasticity ranging from 1 to 1+ on the Modified Ashworth scale.* Classified as Level I or II on the Gross Motor Functional Classification System (GMFCS).* Ability to follow verbal commands and instructions.Exclusion Criteria:* Previous neurological or orthopedic surgery in the lower extremities.* Botox injection in the lower extremities within the past six months.* Fixed deformity in the joints of the lower limb.* Genu recarvatum secondary to surgery.* Severe hearing and visual defects.Materials for Subject Selection and Evaluation:* Modified Ashworth Scale for muscle tone assessment.* Gross Motor Functional Classification System (GMFCS) for functional activity classification.* Digital goniometer for measuring the angle of knee hyperextension.* Lafayette Manual Muscle Tester for quantifying muscle strength.Methods:* Assessment of muscle tone using the Modified Ashworth Scale, evaluating spasticity in calf muscles and hip/knee extensors.* Evaluation of gross motor function using the GMFCS.* Assessment of genu recarvatum using a digital goniometer.* Assessment of muscle strength using the Lafayette Manual Muscle Tester, focusing on hamstrings and tibialis anterior muscles.* Assessment of range of motion in the knee joint using Kinovea software.* Treatment procedures involving physical therapy sessions with a combination of exercises and interventions tailored to each group (Group A and Group B).Group A Treatment:- Designed physical therapy program combined with pulley therapy for muscle strengthening.Group B Treatment:- Designed physical therapy program combined with functional electrical stimulation during walking on a treadmill for muscle stimulation.The interventions in both groups aim to improve muscle strength, range of motion, and functional abilities in children with cerebral palsy., conditionsModule conditions: Cerebral Palsy, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: TREATMENT, maskingInfo masking: SINGLE, whoMasked: PARTICIPANT, enrollmentInfo count: 32, type: ESTIMATED, armsInterventionsModule interventions name: universal exercis unit, interventions name: functional electrical stimulation, outcomesModule primaryOutcomes measure: muscle strength using muscle tester device, primaryOutcomes measure: Range of motion using kinoviea software and digital goniometer, primaryOutcomes measure: range of motion for the joint using digital geniometer, eligibilityModule sex: ALL, minimumAge: 4 Years, maximumAge: 8 Years, stdAges: CHILD, contactsLocationsModule locations facility: Physical Therapy, status: RECRUITING, city: Kafr Ash Shaykh, country: Egypt, contacts name: Mahmoud R Elsharkawy, bachelor, role: CONTACT, phone: 01021417889, email: mahmoud.elsharakawy1994@gmail.com, geoPoint lat: 31.11174, lon: 30.93991, hasResults: False