Pelvic Alignment in Relation to Standing Balance and Selective Motor Control in Children With Spastic Diplegia

Study Overview
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Brief Summary
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This study will be conducted to identify the relation between pelvic alignment and standing balance and also the relation between pelvic alignment and selective motor control in children with spastic diplegic cerebral palsy.

Detailed Description
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In this study, pelvic alignment of children with diplegia will be evaluated using the Formetric instrument system. Their standing balance will be evaluated using the Biodex balance system, while selective voluntary motor control of lower extremities will be assessed using the Selective Control Assessment of the Lower Extremity scale (SCALE). Results will be compared to find the correlation between pelvic alignment and standing balance and the correlation between pelvic alignment and selective motor control. Results can help clinicians to better address the problems of pelvic asymmetry in children with spastic diplegia to improve their overall balance and functional abilities.

Official Title
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Pelvic Alignment in Relation to Standing Balance and Selective Motor Control in Children With Spastic Diplegia

Conditions
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Cerebral Palsy, Spastic Diplegia

Participation Criteria
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Eligibility Criteria
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Forty children with spastic diplegia of both sexes will be selected with the following criteria: Inclusion Criteria: Their age will be ranged from 6 to 8 years. The degree of their spasticity will be ranged from 1 to 1+ according to Modified Ashworth' Scale. They will be on level Ⅰ or Ⅱ on Growth Motor Function Classification System (GMFCS). Exclusion Criteria: The Children will be excluded if they have one of the following: Severe visual or hearing impairment. Fixed deformities or surgical interventions in the lower extremities. Botulinum toxin injections in the last 6 months.

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic alignment in relation to dynamic standing balance | Pelvic alignment will be assessed using the Formetric system, while standing balance will be assessed using the Biodex system then results will be compared to find the relation between pelvic alignment and dynamic standing balance in children with diplegia. | 2 months | 
| Pelvic alignment in relation to selective voluntary motor control of the lower extremities | Pelvic alignment will be assessed using the Formetric system, while selective motor control (SMC) of lower extremities will be assessed using Selective Control Assessment of the Lower Extremity scale (SCALE) then results will be compared to find the relation between pelvic alignment and selective motor control in children with diplegia. | 2 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pelvic alignment, pelvic tilt, torsion, inclination, Formetric, Biodex, dynamic balance, selective motor control, SCALE