Cerebral Palsy (CP)NCT07147933
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
A study testing phusical therapy program and physical therapy program in people with Cerebral Palsy (CP) and Diaplegia, run by Philadelphia University, Jordan at 1 site in Jordan.
Trial 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. Read more about this study
- Who is it for?
- Ages 4 to 10 years
- Conditions the study is for
- Cerebral Palsy (CP), Diaplegia, Muscle Weakness | Patient
- What is being tested?
- phusical therapy program and physical therapy program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteJordan
- Study dates
- 2 Jul 2025to 2 Mar 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 4 to 10 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy contact
Jordan1 site, 1 recruiting
- Recruiting
Queen Rania AL Abdullah hospital for children
Amman
Ahmed Yasser Mostafa Marouf, Bachelor's of Physical Therapy, 01026913232, ahmedmarouf00@icloud.com
About this study
Official title: Physical Therapy Protocol for Crouch Gait Associated to the Anterior Pelvic Tilt and Soleus Muscle Weakness in CP Patient
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
Read more
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
- Being tested
- phusical therapy program, physical therapy program
- Medical subject headings
- Cerebral Palsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
phusical therapy programOther
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
physical therapy programOther
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.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: 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 Receives: Other: phusical therapy program; Other: physical therapy program |
What is being measured
The primary outcome is the main question the study is designed to answer.
EMG and we calculate RMS for soleus muscle
Measured: the primary outcome measures by using EMG before treatment paln and after 8 weeks
Secondary outcomes (2)
step length
Measured: before treatment plan and after 8 weeks
step wedth
Measured: before treatment plan and after 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Aug 2025
- Study start2 Jul 2025
- Primary completion2 Mar 2026 (estimated)
- Study completion2 Mar 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cerebral Palsy (CP)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 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.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Philadelphia University, Jordan
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ahmed Yasser Mostafa Marouf, Philadelphia University, Jordan
- Investigators
- Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy, Principal investigator, Bachelor's of Physical Therapy, Faculty of Allied Medical Sciences, Philadelphia University, AmmanMayar Mostafa Rady Abdelmogaly, bachelor's physical thrapy, Study director, Mayar Mostafa Rady Abdelmogaly Bachelor's of physical therapy, Galala university
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07147933
- Sponsor's protocol ID
- 2/5/2024-2025
- Status last verified
- Jan 2026
- First submitted
- 22 Aug 2025
- Last updated
- 9 Jan 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 9 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Physical Therapy Protocol for Crouch Gait Associated to the Anterior Pelvic Tilt and Soleus Muscle Weakness in CP Patient
- ClinicalTrials.gov ID
- NCT07147933
- Acronym / sponsor ID
- 2/5/2024-2025
- Conditions
- Cerebral Palsy (CP), Diaplegia, Muscle Weakness | Patient, Anterior Pelvic Tilt, Crouch Gait
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Philadelphia University, JordanUniversity, hospital or other
- Study start
- 2 Jul 2025 (actual)
- Primary completion
- 2 Mar 2026 (estimated)
- Study completion
- 2 Mar 2026 (estimated)
- First posted
- 29 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| Arm A | Experimental | Other: phusical therapy program, Other: physical therapy programA 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 B | Active comparator | Other: phusical therapy program, Other: physical therapy programphysical 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 |
Who may qualify
- Ages
- 4 to 10 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- 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.
Key exclusion criteria (2 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| phusical therapy programphysical 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 | Other | Arm A, Arm B |
| physical therapy programA 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 | Arm A, Arm B |
Primary outcome
EMG and we calculate RMS for soleus muscle
Time frame: the primary outcome measures by using EMG before treatment paln and after 8 weeks
2 secondary outcomes
step length
Time frame: before treatment plan and after 8 weeks
step wedth
Time frame: before treatment plan and after 8 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jan 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy contact
Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy principal investigator
Bachelor's of Physical Therapy, Faculty of Allied Medical Sciences, Philadelphia University, Amman
Mayar Mostafa Rady Abdelmogaly, bachelor's physical thrapy study director
Mayar Mostafa Rady Abdelmogaly Bachelor's of physical therapy, Galala university
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing phusical therapy program and physical therapy program in people with Cerebral Palsy (CP) and Diaplegia, run by Philadelphia University, Jordan at 1 site in Jordan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 9 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Jordan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy (+201026913232, ahmedmarouf00@icloud.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
EMG and we calculate RMS for soleus muscle (time frame: the primary outcome measures by using EMG before treatment paln and after 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jan 2026.