Effect of spring gravity bar on gait pattern in children with spastic diplegia / Baseem Zaki Mahmoud ; Supervised Kamal Elsayed Shoukry , Mohamed Tag Eldeen Mohamed Elemary , Nahla Mohamed Ibrahim

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

The purpose of this study is to provide insight on investigate the effectiveness of vestibular and proprioception on gait pattern by using spring gravity bar , when you press down on spring stimulate vestibular system and proprioceptive system that can improve gait pattern. Thirty-six spastic diplegic children of both sexes , their age ranged from seven to ten years old , chosen from the outpatient clinic of Cairo university children hospital and from Kamal shoukry pediatric rehabilitation center (KSPRC), Giza, Egypt. They were classified randomly into two groups of equal number ( study and control group).The control group received traditional physical therapy exercise and classical gait training.The study group received the same program of control group and gait training on spring gravity bar. Children were selected by Gross Motor Function Classification System(GMFCS) and assessed using two dimension (2D),video based gait assessment system and pediatric modified dynamic gait index ; before and after three months of application of the treatment program.The results of this study revealed statistically significant improvement in the measured variables of the study and control groups. From the obtained results of this study, it could be concluded that gait training on spring gravity bar can be included as alternative therapeutic modality to enhance gait pattern and gross motor function in children with diplegic cerebral palsy

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