Mahmoud  Mohamed Aboshady, <br/><br/>
Combined effect of quad spring board walkway with platform swing  on gait pattern of children with spastic diplegia / 
 دراسة تأثير الممشى الزنبركى الرباعى داخل المنصة المتأرجحة على أنموذج المشى عند الاطفال المصابين بالشلل التشنجى المزدوج / 
By Mahmoud Mohamed Aboshady, Under the Supervision of Prof Dr. Kamal El Sayed Shoukry 
 - 100 pages :   illustrations ;  25 cm. +   CD. 
<br/><br/>Thesis (M.Sc.)-Cairo University, 2024. 
<br/><br/>Bibliography: pages 86-100.  
<br/><br/> Background: Unstable surface training is beneficial for children with spastic <br/>diplegic cerebral palsy who had gait and balance problems. The quad spring board <br/>and platform could provide an unstable surface during gait training for those <br/>children. Aim of the study: The purpose of the current study was to investigate if <br/>there is an effect of the quad spring board walkway and platform swing on gait <br/>pattern in children with spastic diplegia. Materials and methods: Thirty spastic <br/>diaplegic cerebral palsy children of both genders, ranging in age range from 4 to 7 <br/>years participated in the study. The degree of spasticity ranged from mild up to <br/>moderate (1 or 2) according to the Modified Ashworth Scale and they were at level <br/>I or II on the Gross Motor Function Classification System. They were divided <br/>randomly into two equal groups (control and study). The control group received <br/>traditional physical therapy program, and the study group received the same <br/>program given to the control group in addition to gait training on the quad spring <br/>board walkway integrated into the dynamic platform swing walkway. All subjects <br/>were assessed before and after three months of treatment using GMFM-88 to <br/>determine their growth motor function and tracker video analysis and modeling <br/>tool to determine lower limbs‘ joints angle. Results: There was significant increase <br/>in all mean values of the measured variables when comparing the pre and post <br/>treatment results of each group. Comparing the post treatment mean values of both <br/>groups revealed significant improvement of all the measured variable in favor of <br/>the study group except for the ankle joint. Conclusion: Quad spring board <br/>walkway combined with platform swing have significant effect on gait pattern in <br/>children with spastic diplegia which may be due to stimulation of the vestibular <br/>system stimulation.   شارك فى الدراسة 30 طفلا مصابا بالشلل الدماغي من كلا الجنسين أعمارهم بين 4 و7 سنوات مع التشنج من خفيف إلى معتدل (1 أو 2) وفقا لمقياس أشوورث المعدل وكانوا في المستوى الأول أو الثاني على نظام تصنيف الوظائف الحركية الإجمالية. تم تعيينهم عشوائيا في مجموعتين متساويتين. تلقت المجموعة (أ) برنامج العلاج الطبيعي التقليدي، وتلقت المجموعة (ب) نفس البرنامج التقليدي بالإضافة إلى التدريب على المشي على ممر رباعي الزنبرك مدمج في ممر تأرجح المنصة الديناميكي. تم تقييم جميع الأشخاص قبل وبعد الدراسة باستخدام GMFM-88 (أجزاء الوقوف والمشي والجري والقفز) وباستخدام أداة تحليل ونمذجة فيديو التتبع. لوحظ وجود هناك زيادة ملحوظه احصائيا في جميع المتغيرات المتوسطة ل GMFM-88 وزوايا مفاصل الورك والركبة في مرحلة منتصف الوقوف باستثناء مفصل الكاحل لصالح مجموعة الدراسة (p > 0.05).   
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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Physical Therapy
<br/><br/><label>Subjects--Index Terms: </label>Cerebral Palsy  Diplegia  Unstable surface training  quad spring board 
<br/><br/><label>Dewey Class. No.: </label>615.82