Ankle Weighted Cuffs Training Along with Routine Physical Therapy Exercises

Routine Physical Therapy Exercises

Group A will have free ankle weighted cuffs while performing routine physical therapy. These weighted cuffs will be above of the child's ankle and child will be encouraged to perform his/her routine physical activities. Ankle weights will correspond to 2% to 3% of the individual's body weight (sandbags) will be attached at 5 cm above the left and right ankle joints

For the limb-matching test, Participant instructed to keep his eyes closed while the therapist positioned one extremity, and he then was instructed to copy the position with his opposite extremity. Then participant will be asked to replicate 4 positions with his lower extremities while positioned supine on a mat. The limb-matching test positions are described.

Limb Matching Test Positions

1. Hip abduction with full knee extension
2. Hip adduction in neutral
3. Hip flexion with knee flexion with foot on the mat
4. Hip and knee flexion at 90° Dynamic Position Sense Movements for Limb Movement Sense Test

1.Hip circles counterclockwise 2.Hip circles clockwise 3.Active hip abduction and adduction with knee fully extended Intra-class correlations (ICC), which are most often used to express test-retest reliability, were moderate at best, ranging from 0·40 to 0·61 for the four types of position sense tests

The aim of the 50-FWT is to determine the percentage of toe walking performed by each child over a 50ft distance. During the 50-FWT, the children are barefoot to ensure the physical therapist's view of their feet is not obstructed by shoes. To prevent the child from walking past the 50-ft distance, a parent or therapist stands at the end of the walk test to assist in stopping. This allows the physical therapist to read the pedometer value before the child began to move again. The child stands at the start line and the accelerometer is set to 0. Each child ambulates 50 ft. The physical therapist walks at least 6 ft behind the child to assess toe walking while not interfering with gait. The pedometer counts the total number of steps taken during the 50-FWT. The therapist counts the number of steps with initial contact on the toe. The number of toe-walking steps counted by the therapist is divided by the total number of steps counted by the pedometer to get a percentage of toe walking