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Clinical differentiation of individuals with mild diplegic cerebral palsy and idiopathic toe walking can be hard. Even so, an involuntary extensor pattern may possibly be a distinguishing sign. The hypothesis was that EMG testing for selective manage of the quadriceps and gastrocnemius could differentiate patients with diplegic CP from standard controls and from sufferers with ITW. Measurements integrated walking speed, energy expenditure index , ankle position for the duration of stance, and EMG of the quadriceps, gastrocnemius, and tibialis anterior throughout gait and through knee extension while sitting. Dynamic EMG timing throughout gait showed substantial variations in the mean onset of the gastrocnemius involving subjects with CP and ITW, but there was considerable overlap.

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