This study will investigate the effect of a 6-week stretching intervention, consisting of a combination of a 2-week casting period and a home-based stretching program of the plantar flexors and hamstrings, on muscle and tendon lengths, range of motion, stiffness, and functional muscle strength. The study will include patients with spastic cerebral palsy aged between 4 and 11 years old with a Gross Motor Function Classification Score (GMFCS) level between I and III.
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Change in muscle belly and tendon length of the medial gastrocnemius and semitendinosus
Timeframe: Between baseline, casting removal (2 to 4 weeks after baseline) and 6 to 8 weeks after baseline.
Change of range of motion of the ankle and knee joint
Timeframe: Between baseline, casting removal (2 to 4 weeks after baseline) and 6 to 8 weeks after baseline.
Change of range of motion of the ankle and knee joint
Timeframe: Between baseline, casting removal (2 to 4 weeks after baseline) and 6 to 8 weeks after baseline.