OBJECTIVES: Children with spastic diplegic cerebral palsy (SDCP) can develop various complications that affect their daily activities and quality of life, such as impaired functional ability, trunk control, and muscle weakness. This study evaluated the effects of lower extremity pedaling exercise from an inclined position on functional ability, trunk control, and muscle strength in these children. METHODS: Thirty children diagnosed with SDCP, aged 6 to 9 years, were randomly assigned to two groups: a study group (Group A) and a control group (Group B). Both groups followed a designated physical therapy program for 45 min three times weekly for two consecutive months. Group A performed leg pedaling exercises for 30 min per session from an inclined position. Functional ability, trunk control, and muscle strength were assessed before and after the study using the Gross Motor Function Measure, Trunk Control Measurement Scale, and a handheld dynamometer, respectively. RESULTS: Both groups demonstrated statistically significant improvements in the assessed variables post-treatment (p < 0.05). Group A exhibited substantial improvements in functional ability, trunk control, and muscle strength following treatment (p < 0.05). CONCLUSIONS: For children with SDCP, integrating leg pedaling exercises from an inclined position into their therapeutic program can improve their functional ability, trunk control, and muscle strength.

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