Call for Papers : Volume 15, Issue 05, May 2024, Open Access; Impact Factor; Peer Reviewed Journal; Fast Publication

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Effect of arm movement without specific balance control training to improve trunk postural control in children with spastic diplegic cerebral palsy

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Introduction: One of the key features of children with Cerebral palsy (CP) is deficient postural control. Poor postural control significantly affects activities of daily living. It has been hypothesized that training focused on task completion with no explicit instructions provides better postural alignment, weight shift and balance. The aim of the study was to evaluate the effect of arm training without specific balance control training in improving trunk postural control in children with spastic diplegic cerebral palsy (SDCP). Methods: 32 children with a mean age 6.11 years were randomized into two groups each with 6 subjects in experimental group (mean age 5.69) and control group (mean age 6.56). All children underwent an initial baseline assessment of trunk control measurement scale (TCMS) and GMFM-66 (Dimension-D). Both groups received conventional exercises. The experimental group in addition received arm training in diagonal pattern using elastic tube in sitting and standing positions. The intervention period was of 6 weeks duration, 5 days/week. Post-test measurement were assessed after 6 weeks Statistical Analysis: Data was analyzed using non parametric Mann Whitney U test. Results: The overall results of the study showed improvement in the trunk control measurement scale (TCMS) for trunk postural control and Gross Motor Function Measure (GMFM-66) dimension-D i.e. standing at the end of 6 weeks of treatment in both, experimental and control groups. However, the experimental group showed a significant more improvement in both trunk control measurement scale (TCMS) and Gross Motor Function Measurement (GMFM-66) dimension-D. Conclusion: It can be concluded that arm training without using specific balance training could be used as an effective method for improving trunk postural control for children with SDCP.

Author: 
Md. Sadique Khan, M.P.T., Monalisa Pettnaik and Dr. Patitapaban Mohanty
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