Effects of 8 weeks functional training programme on posture control and functional mobility in spastic hemiplegic cerebral palsy.

Abstract

OBJECTIVE:

To determine the impacts of functional training versus conventional training on posture control and functional mobility in spastic hemiplegic cerebral palsy children.

METHODS:

The randomised clinical trial was conducted at the Rehab Cure physiotherapy centre, Lahore, Pakistan, from January to September 2020, and comprised children of either gender aged 4-14 years, diagnosed with cerebral palsy, gross motor functional classification system level II or III, and no mental retardation. The subjects were randomised into conventional therapy group A and functional training group B. Intensity of exercises was gradually increased each week, starting from 10 reps to 20 reps. The subjects received treatment 3 times a week for 8 weeks, and each session lasted 45-60 min. Paediatric Balance Scale, Trunk Control Measurement Scale, Five Times Sit to Stand Test and Timed-Up-and-Go test were used at baseline and post-intervention. Data was analysed using SPSS 21.

RESULTS:

Of the 14 subjects, there were 7(50%) in each of the two groups. Overall, there were 8(57.14%) males and 6(42.86%) females with a mean age of 7.57±1.86 years. Significant improvement was noted in both groups post-intervention (p<0.05), but intergroup differences were not significant (p>0.05).

CONCLUSIONS:

Both functional training and conventional therapy significantly improved postural control and functional mobility in spastic cerebral palsy children, but intergroup differences were not significant.

Clinical Trial Number:

IRCT20200909048676N1.

• Authors: Aeysha Gulzar, Misbah Waris, Qurat Ul Ain
• Journal: JPMA. The Journal of the Pakistan Medical Association (J Pak Med Assoc) Vol. 72 Issue 7 Pg. 1278-1281 (Jul 2022) ISSN: 0030-9982 [Print] Pakistan
• PMID: 36156543 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Cerebral Palsy
• Child
• Child, Preschool
• Female
• Hemiplegia
• Humans
• Male
• Muscle Spasticity
• Postural Balance
• Time and Motion Studies