Introduction: Trunk control is one of the impairments in spastic hemiplegics which affects the balance in cerebral palsy children. Trunk balance is a pre-requisite for upper limb function. By improving trunk control, the balance increases, helping the child to be functionally independent.Objectives: To improve trunk control and balance in spastic hemiplegic cerebral palsy children by Swiss ball training.Method: Thirty subjects were included in the study after obtaining informed consent from their parents and they were separated into two groups. One group was given conventional training and the other group was given Swiss ball training for 30 minutes, 4 times weekly for 6 weeks. Gross Motor Functional Measure (GMFM-88) scale was utilized for assessment of trunk balance and Paediatric Balance Scale (PBS) for assessment of functional balance. Paired t-test was used to analyse the effect of trunk control and balance functions
Results:The post-test mean values of all the variables of Swiss ball training group were significantly improved compared to those of the conventional group (p<0.005).
Conclusions:The study shows that Swiss ball training improves trunk control and balance in spastic hemiplegic cerebral palsy children.
SEAS exercise to improve functional activities among the children with spastic hemiplegic cerebral palsy children. Single group pre- post experimental research design. Cerebral paralysis is a static encephalopathy which affects the immature brain and leads to permanent motor disability. Due to a combination of spasticity, muscle weakness and incompletion of muscle control, the spinal deformity occurs in rising patients with CP; it can lead to poor balance in the trunk and significantly limits patient function. SEAS exercise capacity to enhance the self-corrected posture by concentrating during everyday activities. Eighty eight subjects of spastic hemiplegic cerebral palsied children, aged 6-12, male and female with scoliosis were selected under purposive sampling technique and received SEAS exercise training for a period of eight weeks. pre and post outcome measures were assessed using Modified Ashworth scale and Scoliometer to measure the functional activity in the children Pediatric balance scale, functional gait assessment and Gross motor function were used. Significant changes in spasticity and scoliosis were observed, and functional parameters were increased. The results of the post-test mean values for all SEAS variables demonstrated substantial improved balance, reduced scoliosis and gross motor functions in those receiving SEAS protocol (p<0.05). The SEAS exercise proves there was a decrease in scoliosis and their by improvement in functional abilities among children with spastic hemiplegic cerebral palsy after eight weeks of intervention.
To find out functional strength training exercise on improving gross motor function among the children with spastic hemiplegic cerebral palsy children. Single group pre-experimental research design. The most common cause of movement disability in infancy is cerebral palsy. Cerebral palsy patients have impairments such as spasticity, low muscle strength and selective motor control in their body function. Such deficiencies may limit activity performance and participation in everyday life. Improving and optimising activities and involvement are crucial treatment objectives. Functional strength workouts are vital to overcoming obstacles to improving the functionality of children with neurological issues. 92 subjects of spastic hemiplegic cerebral palsied aged 4-8, male and female with spastic hemiplegic cerebral palsy were selected under purposive sampling technique and received functional strength training exercise for a period of ten weeks. To assess the gross motor function (functional independence) pre and post the exercise program, Gross motor functional measure was used. Results: The pre and post measurements shows significant changes in the gross motor function among children with spastic hemiplegic cerebral palsy. The results of the post-test mean values show improvement in gross motor functions after functional strength training program (p<0.05). The functional strength training program proves that increased gross motor function and thereby improvement in functional abilities among children with spastic hemiplegic cerebral palsy after ten weeks of intervention.
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