Purpose:To examine the effects of task-oriented activities based on neurodevelopmental therapy (TOA-NDT) principles on trunk control, balance, and gross motor function in children with spastic diplegic cerebral palsy (SDCP).Materials and Methods:Forty-four children with SDCP, aged 7–15 years, were recruited to participate in the randomized clinical trial. After random allocation, twenty-two (n = 22) children with SDCP participated in TOA-NDT principles and twenty-two (n = 22) in conventional physiotherapy (CPT) program. Each group underwent the treatment for a duration of 60min per day, 6 days a week for 6 weeks. Gross motor function measure-88 (GMFM-88), postural assessment scale (PAS), pediatric balance scale (PBS), and trunk impairment scale (TIS) were the outcome measures used to document the pre- and post-intervention effect.Results:The mean difference of GMFM-88, PAS, PBS, and TIS was 8.53 (5.84–11.23), 0.90 (5.84–11.23), 4.86 (2.93–6.79), and 1.45 (0.30–2.60), respectively. TOA-NDT group showed improvement in all the outcomes.Conclusion:TOA-NDT principles are more beneficial in improving the trunk control, balance, and gross motor function parameters than CPT.

Introduction.Strength training has shown benefits in rehabilitating children with spastic diplegic cerebral palsy (CP); nonfunctional activities are less significant in improving gross motor function. There is dearth of evidence concerning the benefits of functional strength training (FST) among children with spastic diplegic CP. Hence, we aimed to compare the benefits of FST and conventional physiotherapy (CPT) in this group. Methods. overall, 40 children with spastic diplegic CP with Gross Motor Function Classification System levels i, ii, and iii were recruited by simple random sampling (Random Number Generator) to participate in this 2-group pretest-posttest, multicentre, double-blind randomized controlled study. The children were randomly divided into 2 groups: FST group and CPT group. Both groups received an active training program of 45-60 minutes for 6 weeks with a 2-month follow-up without intervention. The 88-item Gross Motor Function Measure (GMFM-88) dimensions d, E, and goal total score were recorded at baseline, after the 6-week intervention, and after the 2-month follow-up. Results. FST group demonstrated significant differences in ); p = 0.038], E [11.8 (3.1-20.4); p = 0.009], and goal total score [9.4 (3.3-15.6); p = 0.003] when compared with CPT group after the 6-week intervention. Similarly, a significant difference was noted in GMFM-88 goal total score [6.3 (0.1-12.4); p = 0.046] after the 2-month follow-up. There were no differences in GMFM-88 dimensions d [3.9 (-2.5 to 10.5); p = 0.222] or E [8.6 (-0.3 to 17.4); p = 0.059] after the 2-month follow-up. Conclusions. Six-week FST improved standing, walking, running, and jumping in children with spastic CP. FST had a carry-over effect of strength gained in functional performance.

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