Effect of task-oriented exercise training program on the functional performance of children with cerebral palsy

IntroductionThis study aimed to test how normal physical treatment, with or without home-based intense bimanual training, affected hand coordination and daily living activities in children with cerebral palsy.MethodsA randomised controlled experiment was carried out at DHQ Hospital in Kasur, Pakistan. Thirty children with unilateral spastic cerebral palsy took part in the study. The first group received standard physical treatment, whereas the second group received bimanual training along with routine physical therapy. Follow-ups were performed in the fourth and sixth weeks. The paediatric motor log activity scale and the ABILHAND questionnaire were used to assess daily activities and coordination, respectively.ResultsAt baseline, no significant association was seen between treatment groups and hand coordination outcome among the patients (p = 0.0450) and no significant difference was seen in patients in both treatment groups regarding their activities of daily living. In group A, no significant improvement was seen in hand coordination from baseline until the 6th week (p = 0.257) while in group B, a significant difference was seen in hand coordination from baseline until the 6th week follow-up (p = 0.000).ConclusionsThis study concluded that the combined effect of home-based bimanual exercises and routine physical therapy shows significant achievements in hand coordination and activities of daily living.

Section: Discussionmentioning

confidence: 99%

Effectiveness of routine physical therapy with or without home-based intensive bimanual training on clinical outcomes in cerebral palsy children: a randomised controlled trial

Ijaz,

Tanveer,

Shoukat

et al. 2024

“…The tasks could be standing on a foam surface with eyes closed or performing dual-task conditions, such as walking while carrying a toy [12]. The prescribed tasks should also address children's functional and meaningful skills, and also fun, involving engagement with their family and peers [7,14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of task-specific training for improving balance performance in children with cerebral palsy (CP): a narrative systematic review

Karnadipa,

Xin,

Pickering

et al. 2024

IntroductionA body of research has focused on helping children with disabilities stay physically active. As poor balance has been found as a major limitation in physical activities, a systematic review exploring balance intervention programs is warranted.MethodsThe primary aim of this is to systematically evaluate evidence for the effect of task-specific training to improve balance outcomes in ambulant children with cerebral palsy. Seven databases were searched for studies involving ambulant children with cerebral palsy (4–15 years old); balance TST; and balance-related outcomes. The quality of the studies was appraised using the JBI Critical Appraisal Checklists for risk of bias, study design, and quality of evidence. Continuous data were transformed and summarised using standardised mean difference and 95%CI.ResultsSeven randomised controlled trials met the inclusion criteria. The risk of bias was deemed low in most of the studies. Due to heterogeneity of study design and outcome measures, a narrative synthesis was conducted. Positive between-group effects favouring TST were found across the six studies (BBS d = 1.528, 95% CI = 0.7747–2.2813) and follow-up (BBS d = –1.667, 95% CI = –2.459 ÷ –0.874). Despite poor reporting of motor learning strategies, repetitive practice, feedback, and task modulation strategies were used consistently in balance TST.ConclusionsTST could be recommended to be a part of an intervention programme to improve balance performance in children with CP. However, more studies with rigorous study design and adequately powered implementation of a more fun task-oriented training programme are needed.

“…Cerebral palsy (CP) is a common paediatric disorder occurring in about 2 to 2.5 per1000 live births [1]. Many studies have reported that children with cerebral palsy have a high incidence of respiratory problems, i.e., recurrent pneumonia, atelectasis, bronchiectasis, and restrictive lung disease, which may increase morbidity and mortality [2][3][4]. For breathing, the children with CP rely on abdominal muscles more than chest wall muscles, due to which they develop poor breathing pattern coordination.…”

Section: Introductionmentioning

confidence: 99%

Diaphragmatic excursion and pulmonary function in children with cerebral palsy – comparative study

Thomas¹,

Narayan²,

Alaparthi³

et al. 2023

Introduction. Cerebral palsy (CP) is a common paediatric disorder occurring in about 2 to 2.5 per1000 live births. Studies have reported that children with cerebral palsy have a high incidence of respiratory problems, with limited evidence regarding diaphragmatic impairment. Thus, the study aims to analyse and compare the diaphragmatic excursion and pulmonary function in children with CP compared to the typically developing children. Methods. The sample size was calculated as 38, divided into groups of typically developed children ( 19) and spastic CP children ( 16). An experienced radiologist assessed the diaphragmatic excursion. The respiratory parameters were assessed using a portable Pulmonary Function Test machine. Results. A positive significance was seen in the pulmonary function test values (p = 0.00) and diaphragmatic excursion (p = 0.00), showing better values among the typically developed children than the CP group. Conclusions. The study concludes that children with CP have a reduction in diaphragm excursion and poorer pulmonary values than typically developing children, making them prone to respiratory diseases, thus requiring early intervention.