EFFECT OF NEURO-DEVELOPMENTAL ABDOMINAL ACTIVATION ON GROSS MOTOR FUNCTION AND MUSCLE TONE IN SPASTIC DIAPLEGIC CEREBRAL PALSY CHILDREN
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Keywords
Cerebral palsy (CP), Gross motor function measures (GMFM), Interrupted direct current (IDC)
Abstract
Background: Cerebral palsy is the static encephalopathy with primary lesion not progressive and secondary problems may change according to the development of brain. Spasticity is the most common problem related to CP. Bobath therapy is a facilitation technique that was used to activate muscles, improve gross motor functions and to reduce spasticity.
Aims and Objectives: The aim of the study was to determine the influence of the effects of abdominal activation as to determine the change in gross motor function and reduction in muscle tone.
Methods and Methodology: A quantitative, randomize clinical trial was conducted allocating patients randomly into two groups. One was control group (G1) and the other was treatment group (G2). Baseline treatment was given to the control group which included lower limb passive stretching exercises and interrupted direct Current (IDC). However, baseline treatment with Bobath (facilitation) technique was given to the treatment group for Abdominal Muscle Activation. The measuring tool used for assessment was GMFS 88 to check motor functions of lower limb, GMFS for gross motor function, Modified Ashworth scale to analyze spasticity.
Results: The study showed significant improvements in gross motor functions and reductions in spasticity in children with diaplegic cerebral palsy. For Gross Motor Functional Scale the treatment group improved significantly (mean difference 1.541, p-value 0.000). For Modified Ashworth Scale the treatment group showed significant improvement (mean difference 2.761, p-value 0.000). In Gross Motor Function Measure (GMFM-88) significant improvement was observed in the treatment group (mean difference 3.928, p-value 0.000). Pre- and post-treatment comparisons revealed that neuro-developmental techniques effectively enhanced motor function and reduced muscle tone in the participants over the course of 8 weeks.
Conclusion: The study showed significant improvement in gross motor functions and decrease in spasticity of lower limb in children with cerebral palsy.
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Lieza Iftikhar
Lecturer, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Marium Zafar
Assistant professor, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Rubina Zulfqar
Assistant professor, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
Areeba Ehsan
Physiotherapist, The University of Faisalabad, Faisalabad, Pakistan
Sanam Aslam
Physiotherapist, The University of Faisalabad, Faisalabad, Pakistan
Nawal Amjad
Physiotherapist, The University of Faisalabad, Faisalabad, Pakistan
M. Saad Iftikhar
Physiotherapist, The University of Faisalabad, Faisalabad, Pakistan
Moater Iftikhar
Lecturer, Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan