Effectiveness of Task-oriented exercise to improve gross motor function in spastic cerebral palsy children

Abstract

Purpose: This study investigates the effectiveness of task-oriented exercise to improve gross motor function in spastic cerebral palsy children. Objectives: This study aims to evaluate the effectiveness of task-oriented exercise to improve gross motor function in children with spastic cerebral palsy and sociodemographic information about cerebral palsy children. Methods: A quantitative pre and post-experimental study has been designed in this study. Based on the inclusion and exclusion criteria and according to GMFCS fifteen (15) spastic children have been selected as sample size at the age of 4 12 years, who attended the pediatric unit in the Centre of the Rehabilitation of the Paralyzed (CRP) in Bangladesh for treatment purposes. The selective patient received the task-oriented exercise for 4 weeks, 8 sessions (Twice a week, 30 minutes per session). The gross motor functional measurement scale was used to measure the outcome before and after 4 weeks of intervention. Result: For the gross motor performance measure, there were statistically significant differences in the amount of change before and after the training among the intervention groups. After the 4-week intervention period ended, all the subscales of GMFMS-66 were found to be significantly improved. In subscales of Gross motor function measurement in lying and rolling pre and post-test means were 9.67 and 10.67 and their significant value is 0.03 (P< .005) where the significant level in sitting was 0.005 which is also less than the p value (P< 0.005). Other subscales of GMFMS in standing, crawling and kneeling walking, running and jumping significant levels were 0.001, 0.01, and 0.001 which is also less than the p-value (P< 0.005) Conclusion: Based on the findings of this study it provides evidence that task-oriented physiotherapy is effective in improving gross motor function among the spastic cerebral palsy children. Keywords: Spastic cerebral palsy, Task-oriented exercise, Gross motor function Total word count: 10250