EFFECTS OF UNIVERSAL EXERCISE UNIT THERAPY ON SITTING BALANCE IN CHILDREN WITH SPASTIC AND ATHETOID CEREBRAL PALSY: A QUASI-EXPERIMENTAL STUDY
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Abstract
OBJECTIVE: To find out improvement in sitting balance by using universal exercise unit (UEU) along with gym ball and rocker board training in children with spastic and athetoid cerebral palsy (CP).
METHODS: This study was a quasi-experimental design where 23 (15
male, 8 female) children, age 6-15 years of spastic and athetoid CP with Gross Motor Functional Classification Scale; level III were recruited during the period of 6 months. Data was recorded on trunk control measurement scale to measure sitting balance and control. UEU therapy along with gym ball and balance board training were part of the treatment protocol.
RESULTS: Out of 23 subjects, 16 (69.6%) were having spastic CP and 7 (30.4%) had Athetoid CP. The results of the study demonstrated that CP children who received therapy in UEU showed improved sitting balance after intervention of 4 weeks. While considering the components of
trunk control measurement scale (TCMS) on subscale of static sitting
balance, performance was least impaired compared to subscales of dynamic sitting balance. Mean scores of trunk control measurement scale before and after treatment were 18.35±5.81 and 21.83±5.38 respectively with p-value <0.05. Static sitting balance was 8.65±3.379 before treatment and 10.22±3.219 after treatment. Dynamic sitting balance was 5.57±3.043 & 6.91±2.695 before treatment and after treatment respectively. Dynamic reaching was 4.13±1.687 before treatment and 4.78±1.976 after treatment.
CONCLUSION: Universal exercise unit therapy bring significant improvement is sitting balance and control of CP children with spasticity and athetosis.
KEY WORDS: Cerebral palsy (MeSH); Muscle Spasticity (MeSH); Exercise Therapy (MeSH); universal exercise unit Therapy (Non-MeSH);Postural Balance (MeSH).
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