Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

Effectiveness of Intensive Motor Learning Approaches From Working on a Vertical Surface on Hemiplegic Children's Upper Limb Motor Skills

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion. A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint. Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles. Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

received the intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) of the control group but from a vertical surface

received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).

Ball on wall, kneel to stand Kneel walk cross over Vertical playground puzzles and games Color on big boxes Fridge magnets Erasing a whiteboard or chalkboard Tactile feedback from textured walls

quality of upper extremity skills test (Only dissociated movement, grasp and weight bearing domains QUEST will be assessed).

Inclusion Criteria: Children diagnosed with spastic hemiplegic cerebral palsy Age 5 to 9 years Manual Ability Classification System (MACS)19 scores I, II. Children who can understand and cooperate with researcher's instructions Children with no visual or hearing impairment Exclusion Criteria: Children with any surgical interference in the upper limb. Intellectual disability such that simple tasks could not be understood or executed. Inability to combine the study protocol with the regular school program