Neck-Trunk Stabilization Exercises and Bobath Therapy Spastic Diplegic Cerebral Palsy
Cerebral Palsy Spastic Diplegia
About this trial
This is an interventional treatment trial for Cerebral Palsy Spastic Diplegia focused on measuring Bobath; Cerebral palsy; Neck-Trunk Stabilization;
Eligibility Criteria
Inclusion Criteria: Children diagnosed with spastic diplegic cerebral palsy Children with score of GMFCS [2] [3] [4] levels(2, 16). Signed consent form from parents/guardians. Exclusion Criteria: Children with visual impairments Children with major auditory impairments Children with previous orthopedic surgery and Botulium toxin-A injection at least for 6 months Children having pharmacological intervention for the inhibition of spasticity Contractures Uncontrolled seizures Focal spasticity
Sites / Locations
- Idrees HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Neck-Trunk Stabilization exercises
Bobath Therapy
First neck and trunk exercise involved lifting the head in a modified bridge exercise position so that lower abdominal muscles contracted when the neck was bent, thereby activating the neck flexor muscle and the lower abdominal muscles simultaneously. Second exercise involved pushing the neck backward in supine position to activate the erector muscles of the neck and the upper thoracic vertebrae through the extension of the muscles of the back of the neck. Third exercise activated the deep abdominal muscles in bridge exercise positions so that the participants would experience the posterior inclined movement of the pelvis. Keep each posture for 10 seconds at a time and repeat 10 times with a rest interval of 3 seconds per each.
trunk-pelvic-hip neutral alignment with anterior-posterior weight shifts on the ball, bilateral upper extremity abduction-traction for lateral weight shift, prone extension on the ball, forward weight shift for the trunk and hip extension and forward protective extension, diagonal weight shifts in flexion-rotation direction, lateral weight shift for simultaneous activation of flexors and extensors, bilateral shoulder flexion for latissimus dorsi elongation, pectoral elongation exercise for trunk extension, preparatory trunk activities (with continuous and/or intermittent compression and intermittent support), positioning and holding of the head-trunk Keep each posture for 10 seconds at a time with a rest interval of 3 seconds per each.