A study to compare the effect of task oriented training versus functional progressive resistance exercise strength training on gross motor functions in spastic diplegics

Abstract

Cerebral palsy is a disorder of the development of movement and posture, causing activity limitations. Spastic Diplegic CP is the commonest and it occurs due to the brain damage inhibits the proper development of UMN function impacting the motor cortex, the basal ganglia and the corticospinal tract. The impairments of spastic diplegic children are spasticity in lower limbs, ROM deficits and selective motor control problems. These impairments may limit the performance of gross motor, fine motor with limitations of participation in daily life. Improvement in mobility has been primary goal in treatment of cerebral palsy. This interventional study was conducted to compare the effect on gross motor function in spastic diplegics treated with task oriented training and spastic diplegics treated with functional progressive resistance exercise strength training. Sixty subjects with spastic diplegics were assessed for the inclusion and exclusion criteria and equally divided into two groups group - A received task oriented training and Group - B received functional progressive resistance exercise strength training five times a week for 5 weeks. The outcome measures were taken on GMFM88 (Dimension D and E) and Mobility Questionnaire on day 1 and at the end of 5th week. The result showed statistically significant improvement in Gross motor function in both the groups after 5 weeks of treatment, But Group A treated with task oriented training shows better improvement in outcome measures as compared to group B treated with functional progressive strength training.