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Effectiveness of Task Oriented Circuit Training On Functional Mobility and Balance in Cerebral Palsy

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DOI Number: 10.5958/j.0973-5674.7.4.

116
Indian Journal of Physiotherapy & Occupational Therapy. October-December 2013, Vol. 7, No. 4 23

Effectiveness of Task Oriented Circuit Training on


Functional Mobility and Balance in Cerebral Palsy

Chandan Kumar1, Shina Kataria2


1 2
Assistant Professor, M.P.T (Neurology- Student), M. M. Institute Of Physiotherapy And Rehabilitation,
Mullana, Ambala

ABSTRACT

Purpose: The goal of this study is to determine the efficacy of task related circuit training on functional
mobility and balance in children with spastic diplegic type of cerebral palsy.

Methodology: This was an experimental study of 30 children with spastic diplegic cerebral palsy
having a GMFM level of I or II. All the subjects were enrolled in an identical subgroup and divided
into two equal groups (15 patient in each group) one experimental and another control group.
Experimental group did task oriented circuit training while control group performed conventional
exercise program.

We assessed the Functional mobility of lower extremity and balance of all patients by Timed Up and
Go test and Pediatric balance scale respectively.

Results: Result shows that both the groups improved significantly but task oriented circuit training
group improved more than the conventional training group.

Conclusions: This study suggests that task oriented circuit training is more effective as compared to
the conventional training for the functional mobility and balance in spastic diplegic cerebral palsy
children.

Keywords: Task Oriented Training, Circuit Training, Cerebral Palsy Rehabilitation, Mobility, Balance

INTRODUCTION The Common Impairments Due To Cerebral palsy are

Cerebral palsy (CP) is a neurodevelopmental About 70 to 80 percent of cerebral palsy children


condition beginning in early childhood and persisting have spastic clinical features like increased deep
throughout the lifespan1. Worldwide prevalence of this tendon reflexes, tremors, muscular hyper tonicity,
disorder is 2 to 2.5 per 1000 live births. Cerebral palsy weakness and a characteristic scissoring gait with toe
results in lifelong disability in children and has walking4.
implication for patients, caregivers, health professional
and general society. Therefore the goals of treatment Motor impairment syndrome seen in cerebral palsy
are to improve functionality and capabilities toward is secondary to lesion or anomalies in brain
independence2. development that inhibit normal automatic and
voluntary responses and allowing for the development
Peter Rosenbaum, Nigel Paneth described cerebral of dysfunction. The CP children have gait pathologies
palsy as a group of permanent disorders of the and tend to loose independent walking at later stages
movement and posture, causing activity limitation that of life because of secondary musculoskeletal
are attributed to non-progressive disturbances that abnormalities increased spasticity, balance problems,
occurred in the developing fetal or infant brain. The and lack of physical training5.
motor disorders of cerebral palsy are often
accompanied by disturbances of sensation, perception, Most common gait pathology is stiff knee in swing
cognition, communication and behaviour, by epilepsy (80%), followed by crouch gait (69%), excessive hip
and secondary musculoskeletal problems3. flexion (65%), in toeing (64%), and equinus (61%)6.

5. Chandan kumar--23-28.pmd 23 11/26/2013, 4:48 PM

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