Journal Presentation by 18PT3015 PED
Journal Presentation by 18PT3015 PED
Journal Presentation by 18PT3015 PED
By- HARSHITHA T
Physiotherapy Intern
SDUAHER
TAMAKA, KOLAR.
CITATION
• Gulzar A, Waris M; Qurat Ul Ain. Effects of 8 weeks functional
training programme on posture control and functional
mobility in spastic hemiplegic cerebral palsy. J Pak Med Assoc.
2022 Jul;72(7):1278-1281. doi: 10.47391/JPMA.3476. PMID:
36156543.
TITLE: Effects of 8 weeks functional training programme
on posture control and functional mobility in spastic
hemiplegic cerebral palsy
BACKGROUND
• Cerebral palsy (CP) is a non-progressive neurological condition, which
occurs due to disturbance in brain development in the foetus or the
infant. It results in abnormal motor skills, muscle tones, movements
and postures. Along with activity limitation, it can also affect
perception, communication, sensation, cognition and behaviour.
• Types of CP include ataxic, spastic, athetoid and mixed. Another
classification is done according to degree of disability, like quadriplegic,
triplegic, hemiplegic, diplegic, monoplegia or paraplegic.
• Different studies showed that CP children may have some visual
disorders, auditory effects, speech disorders, behavioral and mental
issues.
• There can be several causes of CP, from idiopathic to some known
reasons. CP risk factors include anaemia in mother, birth asphyxia and
seizure.
CONT
• Early intervention includes multidisciplinary team
services. Treatment has to be focused to improve fine
and gross motor functions.
• According to studies, functional-gait-training and
intensive intervention for lower extremity had positive
effects on gait improvement and balance control in CP
children.
• The current study was planned to determine the
impacts of functional training versus conventional
training on posture control and functional mobility in
spastic hemiplegic CP children.
AIM
• To determine the impacts of functional
training versus conventional training on
posture control and functional mobility in
spastic hemiplegic cerebral palsy children.
METHODOLOGY
• STUDY DESIGN: Randomized clinical trial
• The subjects were randomized into conventional therapy group A and
functional training group B. Intensity of exercises was gradually increased
each week, starting from 10 reps to 20 reps. The subjects received
treatment 3 times a week for 8 weeks, and each session lasted 45-60 min.
• INCLUSION CRITERIA: The sample was raised using non-probability
convenience sampling technique13 from among spastic hemiplegic CP
children. Those included were children diagnosed with CP, aged 4-14
years, having Gross Motor Functional Classification System (GMFCS)14
level II or lll, having no mental retardation and with Modified-Ashworth-
Scale (MAS)15 spasticity level grade 1-III
• EXCLUSION CRITERIA: Those excluded were children who had had
orthopedic surgery or had used botulinum toxin, had severe visual defect,
auditory problems and vestibular issues.
CONT..
Patients and Methods: The single-blind
randomized clinical trial (RCT) was conducted at
the Rehab Cure physiotherapy Centre, Lahore,
Pakistan, from January to September 2020. After
approval from the Riphah International University,
Lahore, the sample size was calculated using Epi-
Tool,11 with mean 1=19.8, variance 1=11.32, mean
2=25.4, variance 2= 13.37, power 0.8, confidence
level=0.95 and ratio of sample size n2/n1=1. 12
ASESSMENT TOOLS USED