Effects of Functional Strength Training Using Universal Exercise Unit on Spasticity of Lower Extremities Among Children with Cerebral Palsy; A Quasi-Experimental Study

Functional Strength Training in Cerebral Palsy


  • Iqra Mannan Riphah International University, Lahore, Pakistan
  • Asif Javed Riphah International University, Lahore, Pakistan
  • Farjad Afzal University of Sargodha
  • Bilal Ahmad PSRD College of Rehabilitation Sciences, Lahore, Pakistan
  • Syed Nasir Ali Shah Sahara Medical College, Narowal, Pakistan
  • Arif Ali Rana Central Park Medical College, Lahore, Pakistan




cerebral palsy, modified Ashworth scale, universal exercise unit


Background: Cerebral palsy is a non-reversible disorder of movement and posture. Its incidence is very high globally with 2 to 2.5 per 1000 live births. In Pakistan, spastic type of cerebral palsy is most common and major reason for disability among children. Objective: To find out the effects of functional strength training in a universal exercise unit on spasticity of lower extremities among children with cerebral palsy. Methods: A quasi-experimental study was conducted from July to December 2020 at Khawaja Arshad Hospital, Sargodha, Pakistan on 15 spastic diaplegic children with cerebral palsy that were collected by simple purposive sampling. A baseline measurement was done by using the Modified Ashworth Scale. Intervention includes two sessions of universal exercise unit on alternate days with functional strength training exercises in between. A specially designed treatment approach was given in the universal exercise unit for 8 consecutive weeks after that; post-treatment assessment was done. Data was analyzed by way of the usage of SPSS version 21 and Wilcoxon signed rank test was used. Results: The study comprised 15 participants, where 10 (66.6%) were male and 5(33.3%) were female. About 12 (80%) were of age <5 and 3(20%) years. In this study, the Modified Ashworth scale is used to assess any changes in the spasticity of children who were having treatment sessions in a universal exercise unit. The mean spasticity score was 3.4±0.5 and 1.46±0.99 pretest posttest respectively. In the results mentioned, there is a clinical significance of 0.001 that showed that there is a significant difference in spasticity pre and post-treatment. Results were taken by applying the Wilcoxon signed-rank test. Conclusion:  Universal exercise unit has positive effects on lower extremity functional outcomes among children with cerebral palsy. It may decrease the spasticity of joints in the lower extremity so there is a need for more studies to be done.


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How to Cite

Mannan, I., Javed, A., Afzal, F. ., Ahmad, B. ., Shah, S. N. A. ., & Rana, A. A. (2023). Effects of Functional Strength Training Using Universal Exercise Unit on Spasticity of Lower Extremities Among Children with Cerebral Palsy; A Quasi-Experimental Study: Functional Strength Training in Cerebral Palsy. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 3(8), 756–761. https://doi.org/10.55735/hjprs.v3i8.157