Effects of Trunk Strengthening Exercises on Static Sitting Balance in Children with Quadriplegic Cerebral Palsy
Trunk Strengthening Exercises in Quadriplegic Cerebral Palsy
DOI:
https://doi.org/10.55735/hjprs.v3i7.188Keywords:
balance, quadriplegic cerebral palsy, sitting balance, strengthening exercises, trunk controlAbstract
Background: Cerebral palsy is a neurological disorder that is caused by non-progressive damage to the brain or malformation which occurs in an underdeveloped child’s brain and is considered among the most common etiology of severe disability in children. Trunk control measure was used to assess sitting balance and it was seen that universal exercise system brings a significant improvement in sitting balance of these athetoid types of children. Objective: To determine the effects of trunk strengthening exercises on static sitting balance in children with quadriplegic cerebral palsy. Methods: This quasi-experimental study was conducted at the outpatient Department of Physical Therapy, THQ Hospital Jampur. Forty patients diagnosed with quadriplegic cerebral palsy were selected using predefined inclusion and exclusion criteria. Data was collected using a trunk control measurement scale. Outcomes were recorded at the start and the end of treatment at 6 weeks in terms of gross motor function and structural deformity as recorded on the gross motor function classification scale and scoliosis status respectively. The descriptive statistics used to analyze data were presented as frequency tables. While the age and score of the trunk control measure were analyzed for its mean and standard deviation along with a graphical presentation in the form of a histogram. The tests of normality were employed for outcome variables and it was found to be non-parametric. Wilcoxon signed-rank test was used to compare the means of these non-parametric-based variables to a difference before and after treatment. Results: At the end of the sixth week, the mean and standard deviation for the trunk control measurement scale before and after were 12.33±1.82 and 15.64±2.01, respectively while those of skewness/ kurtosis values were -0.30/-0.23 and 0.26/1.22. The results of the comparison of means using the Wilcoxon signed-rank test showed that trunk control after treatment improved significantly as compared to that of before treatment (0.000), with a majority greater ranks of 16.39, while negative ranks were found to be 3.00 on average. Conclusion: The findings of the study concluded that trunk strengthening exercises significantly improved static sitting balance in children with quadriplegic cerebral palsy.
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