Abstract
OBJECTIVE: To assess the effect of progressive strength training on gross
motor function in cerebral palsy children with spastic diplegia in local clinical
setup at Lahore Pakistan.
METHODS: This quasi-experimental study was performed in Children
Hospital Lahore Pakistan on 45 cerebral palsy patients with Gross Motor
Function Classification System (GMFCS) 1-3. Patients were selected through
convenient sampling technique. Three sessions of strength training per week
for 12 consecutive weeks was given. The resistance was increased according to
level of strength of each child calculated by one repetition maximum. Gross
Motor Function Measure 88 was used as outcome measure. Pre and postintervention mean score was compared by using Wilcoxon-signed rank test.
RESULTS: Out of 45 cerebral palsy children, 31 (68.9%) were males and 14
(31.1%) were females. Difference of 4.2 (p<0.01) was observed between pre
and post-intervention mean score after the 12 weeks strength-training
program. There were 17 (37.8%) patients with age <10 years and 28 (62.2%)
patients with ≥10 years of age. Out of 45 participants one (2.2%) had a GMFCS
score of 1 and 16 (35.6%) had a GMFCS score of 2. Remaining 28 (62.2%)
participants had a GMFCS score of 3. P value <0.05 showed that there was
significant increase in post training score.
CONCLUSION: Progressive strength training on gross motor function in
cerebral palsy children with diplegia is helpful in improving the strength and
physical ability of children in our local clinical setup. Improvement was observed
more in children aging less than ten years.
Sharjeel Anjum, Zahid Mehmood, Muhammd Qasim Idrees. (2019) THE OUTCOME OF LOWER LIMB STRENGTH TRAINING IN CEREBRAL PALSY CHILDREN WITH SPASTIC DIPLEGIA, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 11, Issue 3.
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