INTRODUCTION: Poor control of trunk postural muscles and sensory disturbance is the key feature of children with cerebral palsy. These impairments affect the activities of daily living. It has been hypothesized that arm movement through sensory based game enhance proprioceptive and vestibular integration, resulting in improvement of spatial awareness, co-contraction, postural stability and anticipatory motor or postural control.OBJECTIVE: To enhance postural control following arm movement through sensory based game.DESIGN: Pre test/post test experimental designSETTING: Occupational Therapy department, Swami Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, Odisha, 754010PARTICIPANTS: 30 children with spastic diplegic cerebral palsy randomly allocated into two groups each with 15 subjects in experimental group(mean age=4.9 years) and control group(mean age=5.36 years). Baselines were collected for all subjects by using GMFCS, GMFM-88 and TCMS.INTERVENTION: Subjects of both the group were provided therapy sessions for 45 minutes per day, 5 days in a week for 6 weeks. Both groups had received convensional occupational therapy for 45 minutes. The experimental group had received conventional occupational therapy for 15 minutes and sensory based game for 30 minutes. Sensory based game includes 5 games. They were intermittently structured according to sensory requirements. Post test measurement were assessed after 6 weeks.OUTCOME MEASURE: TCMS,88GMFM,88 GMFCSRESULT: From the statistical result of this study, it is seen that the subjects with spastic diplegic cerebral palsy improved in their GMFM and TCMS score on both the groups. However, the subjects in the experimental group have shown better effect than control group.CONCLUSION: It can be concluded that conventional occupational therapy can include sensory based game which enhance active participation of children and ultimately increase motor control leads to postural control.
Cerebral palsy, postural control, standing balance, arm training, sensory disturbance in cerebral palsy, sensory based game
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