SPASTIC CEREBRAL PALSY

Objectives: To improved motor learning in spastic cerebral palsy children andreinforce weak movement patterns and to discourage overactive ones. To reduce the spasticitywith different Bobath physical therapy techniques and control body posture as well as bodymovements. Study Design: A case series. Place and Duration of Study: Madina TeachingHospital (The University of Faisalabad) Faisalabad, Pakistan. Period: The duration of the studywas 3 months March 2013 to May 2013. Patients & Methods: A total 13 patients, aged 2-10years of spastic CP were randomly selected. Effects of treatment were measured and datawere collected by using non-probability convenience sampling technique. All children weretested thrice once completion of first month, then end of second month and then completion oftherapy at the end of third month. Results: The result revealed that grading of spasticity from1st to 3rd months of study was measured mean and standard deviations as follow, 1.62±0.87to 0.85±0.80, CV% 53.75 to 95.24% and variance 0.93 to 0.89. The gross motor learningof 5 conditions that was Lying & rolling, Sitting, Crawling & kneeling, Standing, Walking &running and Overall % from first month to third month was measured as follow, Lying & rolling41.48±30.36 to 44.49±31.90 P-value 0.000, Sitting 47.18±37.59 to 49.74±38.11 P-value 0.000,Crawling & kneeling 26.74±27.11 to 29.49±29.17 P-value 0.000, Standing 12.43±16.25 to14.20±17.53 P-value 0.000, Walking & running 9.08±12.75 to 10.47±13.79 P-value 0.000 andOverall % 27.38±23.46 to 29.68±24.85 P-value 0.000. Conclusion: The Bobath techniques(neurodevelopment treatment) on gross motor learning are very effective and do play animportant role in cerebral palsy children.