COMPARATIVE EFFECT OF CRYOTHERAPY WITH ACTION OBSERVATIONAL PHYSICAL TRAINING VERSUS PASSIVE SLOW SUSTAINED STRETCH WITH ACTION OBSERVATIONAL PHYSICAL TRAINING TO IMPROVE UPPER EXTREMITY FUNCTION IN CHILDREN WITH SPASTIC HEMIPLEGIC CEREBRAL PALSY

Dr. Shridhar S; Dr. Thrupthi M.E

Volume : VIII, Issue : IV, April - 2019

COMPARATIVE EFFECT OF CRYOTHERAPY WITH ACTION OBSERVATIONAL PHYSICAL TRAINING VERSUS PASSIVE SLOW SUSTAINED STRETCH WITH ACTION OBSERVATIONAL PHYSICAL TRAINING TO IMPROVE UPPER EXTREMITY FUNCTION IN CHILDREN WITH SPASTIC HEMIPLEGIC CEREBRAL PALSY

Dr. Shridhar S, Dr. Thrupthi M. E

Abstract :

Background and Objective: Children with cereal palsy face a variety of motor and sensory impairments that have an impact on their arm function. The comparative study was conducted to know the effectiveness of cryotherapy with action observational physical training versus passive slow sustained stretch with action observational physical training to improve upper extremity function on daily activities in children with spastic hemiplegic cereal palsy. Method: The 20 children with spastic hemiplegic cereal palsy based on inclusion criteria were divided into Group–A and Group–B. The Group–A children received cryotherapy combined with action observational physical training and Group B children received passive slow sustained stretch combined with action observational physical training. The outcome measures such as Melbourne unilateral upper limb assessment scale (MUUL), and Box and block test (BBT) were measured before the intervention, at 10th session of intervention and at the 20th session of intervention. Duration of the intervention was for 4 weeks, one hour per session with 10 min rest within the treatment, five days a week. Results: Subjects showed a statistically significant improvement in their upper extremity function in the activities of daily living in both the groups. The Group A showed greater mean difference in improving than Group B when the mean of Melbourne unilateral upper extremity assessment scale (MUUL) and Box and block test were analyzed between the group. Conclusion: In this study of 4 weeks of intervention in combination of cryotherapy with action observational physical training has been proved to be more effective than in combination of passive slow sustained stretch with action observational physical training in improving upper extremity function on daily activities in children with spastic hemiplegic cereal palsy.