Effectiveness of Lower Limb Strengthening for Children with Spastic Diplegic Cerebral Palsy using Stationary Cycling

International Journal of Research and Scientific Innovation (IJRSI) | Volume V, Issue III, March 2018 | ISSN 2321–2705

Effectiveness of Lower Limb Strengthening for Children with Spastic Diplegic Cerebral Palsy using Stationary Cycling

K.Vadivelan1, R. Megaladevi2

 1Associate Professor, SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
2SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India

Abstract:

Objectives: To evaluate the efficacy of stationary bicycling intervention for children with spastic diplegia has significant improvement in gross motor function of standing and walking.

Design: Experimental design, convenient sampling method.

Settings: The study was conducted at the Spastic Society of Tamil Nadu, Taramani, and Chennai.

Procedure: 30 Subjects with age group 8¬-15 years with spasticity score 1 and 1+ in hip and knee extensors and ankle plantar flexors, ability to walk independently indoors and with good or fair voluntary control in lower limbs are divided into two groups, one group is controlled where as other was an experimental group.

Results: The significant results of this study shows that p value of group-B is lesser than 0.01 and group-A shows lesser than 0.000.
Conclusion: The study concludes that there was significant improvement of motor activity in both groups. The results of the subjects who trained with stationary cycling shown good motor recovery than control groups.

I. INTRODUCTION

CEREBRAL PALSY [CP] is a neurological disorder caused by a static lesion to the immature brain that is characterized by deficits in movement and postural control. Because of impairments such as weakness, spasticity, and in coordination many people with CP have difficulty in activities such as propelling their wheelchairs, walking independently, negotiating steps and running. It is a non-progressive neurological disorder affecting approximately 1.5-2.5 per 1000 born in india.

Many children with CP quickly become exhausted because of disease impact on muscle which requires high energy expenditure often lack endurance and suffer from muscle weakness. Spasticity was once thought to be the primary contributor to the motor dysfunction noted.

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