Effects of strength training or loaded sit to stand on Gross motor functions of lower limbs in children with mild spastic diplegia

Binash Afzal; Tehreem Mukhtar; Misbah Waris; Qurat-ul-ain; Ali ur Rasheed; Arshad Nawaz Malik

Abstract
Objective: To determine the effects of strength training as compared to loaded sit to stand (STS) on gross motor function in children with mild spastic diplegia.
Methodology: This Qusai experimental study was conducted at physiotherapy department of Shalamar hospital, Lahore from November 2018 to May 2019. It included 42 children with mild spastic diplegic CP with gross motor function level (GMFAC) I and II. They were randomly allocated into two groups; Group A received the loaded STS exercise (3 days a week for 6 weeks ) and group B received strength training of hip and knee extensors (45 minutes a day, 3 days a week for 6 week). Both groups were assessed at baseline and after completing 6 week of intervention on Gross Motor Function Measure (GMFM) for dimensions C (crawling), D (standing) and E (walking, running, jumping).
Results: Pre- and post- intervention analysis showed that there was significant difference in loaded STS exercise in improving C, D and E domains on GMFM. Group A when compared with group B post test 89.94±7.53 and 83.93±5.57 (p=0.02).
Conclusion: Functional strength training such as loaded STS might lead to improved gross motor functions of lower limb such as walking, running and jumping measured on GMFM88.

Key words: Diplegic cerebral palsy, gross motor function measure 88, loaded sit to stand, strength training.

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