Effect of push-up exercises on hand grip strength in diplegic children / Ramy Hamdy Abdelmoniem Hegazy ; Supervised Emam Hassan Elnegmy , Hebatallah Mohamed Kamal , Amina Salem Hendawy

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Background: Diplegia is a spastic form of cerebral palsy with lower limbs more affected than upper limbs. The hand is effector organ of upper extremity for support, manipulation and prehension. Purpose: The purpose of this study is to determine the effect of push-up exercises on hand grip strength in spastic diplegic cerebral palsied children. Subjects and Methods: Sixty spastic diplegic children with age ranged from 4 to 7 years from both sexes participated in this study. They were chosen from physical therapy department, Mubarak Central Hospital, Giza Governorate, Egypt. The clinical work was started at October 2017 and ended at October 2018. Subjects were divided randomly into three groups A, B and C, of equal number (twenty patients each). Each patient was evaluated pre and post-treatment individually by using Baseline pneumatic squeeze handheld dynamometer to detect maximum hand grip strength and Peabody Developmental Motor Scale (PDMS-2) to determine age equivalent and standard scores of grasping fine motor skills. Control group (A) received designed physiotherapy program for spastic diplegia and the two study groups (B and C) received the same designed physiotherapy program in addition to push-up exercises on stable surface where group B received wide base push-up exercises, and group C received narrow base push-up exercises. The treatment protocol was conducted for three successive months for each group

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