Task oriented training versus hydrotherapy on fuctional mobility and balance in children with hemiparetic cerebral palsy / Hamada Thabet Mohamed ; Supervised Gehan Mosaad Abdelmaksoud , Amr Abdallah Azzam , Heba Hazaa Abdelwahaab

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

Background: Task oriented training for patient with central nervous system (CNS) lesion results in motor relearning by enhancing skill in meaningful functional activity with adaptive neuroplastic changes in the cerebral cortex, brain stem, cerebellum and spinal cord. Hydrotherapy is defined as supervised exercise in warm water and it is one of the therapeutic methods for managing physical dysfunctions. Objective: To compare between the effects of task oriented training and hydrotherapy on functional mobility and balance in children with hemiparetic cerebral palsy(CP). Method: Thirty children diagnosed with hemiparetic CP whose ages ranged from 6-9 years old participated in this study. They were randomly divided into two equal groups; the group (A) who received task oriented training program and the group (B) who received hydrotherapy training program. Gross motor function measure (GMFM),Timed up and go test (TUG), Pediatric balance scale (PBS) were assessed before and after three months of treatment. Results: The results of this study revealed significant improvement of all measuring variables (GMFM, TUG and PBS) in both groups when comparing pre and post treatment values. Also, no significant difference was detected in all measuring variables between both group after treatment. Conclusion: It was concluded that task oriented training and hydrotherapy are effective on improving functional mobility and balance in children with hemiparetic CP and nearly have the same effect

Issued also as CD