Effectiveness of Forward Versus Backward Stepping Strategy in Body Weight Support Treadmill Training on Functional Mobility and Balance among Spastic Diplegic Cerebral Palsy: A Simple Randomized Experimental study

Rajkumar, S (2019) Effectiveness of Forward Versus Backward Stepping Strategy in Body Weight Support Treadmill Training on Functional Mobility and Balance among Spastic Diplegic Cerebral Palsy: A Simple Randomized Experimental study. Masters thesis, P.P.G College of Physiotherapy, Coimbatore.

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Abstract

BACKGROUND OF THE STUDY: The term cerebral palsy describes a group of disorders attributed to nonprogressive disturbances that occur in the developing fetal or infant brain and result in a cluster of disorders that impact development of movement and posture, causing activity limitation. OBJECTIVE: The aim of the study is to find out the effectiveness of forward stepping vs backward stepping strategy with body weight–supported treadmill training on functional mobility and balance among spastic diplegic cerebral palsy. METHODOLOGY: 28 children with spastic diplegic cerebral palsy were screened for the study on that 24 subjects who come under selection criteria were selected for this study were selected for this study based on the selection criteria and they were randomly allocated in to two groups by using tossing method. Subjects in group A were treated with forward stepping in BWSTT and subjects in group B were treated with backward stepping in BWS TT. Both the group received intervention for 6 weeks. The baseline and post test score were measured by using Gross Motor Function Measure – Walking dimension, Paediatric Berg Balance Scale and TUG test.The results suggest that the effects of forward stepping versus backward stepping strategy with body weight–supported treadmill training improving functional mobility and balance among spastic diplegic cerebral palsy. In GMFM, the 't' value obtained for Group A -6.20106 and Group B - 10.68867. In MTUGT, the 't' value obtained for Group A 4.50641 and Group B 12.364. In Pediatrics balance scale the t value obtained for Group A -13.868 and Group B -7.50341. The obtained 't' value is greater than the table value at the significant level of 0.05. Hence the statistical report states that there were statistically significant differences in posttest comparison. The post score values of the Gross Motor Function Meaure-88, Paediatric Berg Balance Scale and TUG test score in all the variables showed significant difference. CONCLUSION: Finally, the study concluded that the 6 weeks of backward stepping body weight support treadmill training program along with regular physiotherapy treatment showed statistically significant improvement in balance and functional mobility among spastic diplegic children when compared to forward stepping body weight support treadmill training program.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271720206
Uncontrolled Keywords: Spastic cerebral palsy, Body Weight Support Treadmill Training (BWSTT), Balance, Functional Mobility, Paediatric balance scale.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Ravindran C
Date Deposited: 15 Sep 2019 15:35
Last Modified: 20 Sep 2019 09:20
URI: http://repository-tnmgrmu.ac.in/id/eprint/11489

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