Jackson Dany, J (2012) A comparative study between intensive physiotherapy Versus conventional physiotherapy in children with cerebral palsy. Masters thesis, Nandha College of Physiotherapy, Erode.
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Abstract
INTRODUCTION : Cerebral palsy is a whole spectrum of disorders of movement and posture caused by a non-progressive injury to a developing brain. In 1861, William john little was the first to report a link between prematurity and adverse events with perinatal asphyxia (breathing problem at birth) leading to poor outcome. He described this condition as cerebral palsy in a lecture to the obstetrics society of London, but his audience did not agree with his conclusions. Sir William osler published a monograph in 1889 entitled “the cerebral palsies of children” in which he described this non-progressive neuromuscular disease of children. Cerebral palsy is a group of disorders. It is quite associated conditions. it is the most common motor problem in the children. Even with about 2.5 per 1000 live births and 5 per 1000 children, this is relatively uncommon in overall population. Because of this it is frequently frightening for the family to hear the diagnosis of cerebral palsy. AIM : To compare the effectiveness of the intensive therapy versus conventional therapy in children with cerebral palsy OBJECTIVES : 1. To determine the effect of conventional therapy in children with cerebral palsy by using Gross Motor Function Measure in Group A subjects. 2. To determine the effect of intensive therapy in children with cerebral palsy by using Gross Motor Function Measure in Group B subjects. 3. To determine difference between conventional therapy and intensive therapy in children with cerebral palsy by using Gross Motor Function Measure. MATERIALS AND METHODS: Materials Used in this study - Couch, Pillows, Chair, knee hammer, toys, hot packs, therasuit, universal exercise unit, mat. Methodology: The design is used for this study is experimental study design. The study was conducted at Outpatient department of Nandha college of physiotherapy, Erode, Arputha oli rehabilitation center, Kangayam and Immanuel physiotherapy clinic, Erode. A total number of 30 subjects with cerebral palsy were selected by random sampling method with consideration of inclusion criteria and exclusion criteria and they were divided into GROUP A and GROUP B with 15 subjects in each group. The study was carried out for a six month period. Conventional Therapy - In group A each children was trained 1 hour a day, 5 days a week for a 3 week period. Intensive Therapy - In group B each children was trained 2 to 3 hours a day, 5 days a week for a 3 week period. Inclusion Criteria - Age group: 3 to 11 yrs, Established diagnosis of quadriplegic cerebral palsy, Both genders, All type of cerebral palsy. Exclusion Criteria - Cerebral palsy with severe MR, Cervical myelopathy, Brachial plexus injury, Upper limb birth fracture. RESULTS : The pre and post test values were assessed in Group A. The standard deviation was 0.3. the ‘t’ values were calculated by paired’t’ test was 7.72 and it was more than table value 2.15 for 5% level of significance at 14 degrees of freedom. The pre and post test values were assessed in group B. the standard deviation was 0.72. the ‘t’ values were calculated by paired ‘t’ test was 12.13 and they were more than table value 2.15 for 5% level of significance at 14 degrees of freedom. The calculated ‘t’ value by unpaired ‘t’ test was 8.08. the calculated ‘t’ value more than the table value 2.05 for 5% level of significance at 28 degrees of freedom. CONCLUSION : In this study based on ‘t’ values it could be seen that there is significant difference between calculated values and table values.the mean deviation and standard deviation shows greater significance with more effects in using intensive therapy. The result was analyzed using (mean and standard deviation) which proved that the use of intensive therapy to be more effective in children with cerebral palsy than conventional therapy. Through the result it concluded that there is significant difference in effectiveness of the intensive therapy by using GMFM in children with cerebral palsy. So, the null hypothesis is rejected and alternate Hypothesis is accepted.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | intensive physiotherapy ; conventional physiotherapy ; children ; cerebral palsy ; comparative study. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 26 Aug 2017 01:31 |
| Last Modified: | 19 Sep 2017 17:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2839 |
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