Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Srilakshmi .; Arun Selvi; Mahesh Kumar P.G.; Hari Hara Subramanyan P.V.; Shenbaga sundaram Subramanian; Thamer A. Altaim; Shadi Abdelbaset Alkhob; Riziq Allah Mustafa Gaowgzeh

doi:10.52756/ijerr.2024.v39spl.008

Srilakshmi . Faculty of physiotherapy, Dr. M. G. R. Educational and Research Institute, Chennai, India https://orcid.org/0000-0003-2112-2720
Arun Selvi Faculty of physiotherapy, Dr. M. G. R. Educational and Research Institute, Chennai, India https://orcid.org/0000-0002-5197-7781
Mahesh Kumar P.G. Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0000-0002-2465-9462
Hari Hara Subramanyan P.V. Faculty of Physiotherapy, Meenakshi Academy of Higher Education and Research, Chennai, India https://orcid.org/0000-0001-5487-5281
Shenbaga sundaram Subramanian Chettinad School of Physiotherapy (CSP), Chettinad Academy of Research and Education (CARE), Chettinad Hospital and Research Institute (CHRI), Kelambakkam, Tamil Nadu 603103, India https://orcid.org/0000-0002-6150-0928
Thamer A. Altaim Department of Physical Therapy, Faculty of Allied Health Sciences, Al-Ahliyya Amman University, Amman 19328, Jordan http://orcid.org/0000-0001-6527-4289
Shadi Abdelbaset Alkhob Department of Physical Therapy, Faculty of Applied Medical Science, Jerash University, Jerash, Jordan https://orcid.org/0009-0009-4565-3818
Riziq Allah Mustafa Gaowgzeh Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia https://orcid.org/0000-0003-4199-2600

DOI: https://doi.org/10.52756/ijerr.2024.v39spl.008

Keywords: Cerebral palsy, Motor impairment, Spastic, Proprioceptive Neuromuscular Facilitation (PNF),, Upper extremity function, Task-oriented training

Abstract

This research investigates and compares the impacts of task-oriented training and proprioceptive neuromuscular facilitation (PNF) on the motor function of the affected arm in children diagnosed with spastic cerebral palsy (CP). The study addresses the need for effective interventions to address the motor challenges in this population. Thirty participants were randomly assigned to either Group A (task-oriented training) or Group B (PNF training) in a two-month comparative study conducted in special schools. Both groups participated in daily 40-minute sessions five days a week for eight weeks. Pre and post-tests, utilizing the Assistive Hand Assessment (AHA-22) and Manual Ability Measure (MAM-16), were administered to evaluate outcomes. The analysis revealed no significant differences in post-test scores between Group A and Group B, indicating comparable effectiveness of both interventions in improving upper extremity function in children with spastic cerebral palsy. This study contributes valuable insights into therapeutic approaches for enhancing motor function in children with spastic cerebral palsy. Both task-oriented training and proprioceptive neuromuscular facilitation emerge as effective methodologies, providing healthcare professionals and educators with evidence-based options for optimizing outcomes in this population. These findings hold international relevance, offering a foundation for informed decision-making in the selection of interventions for children with spastic cerebral palsy across diverse global contexts.

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