COMPARATIVE EFFECTS OF LOADED AND UNLOADED SIT TO STAND STRENGTHENING EXERCISES ON MUSCLE STRENGTH AND ENERGY EXPENDITURE IN CHILDREN WITH CEREBRAL PALSY
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Keywords
Cerebral Palsy, Energy Expenditure, Muscle Strength, Sphygmomanometer.
Abstract
Background: Cerebral palsy (CP), a non-progressive disorder, undergo mishap to developing brain and it affect person's mobility, balance and posture. In Spastic diplegic CP children, muscle stiffness mainly affect the legs, with the arms less or not affected at all.
Objective: To find out the effects of loaded and unloaded sit to stand strengthening exercises on muscle strength and energy expenditure in children with cerebral palsy.
Methods: 28 children with Diplegic CP aged 6-12 years were randomly allocated into two groups.Group A received baseline lower limb stretchings with loaded STS strengthening exercises while Group B received baseline lower limb stretchings with unloaded sit to stand strengthening exercises and training session was 15 minutes per set, 3 sets/day, 3 days a week for total 6 weeks.Outcome measure tools included Bag method of Modified Sphygmomanometer for muscle strength, Physiological Cost Index Formula for energy expenditure and Functional Strength Test for functional strength and readings were taken before and after 6 weeks of intervention. Data were analyzed using SPSS version 25.
Results: Out of 28 subjects, 14 (50%) in each of the two groups. Overall, 21 males and 7 females with mean age 8.54±1.688. Significant difference was noted in lower limb muscle strength of both groups post treatment (P<0.05) and also in within group analysis of lower limb muscle strength and functional strength of both groups. No significant difference was seen in physiological cost index as well as for functional strength test of both groups post intervention (P value > 0.05).
Conclusions: It was concluded that significant improvement was observed in the muscle strength of loaded exercise group while physiological cost index and functional strength remained equally significant in both groups.
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Wasifa Rauf
DPT, MS-PPT, Consultant Physical Therapist, Wattoo Clinic, Hafizabad Pakistan
Fareeha Kausar
Senior Lecturer, Riphah International University, Lahore Pakistan
Ushna Yalnaz
DPT, MS-PPT, Consultant Physical Therapist, Talha Family and Children Clinic, Hafizabad Pakistan
Maheen Khan
DPT Physiotherapist, RehabCure, Lahore Pakistan
Ammara Muzaffar
DPT, Lecturer, Gujranwala Institute of Rehabilitation Sciences (GIRS), Gujranwala Pakistan
Attia Mehbbob
DPT, MSPT, Demonstrator, PSRD College of Rehabilitation Sciences, Lahore Pakistan
Ahsan Taqweem
Riphah International University, Lahore campus/ Physiotherapist at Get Physio Clinic, Lahore Pakistan
Narjis Fatima Alvi
DPT, Physiotherapist, Children Hospital University of Child Health Sciences, Lahore Pakistan