Early Diagnosis and Early Intervention on Cerebral Palsy

Early Diagnosis and Early Intervention on Cerebral Palsy

Dinisha M1 , Kamalakannan M2

Authors name’s and affiliation

1 Under graduate student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

2 Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences Chennai, Tamil Nadu, India.

Email id: deekshiii.19@gmail.com

ABSTRACT

Background: Cerebral palsy (CP) is described as "a group of persistent mobility and postural abnormalities caused by a non-progressive lesion that occurred during or after birth." The two halves or hemispheres of the brain are referred to as "cerebral" and "palsy" refers to loss of motor function. It is a frequent neurodevelopmental disorder that paediatricians and physiotherapists encounter. The vast majority of cerebral palsy children struggle to walk and have poor balance, which results in a bad gait. Constraint-Induced Movement Therapy (CIMT) is a method which helps improve hand function in young people with cerebral palsy (CP). CP is a widespread and prevalent condition that impacts many elements of a child's life. Hemiplegic cerebral palsy affects only one side of the child's hand and has a significant impact on the independence of children. Spastic cerebral palsy, which causes muscular rigidity and spasms, restricts mobility. It is the most prevalent kind of spastic cerebral palsy.

Aim: To determine the early diagnosis and early intervention on spastic hemiplegic cerebral palsy among children.

Method: A total of 30 subjects were selected for experimental study technique based on inclusion and exclusion criteria after which detailed study procedure was explained to the parents of the children. For four weeks, the training group got constraint induced movement therapy as well as muscular strengthening exercise from a physical therapist for 30 minutes daily

Result: Both groups showed improvement in post-test scores after the intervention. Group A’s mean increased from 39.20 to 58.20, while Group B’s rose from 38.27 to 53.73. The changes in both groups were statistically significant with p-values < 0.0001. Comparing the constraint induced movement therapy along with muscle strengthening training and the muscle strengthening training, constraint induced movement therapy in addition to muscle strengthening training has a significant improvement in the score is noted.

Conclusion: This experimental trial's findings assist the notion that home-based strength-training programmes are possible to enhance muscular strength in children diagnosed with spastic cerebral palsy. Strength training may benefit the upper limb extremities, according to current trends. Strengthening may be required in conjunction with more traditional methods such as spasticity reduction, surgical repair of abnormalities, and orthotic care for optimal management.