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EFFECTS OF SPIDER CAGE THERAPY ON MOTOR CONTROL OF HEMIPLEGIC CEREBRAL PALSY CHILDREN

. Aleena Mubarak, Sarfraz Ahmad , Muhammad Farhan Mukhtar, Heena Habib, Dr. Fakiha Arshad PT, Hanan Azfar , Iqra Abdul Ghafoor ,Mahnoor Baloch & Hafiza Mubashra


Abstract

Cerebral palsy was characterized by condition of position and movement due to pathology in brain. Brain injury occurred during fetal life or after birth, caused by oxygen deficiency, jaundice, premature and traumatic brain infection. Spider web, universal cage unit, functional training was used in protocols. Exercise training in spider cage unit that was used in different brain related diseases like CP, stroke, spina bifida, and SCI. Spider cage was 3 dimensional units that consist of metal having cord that are attached to different points on special belt. This belt placed in the region of waist of CP child, which provide support to CP child. Different functional training was performed in this spider cage unit. Cords that were elastic in nature can strengthen the weaker muscles. Spider cage used to control motor function like kneeling, half kneeling, one leg standing and jumping. New techniques and physiotherapy techniques were evented with the passage of period to manage patient with CP. Utilization of spider cage therapy was not new in physical therapy. It was used in cerebral palsy with new ideas. The objective of the examination was to find out the Effects of spider cage therapy in motor control of hemiplegic cerebral palsy children. The children who were diagnosed with hemiplegic cp. Age group between 4 years to 10 years using GMFCS scale and Modified Ashworth Scale. Data was collected from Mubarak Medical Complex, Khawaja Arshad Hospital and DHQ Sargodha who was meet the principles of inclusion and exclusion criteria. After this we were inform patient’s attendant about our research, purpose, treatment procedure and then asked for consent. Randomization was done using random allocation of Lottery method. Patient was separated into II groups, experimental and control. In experimental group saw the results of spider cage unit on motor control of hemiplegic CP infants. The subject session consist of 5days/ week for 4 months. General body warm up exercises and then Spider cage therapy to improve motor control activities kneeling, half kneeling, one leg standing and jumping. In control group the subject received physical therapy for 5 days / week for 4 months. General body warm up exercise and then stretching exercises. Pre- reading, after 3 weeks, after 6 weeks and after 9 weeks assessment was taken before and after intervention.

Key Words: Cerebral palsy, Spider cage therapy, Hemiplegic, Motor control

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