Original Research Article
Year: 2022 | Month: May | Volume: 12 | Issue: 5 | Pages: 48-56
DOI: https://doi.org/10.52403/ijhsr.20220507
Effect of Sensory Integration Therapy on Gross Motor Function in Children with Spastic Diplegic Cerebral Palsy: A Pilot Study
Neelam K Rathod1, Shraddha Diwan2, Palak M Engineer3
1Lecturer & I/C Principal at Arush Physiotherapy College, Shahibaug, Ahmedabad - 380004, Gujarat, India.
2Lecturer at S.B.B. College of Physiotherapy, V.S. General Hospital, Ellis Bridge, Ahmedabad-380006, Gujarat, India.
3Lecturer at Khyati Institute of Physiotherapy, Shahibaug, Ahmedabad - 380004, Gujarat, India.
Corresponding Author: Neelam K Rathod
ABSTRACT
Background: Spastic Diplegic CP is bilateral spasticity in the legs and less severely in the arms and face although the hands may be clumsy. Sensory Integration Therapy is one of the rehabilitative approaches that was originally developed by A. Jean Ayres American Occupational Therapist in the 1970s.They defined Sensory Integration as “the neurological process that organizes sensation from one’s own body and from the environment and make it possible to use the body effectively within the environment”. The aim of present study was to find out the comparative effect of therapist guided SIT Vs. Home based programme on gross motor function in children with spastic diplegic cerebral palsy.
Method: An experimental study was done with convenient sampling .12 children with spastic diplegic CP age between 2-6year & GMFCS I, II, III selected and divided in to 2 groups, group A (treatment group) & group B (control group). Each session of duration was kept 45-60 min, 4-5 days per week for a period of 2 month for group A and for group B SI Home bound activities were explained. Gross motor function measurement (GMFM 88) and sensory profile caregiver questioner (SPCQ) were taken in each of them. Statistical analysis was done using SPSS version 16.
Results: After 2 month of intervention showed significant improvement in GMFM dimensions D (p= 0.041) & E (p=0.043) in group A and in group B showed significant improvement in GMFM dimension D (p=0.041). Between groups comparison after 2 month showed significant improvement in dimension E (p=0.050).
Conclusion: SIT can improve the gross motor function in children with spastic diplegic cerebral palsy with addition to NDT. SIT can help to improve Sensory performance related to endurance, improve grasp, reduced fear of fall from the heights, improve from whole day sedentary plays activities & enjoy movement activities.
Key words: Sensory integration therapy, Spastic diplegic cerebral palsy, SPCQ, GMFM, GMFCS.