The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.

Inclusion Criteria:

• diagnosis of CP made by a neuro-pediatric physician experienced in assessment and diagnosis of CP
• GMFCS level III, IV and V,
• the child cannot walk without assistance,
• age 2-15 year,
• no joint deformity or contracture around the "Targeted" joint
• not a candidate for surgery or other medical treatment that affects motor skills while participating in the project
• trunk control problems.

Exclusion Criteria:

• uncontrolled epilepsy
• surgery within 12 months of the study start
• Botulinum toxin within 2 months of study start
• Lack of personnel resources to treat the child at their school/kindergarten