Effectiveness of Routine Physical Therapy With or Without Home Based Intensive Bimanual Training on Clinical Outcomes in Cerebral Palsy Children

Cerebral Palsy is one of the most common issue seen in pediatric rehabilitation .Home based intensive Bimanual training has proven to be one of the most effective rehabilitation training for improving motor. The study determines the effectiveness of routine physical therapy with or without home-based intensive bimanual training on coordination of hands and daily activities of daily living. A nine months randomized control trial was comprised of thirty children with unilateral spastic cerebral palsy aged between 4 to 7 years. One group received routine physical therapy and the other group received a goal specific bimanual training from their parents in their home setting for 3.5 hours per week for 6 weeks according to a modified set up. Follow up sessions were done at 6th week. Activities of daily living and coordination were measured using Pediatric motor log activity scale and ABILHAND respectively.

Inclusion Criteria:

• Spastic CP children

  • Both male and female
  • Age 4-7 years
  • Actively grasp of objects from table i.e., stuff toys, making blocks
  • One to one attention

Exclusion Criteria:

• Cognitive delays preventing the child from following two-step instructions

  • Health diagnoses unassociated with USCP.
  • Parents unable to commit to entire duration of intervention.
  • Visual difficulties preventing performance of intervention tasks.

Results of the study