Effect of Core Stability Training on Segmental Trunk Control and Quality of Life in Children with Cerebral Palsy

Effect of Core Stability Training on Segmental Trunk Control and Quality of Life in Children with Spastic Diplegia: a Randomized Controlled Trial

Spastic diplegia is a common shape of cerebral palsy that significantly affects trunk control and quality of life in children. Core stability training (CST) has been utilized as a potential intervention to improve the trunk function. This study investigated the effects of CST on segmental trunk control and quality of life in children with spastic diplegia.

Forty children with spastic diplegia (age: 3 - 6 years) were randomly assigned to either a control group (n=20) receiving a selected physical therapy program or an experimental group (n=20) receiving the same program plus a 30-minute CST program three times weekly for 12 weeks. Segmental trunk control was assessed using the Segmental Assessment of Trunk Control (SATCO) scale, and quality of life was measured using the Pediatric Quality of Life Inventory (PedsQL). Both outcome measures were evaluated pre- and post-intervention.

Inclusion Criteria:

• 3-6 years
• 1 to 1+ spasticity according to modified Ashworth scale
• level II and III according to GMFCs
• able to follow instructions and understand commands

Exclusion Criteria:

• significant visual or auditory problems
• fixed deformities
• Botox injection
• orthopedic surgery