Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy

Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy

cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.

Cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities, which severely affects the children's quality of life. Task-Oriented Circuit Training (TOCT) is a progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercises. It involves a series of workstations where individuals practice tasks like balancing, walking, and reaching skills essential for daily life. The purpose of the research was to find out the effectiveness of task specific circuit training on activity participation and functional mobility in children with hemiplegic cerebral palsy. This non blinded randomized control trail will be conducted at fauji foundation hospital Rawalpindi for the duration of 1 year after approval of GERC with 34 patients included according to inclusion and exclusion criteria. After ethical approval from FUSH ERC, eligible participants will be randomly assigned into two groups through sealed envelope method. The participants would assess through 6- minute walk test for functional mobility and child engagement in daily life measurement scale for activity participation on the day of starting the intervention, after 4th week and 8th week. Intervention will be given for a total 40-50 minutes per session, 3 sessions per week for consecutive 8 weeks. Task-oriented Circuit Training (TSCT) includes 14 workstations that target different motor skills through progressive exercises that gradually increase in difficulty. Conventional Physical Therapy includes Stretching of tight muscles, strengthening of weak muscles, and positioning

Inclusion Criteria:

• Diagnosed cases of hemiplegic cerebral palsy
• Both genders are included
• The children were between 5 and 12 years old.
• Their motor function was at a level I or II based on the GMFCS,
• The degree of spasticity grade 1 to 2 based on the Modified Ashworth Scale.

Exclusion Criteria:

• Visual or hearing loss
• Cognitive impairment
• Seizures
• A botulinum toxin injection in the previous six months,
• Lower extremity surgery
• Musculoskeletal disorders
• Structural deformities in the spine and/or lower limbs.