Music Effect on Concentration and Gait in Cerebral Palsy Children During Physical Therapy Sessions

Effect of Physiotherapy With Auditory Cueing on Concentration and Gait in Children With Spastic Cerebral Palsy

• To investigate the effect of music therapy as an additional intervention with physical therapy on concentration in children with spastic CP.
• To investigate the effect of music therapy as an additional intervention with physical therapy on gait parameters for the children with spastic CP.

Physical therapy only could be not attractive for child if it done by the traditional way; focus on motor part and no need to involve the sensory part through the rehabilitation.

Sense of hearing could be a unique one to stimulate for a better child attention during physical therapy session, even child with blindness could benefit from this idea.

Using music for attracting attention of the child as a therapeutic way so the child can walk properly regarding time and pace.

Singing as a live form of music could be more sensitive and interactive for child-therapist bond which is important to include the child as an active participant as child is being rehabilitated not just treatment.

Rehabilitation means to involve the child as a whole at this complicated process, not to move a passive limb.

Rehabilitation of CP:

• A "temporal axis": Habilitation/rehabilitation should begin early and continuously - a minimum within the first years of child's life - and intensively - individually designed to meet child's needs.
• A "spatial axis": where individual space, family, school, and social affair places must be all considered.
• An "individual axis": Rehabilitation must observe the child as an active participant, not as a passive person of whom needs care.
• A "relational axis": the standard of taking into consideration the relationship of the child and people who take care of him/her in different contexts of their life (Trabacca et al., 2016).

Inclusion Criteria:

• • The children age ranged from 5 to 7 years old (early childhood).

  • Spasticity degree ranges from 1 to 1+ as measured by the Modified Ashworth Scale
  • Children with lack of concentration according to MARS (Moss Attention Rating Scale)
  • Children can stand alone and walk.

Exclusion Criteria:

• • Children with deafness.