Effects of Proprioceptive Training With Routine PT on Gross Motor Function in Spastic Quadriplegic CP

Proprioception plays an important role in the correct execution of efferent motor performance as 70% of cerebral palsy population have deficit in receiving somatosensory signals3. Tradition physical therapy exercises including strengthening followed by stretching etc. should be reviewed and the therapy must be more oriented to overall individual growth and development31. There is a need to push the cerebral palsy population to be exercised with proprioceptive stimulation for their maximum participation in the activities of daily life including both personal and social aspects. The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children.

Inclusion criteria

• Children with the diagnosis of Cerebral Palsy (Spastic quadriplegia)
• Ages of 1 to 5 years
• Both males and females
• Alert and responsive to verbal and non-verbal commands
• Modified Ashworth Sale grade 1 to 2
• Gross Motor Function Classification System level 1V and V

Exclusion criteria

• Children under the botox treatment for tone management (botulinum injections)
• Diagnosed with any disease other than spastic quadriplegic cerebral palsy i.e. congenital heart defects, epilepsy, recurrent pneumonia, skin infections etc.
• Children underwent any surgery i.e. tenotomy (tendon release), recent heart surgery,
• Recent fracture and subluxation/dislocation due to fall or poor handling
• Any contracture or deformity on upper extremities, lower extremities and spine i.e. flexion contractures, club foot, scoliosis