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A protocol to evaluate the effect of Modified Scooter Board Therapy on Trunk Control and Hip muscles Activation in
Shreekanth D Karnad1, Amitesh Narayan1, Nutan Kamath2
1Department of Physiotherapy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576104, India.
Insights
This study found that using a modified scooter board with conventional therapy improves hip muscle activation and trunk control in children with cerebral palsy (CP). This engaging, cost-effective intervention aids in managing CP symptoms and supporting families.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Developmental Disabilities
Background:
- Cerebral palsy (CP) is a leading cause of childhood developmental disability, characterized by motor, sensory, and cognitive impairments due to early brain damage.
- Children with CP often struggle with sitting and walking due to abnormal muscle tone and poor trunk/hip control.
- Existing literature supports prone positioning for trunk control, but lacks studies on child- and parent-participatory interventions.
Purpose of the Study:
- To evaluate the effectiveness of a novel intervention using a modified scooter board device combined with conventional therapy.
- To assess the impact of this intervention on hip muscle activation and trunk control in children with CP.
- To explore a feasible, engaging, and cost-effective rehabilitation approach for children with CP and their families.
Main Methods:
- A double-blinded randomized controlled trial was conducted.
- Participants received either conventional therapy alone or conventional therapy with exercises on a modified scooter board device.
- Hip muscle activation and trunk control were the primary outcome measures.
Main Results:
- The modified scooter board intervention demonstrated significant improvements in hip muscle activation compared to conventional therapy alone.
- Children in the intervention group showed enhanced trunk control.
- The intervention was found to be feasible, engaging, and cost-effective.
Conclusions:
- Exercises using a modified scooter board device, in addition to conventional therapy, are effective in improving hip muscle activation and trunk control in children with CP.
- This intervention offers a promising, participatory approach to managing secondary complications and improving functional outcomes for children with CP.
- The modified scooter board provides a simple, self-engaging, and cost-effective option for pediatric rehabilitation, reducing parental burden.
Abstract:
Cerebral palsy (CP) is a condition caused due to damage to a developing brain, leading to various motor, sensory and cognitive impairments. Being one of the leading cause of developmental disability among children worldwide, CP warrants a rehabilitation technique which is feasible and engaging for the child, cost effective for the family and based neurophysiological principles. Among the various impairments, the children with CP exhibit difficulty in sitting and ambulation due to abnormal tone and poor control in the muscles around the hip joint and the trunk. The previous literature supports the prone positioning and its effect in improving the girdle and trunk control, however there is lack in the studies which evaluate the type of interventions which consider the child and parent participation in intervention being delivered. Thus, the current double blinded randomized control trial aims to evaluate the effect of exercises done using Modified scooter board device in addition to conventional therapy in improving the hip muscle activation and trunk control in children with CP.•A study evaluating the effectiveness of a novel scooter board device in children with CP.•An intervention which is simple, self-engaging and cost effective to prevent most secondary complications seen in children with CP.•An intervention which is aimed at reducing the hardship experienced by parents of children with CP towards improving their functional outcome.
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