Enhancing Gross Motor Function through Integrated Play Therapy and Neurodevelopmental Treatment in Spastic Diplegic

Mandar Malawade1

  • 1Department of Pediatric Physiotherapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, Maharashtra, India.

Insights

This study shows that combining neurodevelopmental technique (NDT) and play therapy significantly improves gross motor function in children with spastic diplegic cerebral palsy. The integrated approach offers benefits for pediatric rehabilitation.

Area of Science:

  • Pediatric Rehabilitation
  • Neuroscience
  • Developmental Pediatrics

Background:

  • Spastic diplegic cerebral palsy (CP) significantly impacts gross motor function in children.
  • Current rehabilitation strategies often focus on individual therapeutic modalities.

Purpose of the Study:

  • To evaluate the efficacy of a combined neurodevelopmental technique (NDT) and play therapy intervention.
  • To assess the impact on gross motor function in children with spastic diplegic CP.

Main Methods:

  • A cohort of fifteen children (4-10 years) with spastic diplegic CP participated.
  • Intervention involved combined NDT and play therapy, three times weekly for six weeks.
  • Gross motor function was measured using the Gross Motor Function Measure (GMFM-88).

Main Results:

  • Pre-intervention GMFM-88 scores averaged 61.13 ± 18.94.
  • Post-intervention GMFM-88 scores significantly improved to 73.00 ± 16.87 (p < 0.001).
  • Paired t-tests confirmed a statistically significant improvement.

Conclusions:

  • The combination of NDT and play therapy leads to significant improvements in gross motor function.
  • This integrated approach shows promise for enhancing pediatric rehabilitation programs for children with spastic diplegic CP.

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