Neck-Trunk Stabilization Exercises and Bobath Therapy Spastic Diplegic Cerebral Palsy

Physiotherapy is widely used in the treatment of children with cerebral palsy. This study is conducted to identify the most appropriate physiotherapy approach. The purpose of the study is to compare two physical rehabilitation strategies i.e., Neck-trunk stabilization exercises and Bobath therapy, to investigate their effectiveness on trunk control and upper limb function. The aims of treatment are to influence muscle tone and improve postural alignment by specific handling technique.

Inclusion Criteria:Children diagnosed with spastic diplegic cerebral palsyChildren with score of GMFCS [2] [3] [4] levels(2, 16).Signed consent form from parents/guardians.Exclusion Criteria:Children with visual impairmentsChildren with major auditory impairmentsChildren with previous orthopedic surgery and Botulium toxin-A injection at least for 6 monthsChildren having pharmacological intervention for the inhibition of spasticityContracturesUncontrolled seizuresFocal spasticity