عنوان

بررسی تاثیرکاردرمانی رایج همراه با استفاده از ارتزمفصل هیپ بر تغییرات تعادل کودکان دایپلژی اسپاستیک12تا 5سال

Background: Improving the balance in children with spastic diplegia is the main core of rehabilitation programs after acquiring independent gait. Due to the importance of balance in the establishment of independence in performing activities of daily living, this study investigates the effect of conventional occupational therapy with the use of hip orthotic on improving balance of children suffering from cerebral palsy. Methods: this research includes 24 children with spastic diplegia who divided into two groups ranged from 5 to 12 years, which were chosen by convenience sampling method. The subjects undertook conventional Occupational Therapy 3 times a week for 8 weeks, but the control group beside the conventional occupational therapy received a hip orthotic during sessions. The Balance of children was assessed by Berg balance scale, Muscle tone was measured by Modified Ashworth Scale, and the range of Hip abduction was measured by Goniometer method. The paired t-test, independent t-test, and Analysis covariance was used to analyze the data and check the assumptions. Results: The results showed that after the intervention period, the functional balance showed a significant increase (p< 0.0001), but the average of muscle tone and the scope of motion in the hip abduction (p >0.0001) did not show a significant increase. Conclusion: The simultaneous use of occupational therapy with hip orthotic could improve the level of balance in children with spastic diplegia. Keywords: conventional occupational therapy, hip orthotic, cerebral palsy

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