Effectiveness of Play Therapy over Conventional Physiotherapy in Spastic Diplegic Cerebral Palsy Children
Effectiveness of Play Therapy over Conventional Physiotherapy
DOI:
https://doi.org/10.70284/njirm.v3i2.2012Keywords:
Spastic diplegic cerebral palsy, Play therapy, Conventional physiotherapy, Box and block test, Nine hole peg testAbstract
Background: Play therapy has become an important part of physiotherapy treatment program to improve functional outcome in children with cerebral palsy. This study is to examine the effectiveness of play therapy together with conventional therapy to improve the hand function ability in children with spastic diplegic cerebral palsy. Methods: 30 spastic diplegic cerebral palsy children were divided into two groups, Group-I received conventional physiotherapy alone where as Group-II received play therapy and conventional therapy (n=15) both. The treatment was given 3 days a week for 6 weeks continuously for both the groups. Results: After the treatment period Group II who received play therapy in addition to conventional therapy scored significantly higher on the Box and block test and Nine hole peg test for grasp and release showing p<0.05. Conclusion: Play therapy along with conventional physiotherapy was found to be much effective in improving the hand function in children with spastic diplegic cerebral palsy. This study may help the physiotherapist to utilize and evaluate the functional outcomes using play therapy in cerebral palsy children.
References
2. Paneth N, Kiely J, Susser M, and Stein N. Cerebral Palsy and Newborn Care. Developmental Medicine and Child Neurology, 1981; 23: 801-817
3. Semenova K, Bubnova V, Vindogradova L, Tikunova N. Cryotherapy in the Complex Resotrative Treatment of Children with Infantile Cerebral Palsy. Zh Nevropatol Psikhiatr Im SS Korsakova. 1986; 86: 1459-1463
4. Alexander E. School Centered Play Therapy Program. Personnel and Guidance Journal. 1964; 43: 256-261
5. Melanie K. Effects of Three Play Conditions on Separation Anxiety in Young Children. Journal of Consulting and Clinical Psychology. 1955; 50(3): 389-395
6. Hambridge G. Structured Play Therapy. American Journal of Orthopsychiatry. 1934; 4(2): 193-202
7. Johnson, Ann Prevalence and Characteristics of Children with Cerebral Palsy in Europe. Developmental Medicine and Child Neurology. 2002; 44(9): 633-640
8. Mathiowetz V, Volland G, Kashman N, Weber K. Adult Norms for the Box and Block Test of Manual Dexterity. Am J Occup Ther. 1985; 39: 386-391
9. Mathiowetz V, Volland G, Kashman N, Weber K. Nine Hole Peg Test IN Measurement in Neurological Rehabilitation. Oxford University Press, New York. 1992; 171-177
10. Mathiowetz V, Weber K, Kashman V, Volland G. Adult Norms for the Nine Hole Peg Test of Finger Dexterity. The Occupational Therapy Journal of Research. 1993; 5(1): 24-37