This study aims to investigate the effect of suit therapy combined with dual-task training on gross motor performance and walking abilities in children with diplegic cerebral palsy.
Age from 6 to 12 years.
Both sexes.
A medical diagnosis of spastic diplegic CP made by pediatricians or pediatric neurologists.
Children with spasticity grades ranged from 1 to 2+ according to the Modified Ashworth scale (MAS).
They had a permanent deformity (bony or soft tissue contractures).
Children having visual or auditory defects.
Current hospitalization for urgent medical reasons.
Severe mental retardation.
Parallel
Suit therapy
Other interventionPatients will receive suit therapy.
Suit therapy + Dual-task exercises
Other interventionPatients will receive suit therapy in addition to dual-task exercises.
Evaluation of Gross Motor Function Measure 88 (GMFM-88)
The Gross Motor Function Measure (GMFM) 88 will be used to determine the severity of each case and to assess the child's motor performance in five dimensions: lying and rolling (17 items); sitting (20 items); crawling and kneeling (14 items); standing (13 items); and walking, running, and jumping (24 items). All items will be checked and scored before interpretation of the child's performance in each dimension. Scores of each dimension will be expressed as a percentage of the maximum scores for that dimension. The total score will be obtained by averaging the percentage scores across the five dimensions. Individual dimensions of GMFM-88 can be administered depending on the child's current level of function.
Evaluation of balance using the Pediatric Balance Scale (PBS)
The Pediatric Balance Scale (PBS) is a standardized tool for testing balance. The items can be measured within 15 minutes and do not require specialized equipment. The Pediatric Balance Scale is a modified version of the Berg Balance Scale, used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function), with a maximum score of 56 points
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