To compare the Effects of Pediatric endurance and limb strengthening (PEDALS) program VS Task-oriented Training (TOT) improving gross motor function among children with Cerebral Palsy.
• Diplegic Cerebral Palsy children
Gross motor classification system level 1and level 2.
Age 6 to 12 years.
Male and female are included.
• Individuals with co-existing medical conditions that significantly impact motor function other than CP.
Participants who are unable to engage in the assigned interventions due to physical or cognitive limitations.
Gross motor classification system level 3.4 and 5.
Any contraindications to the assigned interventions, such as severe motion sickness or contraindications to physical exercise for pedal training.
Parallel
Pediatric Endurance and Limb Strengthening (PEDALS) program
Other interventionParticipants will perform pediatric endurance and limb strengthening (PEDALS) program. The stationary cycling intervention will be performed 3 times per week, for a total of 24 sessions, within 8 weeks period. The longer session duration is designed to allow adequate rest intervals between set (1-3 minutes). A generalized stretching program will be performed prior to cycling for mental relaxation for 6-7 minutes. Ankle-foot orthosis if used for walking. Each 60 minutes cycling session will be divided into 2 phases: (1) lower-extremity strengthening and (2) cardiorespiratory endurance.
Task-Oriented Training (TOT)
Other interventionThe experimental protocol consists of task-oriented training program (TOT) .it will be performed 3 times per week, for a total of 24 sessions, within 8 weeks period. Before each training session, there will be a warm-up period with 5 to 10 minutes of dynamic activities (e.g., jogging). After training, there will be a cool down period with 5 to 10 minutes of dynamic stretching exercises. In addition to rest intervals. after training session, there will be a 48-hour rest interval to prevent muscle fatigue and injury.
gross motor function
The improving gross motor functions i.e A) lying and rolling B) sitting C) crawling and kneeling D) standing and E) walking, running, and jumping.
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