Efficacy of Upsee Therapy Program with an Enriched Stimulating Active Environment on Improvement Gross, Fine Motor Abilities and Weight Bearing Distribution in Spastic Diplegic Cerebral Palsy Children

Abstract

Objectives: This work was carried out to investigate the efficacy of upsee therapy program with an enriched stimulating active environment on improvement gross, fine motor abilities and weight bearing distribution in spastic diplegic cerebral palsy children. Method: Thirty children were enrolled in this study and randomly assigned into two groups; group A received (upsee therapy program plus specific physiotherapy training) and group B (specific physiotherapy training program only). Gross motor functional measure (GMFCS), pegboard test and weight bearing distribution stages evaluation were used to detect and follow gross, fine motor abilities and weight bearing distribution. This measurement was taken before initial treatment and after 12 weeks of treatment. The children parents in both groups A and B were instructed to complete 3 hours of the home routine program every day. Dependent t-test was used to compare pre to post treatment changes. Results: Data analysis was available on the 30 spastic diplegic cerebral palsied children participated in the study. The difference between pre and post-treatment results was more significant in (GMFCS) upsee group than the control group. Weight-bearing distribution stages evaluation and pegboard test demonstrate representative improvement in the study groups (p=0.0001) while insignificant in the control groups. Conclusion: The addition of upsee therapy program to specific physiotherapy training is recommended in improving gross, fine motor abilities and weight bearing. So this suggested approach may be used as a selective choice for improving walking, hand functions and weight bearing abilities in spastic diplegic cerebral palsy children.