PMID- 37746405
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230926
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 8
DP  - 2023 Aug
TI  - Effectiveness of Neurodevelopmental Treatment and Sensory Integration Therapy on 
      Gross Motor Function, Balance and Gait Parameters in Children With Spastic 
      Diplegia.
PG  - e43876
LID - 10.7759/cureus.43876 [doi]
LID - e43876
AB  - Background Spastic diplegic cerebral palsy is the type that is most frequently 
      seen in clinical settings. Spastic diplegic children have trouble maintaining 
      their balance, gait, and gross motor function. This study investigated the 
      effects of the Neurodevelopmental Technique (NDT) and Sensory Integration 
      Technique (SIT) on balance, gross motor function, and gait characteristics in 
      children with spastic diplegia. Method The study's participants were 8 to 12 
      years old, with spastic diplegia, categorized into stages I to III of the Gross 
      Motor Function Classification System. While individuals in group B underwent 
      sensory integration therapy, group A's subjects received NDT for 45 minutes. Both 
      groups received traditional physiotherapy for 15 minutes. The protocol was given 
      for five days a week, continuously for four weeks. All 40 subjects underwent pre- 
      and post-treatment assessments using the Gross Motor Function Measure-88 
      (GMFM-88), Paediatric Balance Scale, Gait Parameters, and Gross Motor Function 
      Classification System. Results The trial involved 40 children, divided into two 
      groups of 20 each. Statistical analysis demonstrated a substantial improvement in 
      group B post-intervention (P>0.0001). The study's findings were drawn using the 
      Chi-Square test, paired and unpaired t-tests, and SPSS Statistics for Windows, 
      version 27.0 (IBM Corp., Armonk, USA).A p<0.05 and the GraphPad Prism version 7.0 
      (GraphPad Software, Boston, USA) were used. A total of 40 children completed the 
      entire duration of treatment for a month. 20 subjects participated in group A 
      (age range 8-12 years; mean age 10.3 years) and 20 subjects in group B (age range 
      8-12 years; mean age 10.25 years). The GMFM-88, which assesses motor function, 
      reveals that the between-group comparison indicates a substantial difference of 
      7.95 (6.04-9.86) in favor of Group B, with a p-value of 0.0001, signifying 
      statistical significance. Similarly, the Pediatric Balance Scale (PBS) outcomes 
      significantly enhanced in both groups post-intervention. The comparison between 
      groups yields a difference of 1.85 (1.11-2.59) in favor of Group B, with a 
      p-value of 0.0001. Conclusion The study concluded that SIT has a positive impact 
      on gait metrics, balance, and gross motor function in children with spastic 
      diplegia.
CI  - Copyright (c) 2023, Raipure et al.
FAU - Raipure, Anushka
AU  - Raipure A
AD  - Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe 
      Institute of Higher Education & Research (Deemed to be University), Wardha, IND.
FAU - Kovela, Rakesh Krishna
AU  - Kovela RK
AD  - Department of Neuro Physiotherapy, Nitte Institute of Physiotherapy, NITTE 
      (Deemed to be University), Mangaluru, IND.
FAU - Harjpal, Pallavi
AU  - Harjpal P
AD  - Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe 
      Institute of Higher Education & Research (Deemed to be University), Wardha, IND.
LA  - eng
PT  - Journal Article
DEP - 20230821
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10511346
OTO - NOTNLM
OT  - balance
OT  - gait parameters
OT  - gross motor function
OT  - neurodevelopmental treatment
OT  - sensory integration therapy
OT  - spastic diplegia
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/09/25 06:43
MHDA- 2023/09/25 06:44
PMCR- 2023/08/21
CRDT- 2023/09/25 05:15
PHST- 2023/03/14 00:00 [received]
PHST- 2023/08/20 00:00 [accepted]
PHST- 2023/09/25 06:44 [medline]
PHST- 2023/09/25 06:43 [pubmed]
PHST- 2023/09/25 05:15 [entrez]
PHST- 2023/08/21 00:00 [pmc-release]
AID - 10.7759/cureus.43876 [doi]
PST - epublish
SO  - Cureus. 2023 Aug 21;15(8):e43876. doi: 10.7759/cureus.43876. eCollection 2023 
      Aug.