Vol. 6, Issue 1 (2019)
Effect of universal exercise unit on balance in children with spastic Diplegia
Author(s): Dr. Khaled Ahmed Olama, Dr. Ahmed Mohamed Elnahhas, Samaa Hussein Rajab, Dr. Sahar Mohamed Nour El din
Abstract: Background: Dysfunctional postural control is one of the key problems in children with cerebral palsy (CP) which interfere with the activities of daily life. Balance has been viewed as a skill that the nervous system learns to achieve using many systems including passive biomechanical elements, all available sensory systems and muscles and jointly many different parts of the brain. Slowness in motor conduction or delay brain in processing are causing balance impairment, which causing frequent falling of children with CP. Aim: To evaluate the effect of using universal exercise unit (UEU) in strengthening program for both lower limb and its effect on standing balance in spastic diplegia. Subject: thirty spastic diplegic children of both genders (13 boys, 17girls), their age ranged from 4 to 8 years old recruited from outpatient clinic, Faculty of Physical therapy, Cairo University. They were randomly classified into two groups of equal number (control and study). Procedures: the control group received a designed physical therapy program while study group received UEU program in addition to the designed physical therapy program. Total work was assessed by using Biodex balance system before and after the application of the treatment program. Results: There was a significant decrease in the overall stability index in the study group compared with control group after treatment (p = 0.001) Conclusion: universal exercise unit may be considered as an effective method to improve standing balance in children with spastic CP.