Objective: To evaluate the effect of positioning on gross motor function and spasticity in spastic quadriplegic cerebral palsy children with Gross Motor Function Classification System level IV and V. Methods: A quasi-experimental study was conducted at two Paediatric Physical Therapy Centres from November 2018 to July 2019. The study was comprised of seventy four children with quadriplegic cerebral palsy aged between 3 to 8 years. Data was obtained and gross motor functional abilities and spasticity were assessed by GMFM-88 and Modified Ashworth Scale respectively. Twenty four-hour positioning in specific seats, night positioning and standing frames for six months. The child was being positioned in 24 hours according to his challenges for the period of six months. Semi reclined positioning was performed to manage aspiration, oral leak and to develop retention. Prone positioning was done to develop righting reactions, functional sitting position was used in the treatment regime to attain better upright position and neutral pelvic standing using standing frames. SPSS 24 was used to analyse the data. Results: Paired t-test reported significant improvement in the test scores in lying position, rolling, sitting position, crawling, kneeling, standing, walking or running. n=59 subjects exhibited improvement in the spasticity before and after interventional procedures, while n=15 showed no improvement as the value of p<0.05. Conclusion: Twenty-Four-hour proper body positioning and postural techniques improved gross motor functioning in all of the five dimensions of functioning. The overall spasticity in quadriplegic cerebral palsy children was also reduced due to appropriate positioning techniques.  Continuous....

Objective: The objective was to assess the load distribution between right and left foot by using PODATA Postural Stabilometric footplate in undergraduate students of Pakistan.Study design: Cross sectional study.Place and Duration: This study was conducted from the different medical institutes of Pakistan.Methodology: Ethical committee's clearance was acquired from the University of Lahore before this research's ritualistic starting point. A cross-sectional study was conducted on 145 undergraduate students having age years. For data collection, empowerment from patients was started by taking compile agreement from the university's management. Informed consent was taken from the study participants. All questions in the questionnaire were validated through previous literature. Questionnaires were provided and abstracted to the respondents as a pamphlet. After collection, data was saved in a secure place to avoid any biases.Results: Out of 145 students, 115(75.9%) students were females, and 30(24.1%) students were males, 76 students had normal body weight, The mean weight on the right foot was 2.29 ± 0.92 kg by accessor 1, 2.29 ± 0.93 kg by accessor 2 & the mean weight on the left foot was 0.57 ± 0.33 kg by Accessor 1, 0.57 ± 0.34 kg by Accessor 2; hence, there is a significant difference in weight on right & left foot by accessor 1 & accessor 2 during open eyes as the p-value was significant. (value <0.00001**).Conclusion: It was concluded that the load distribution is not the same as the right foot and the left foot. The right foot is dominant; changing the accessor doesn't matter the foot's dominancy, and if someone has right-hand dominance, it's not necessarily that their right foot Will be dominant. Their left foot can also be dominant. Load distribution between foot also depends on the total body weight.