Effect of different levels of segmental trunk stability training on sitting and upper limbs functions in children with bilateral spastic cerebral palsy

Abstract

Background: Children with bilateral spastic cerebral palsy (BSCP) have insufficient trunk control and upper limbs (ULs) dysfunction. Purpose: to investigate the effect of segmental trunk stability training at different levels on sitting and ULs functions in children with BSCP. Subjects & Methods: Thirty-nine children with BSCP, with ages ranged from 2 to 4 years, , their spasticity grade ranged from 1 to 1+ according to the Modified Ashworth Scale, their motor function was at level IV according to the Gross Motor Function Classification System – Expanded and Revised, their self-initiated ability to handle objects in daily activities with their hands was at level V according to the Mini-Manual Ability Classification System, all children’s level of segmental trunk control score ranged from 3 to 5 according to the Segmental Assessment of Trunk Control were assigned randomly to 3 groups of equal numbers, 13 children for each group. Group (A) received a specially designed physical therapy (PT) program while wearing segmental trunk support from a level just below the child’s inferior angle of the scapula to the level of his/her pelvis.