Comparison between Task-Oriented Training and Proprioceptive Neuromuscular Facilitation Exercise on Upper Extremity Function in Spastic Cerebral Palsy

Abstract

This research investigates and compares the impacts of task-oriented training and proprioceptive neuromuscular facilitation (PNF) on the motor function of the affected arm in children diagnosed with spastic cerebral palsy (CP). The study addresses the need for effective interventions to address the motor challenges in this population. Thirty participants were randomly assigned to either Group A (task-oriented training) or Group B (PNF training) in a two-month comparative study conducted in special schools. Both groups participated in daily 40-minute sessions five days a week for eight weeks. Pre and post-tests, utilizing the Assistive Hand Assessment (AHA-22) and Manual Ability Measure (MAM-16), were administered to evaluate outcomes. The analysis revealed no significant differences in post-test scores between Group A and Group B, indicating comparable effectiveness of both interventions in improving upper extremity function in children with spastic cerebral palsy. This study contributes valuable insights into therapeutic approaches for enhancing motor function in children with spastic cerebral palsy. Both task-oriented training and proprioceptive neuromuscular facilitation emerge as effective methodologies, providing healthcare professionals and educators with evidence-based options for optimizing outcomes in this population. These findings hold international relevance, offering a foundation for informed decision-making in the selection of interventions for children with spastic cerebral palsy across diverse global contexts.