Abstract:
Purpose: This study investigates the effectiveness of task-oriented exercise to improve 
gross motor function in spastic cerebral palsy children. Objectives: This study aims to 
evaluate the effectiveness of task-oriented exercise to improve gross motor function in 
children with spastic cerebral palsy and sociodemographic information about cerebral 
palsy children. Methods: A quantitative pre and post-experimental study has been 
designed in this study. Based on the inclusion and exclusion criteria and according to 
GMFCS fifteen (15) spastic children have been selected as sample size at the age of 4
12 years, who attended the pediatric unit in the Centre of the Rehabilitation of the 
Paralyzed (CRP) in Bangladesh for treatment purposes. The selective patient received 
the task-oriented exercise for 4 weeks, 8 sessions (Twice a week, 30 minutes per 
session). The gross motor functional measurement scale was used to measure the 
outcome before and after 4 weeks of intervention. Result: For the gross motor 
performance measure, there were statistically significant differences in the amount of 
change before and after the training among the intervention groups. After the 4-week 
intervention period ended, all the subscales of GMFMS-66 were found to be 
significantly improved. In subscales of Gross motor function measurement in lying and 
rolling pre and post-test means were 9.67 and 10.67 and their significant value is 0.03 
(P< .005) where the significant level in sitting was 0.005 which is also less than the p
value (P< 0.005). Other subscales of GMFMS in standing, crawling and kneeling 
walking, running and jumping significant levels were 0.001, 0.01, and 0.001 which is 
also less than the p-value (P< 0.005) Conclusion: Based on the findings of this study it 
provides evidence that task-oriented physiotherapy is effective in improving gross 
motor function among the spastic cerebral palsy children. 
Keywords: Spastic cerebral palsy, Task-oriented exercise, Gross motor function 
Total word count: 10250
 
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.