Effect of hand activities group therapy program on ADL performance of children with cerebral palsy at CENTRE FOR THE REHABILITATION OF THE PARALYSED (CRP)

Abstract

Background: Cerebral palsy is considered a neurological disorder that is characterized by non-progressive abnormalities in the brain that occurs while the child’s brain is under development. Children with Cerebral Palsy show a significant difficulty in hand skills performance. Cerebral Palsy children has an impairment which affect all kinds of motor activities, including activities of daily living (ADL), which are essential for children's daily functioning. Objectives: The objectives of this study to identify the socio-demographic factors & to evaluate the effect of hand activities group therapy program on ADL performance of Children with Cerebral Palsy at CRP. Methodology: Effect hand activities group therapy program & child’s ADL performance were assessed through pre & post test program by using questionnaire & hand tools materials (Pediatric Evaluation of disability Inventory, Caregivers Assistant Scale). Data were obtained from 32 mother & children with cerebral palsy. Result & Discussion: A total of 32 samples (children) were studied. Among them 21 respondents were boys & 11 respondents were girls. Most of the children of this study appeared to be 4-5 years (46.9%) old. Cerebral Palsy children get more improvement in reach, carry, release rather than grasp, in hand manipulation & bilateral integration by taking part in the 2 weeks’ hand activities group therapy program. The study revealed that Cerebral Palsy children participate in leisure activities rather than self-care & productivity depends on child’s severity on condition & deformity after receiving the treatment. Conclusion: This study experienced that CRP program is highly effective for improvement of child’s capacities & skills. Researcher found that it is very difficult to change the daily activities of the child in such a short time that’s why children should continue therapy for a long period of time in order to get marked outcome. So, these finding will help the occupational therapists for building up new strategies for better improvement in child’s hand function & also in ADL’s performance. Overall the program is really effective for the children with cerebral palsy. Key words: Cerebral palsy, Hand function, ADLs performance & Indoor pediatric unit.