Neuro development techniques in cerebral palsy.

1. Neuro developmental techniques versus functional
electrical stimulation on quality of upper extremity
function in children with hemiplegic cerebral palsy: An
experimental study
Guide: Dr. Namrata, Principal, HOD
Co - Guide: Dr. Swadeep, Mpt Neuro
Presented By
Madhuri Dubey
NEURO, MPT 2nd Year

2. Introduction
The internationally recognized definition of CP is "Cerebral palsy (CP) describes a group of
permanent disorders of the development of movement and posture, causing activity limitation,
that are attributed to non-progressive disturbances that occurred in the developing fetal or infant
brain. " CP is a chronic mental disorder, not a continuous disorder. This means that the disruption or
process of the disease will not get worse as time goes on.3-4 The incidence and spread of CP are
2/1000 live births. In addition to the lack of vehicles, other related illnesses are more likely to include
visual impairment, hearing and speech impairment, mental retardation, mental retardation,
learning disabilities, and general social and emotional problems.
Hemiplegic CP: It is a spastic unilateral paresis where the upper limbs are more affected than the
lower limbs. It is most commonly seen in newborns (56%) and newborns (17%). It has a multifactorial
pathogenesis. It results from premature brain damage, including CP, per ventricular brain lesions,
cerebral artery infarction, and non-progressive brain damage after childbirth.

3. Aim of the Study
 The main aim of the study will be to investigate the effect of Neuro developmental
techniques and functional electric stimulation, when used in NDT alone and
conventional physical therapy with functional electric stimulation on the quality of
upper extremity functions in hemiplegic CP children.
 The purpose of the study will be to indicate that neuro developmental therapy may
show beneficial effect compare to functional electric stimulation.

4. Procedure and Study Design
Group A – Experimental Group
Group B – Control Group
Pre Treatment
Ax
•MTS
•MACS
•QUEST
Treatment
•NDT
•Conventional
Therapy
Post Treatment
Ax
•MTS
•MACS
•QUEST
Statistical
Analysis
Study Result Conclusion
Pre Treatment
Ax
•MTS
•MACS
•QUEST
Treatment
•Conventional
Therapy
•FES
Post Treatment
Ax
•MTS
•MACS
•QUEST
Statistical
Analysis
Study Result Conclusion

5. Objective
 To assess the additional effects of NDT v/s FES on gross motor, fine motor functions and
spasticity on quality of upper extremity functions in hemiplegic CP children.
 To compare the effect of NDT v/s FES and conventional therapy statistically on the
quality of upper extremity functions in hemiplegic CP children.

6. Hypothesis
 The research hypothesis of this study would be that NDT will significantly improve the
quality of upper extremity functions in hemiplegic CP children comparative to FES
and conventional therapy.

7. Material & Method
 Type of Study: Experimental study
 Study Design: This study will be an experimental study in which the additional effects of NDT v/s FES on
gross motor and good motor functions and spasticity.
 Duration of treatment: 5 days in a week for 4 Weeks. Each session will be an hour and half.
 Selection of study subjects: The study's sample size will be 30 of the 15 in each control and experimental
group. Subjects will be randomly divided into two groups.
 Inclusion Criteria:
 Spastic Hemiplegic CP children
 A group of 4-8 years
 Children with MACS level 4 or less also
 Children with MAS 3 or less of the Upper Extremity tissue will be included in the study.
 Exclusion Criteria:
 Failure to understand the required instructions for the process
 Children have received Botulinum toxin treatment in the last six months.
 Visible and audible deficits
 UE fixed disability / contracts
 Pre-orthopeadic surgery

8. Outcome Measures
 Modified Tardieu scale (MTS)
 The Manual Ability Classification System (MACS)
 Quality of Upper Extremity Skills Test (QUEST)

9. References
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11. Thank You