Effect of Gross Motor and Fine Motor Exercises on Trunk Control in Subjects with Spastic Cerebral Palsy

Abstract

Background: Gross motor and fine motor activities are important to achieve as it is important aspect for

ADL activities. It is widely known that when trunk control is affected, gross and fine motor activity is

also affected. For efficient distal movements, proximal stability should be sufficient i.e for hand usage,

development of trunk stability and central axis control is one of the important prerequisites. Recent studies

have showed that there is positive correlation between trunk control and upper extremity functions. There

is paucity of literature available showing effect of gross motor and fine motor activities on trunk control in

cerebral palsy children, hence this study would be helpful to analyse the same.

Objectives: Objective of this study was to to find out the effect of gross motor and fine motor activities on

trunk control, on hand function and also to find out the correlation between trunk control and hand function.

Methodology: There were total 35 subjects, out of which 21 subjects were participants of this study. This

is a study of effect of gross motor and fine motor activities on trunk control in cerebral palsy children.

Demographic data, assent and consent was taken from the child and his/her parents, respectively. Pre and

post assessment was taken on the basis of Gross Motor Function Classification System for Cerebral Palsy,

Manual Ability Classification System and Trunk Control Assesment before and after 6 weeks (total 16

sessions) of the treatment respectively. Each session was of 45 mins. Later evaluation and interpretation of

data was done.

Result: The 9.1% improvement is seen in pre and post treatment GMFCS, 18% improvement is seen in pre

and post treatment MACS and 16.2% improvement is seen in pre and post treatment TCMS.

Conclusion: There is significant effect of gross motor and fine motor exercises on trunk control in subjects

with spastic cerebral palsy.