This study focused on analyzing the effect of NDT on the function and participation of a child with spastic Diplegic Cerebral Palsy.
25 children with Spastic diplegic cerebral palsy with GMFCS level I-III, CFCS level I-III, EDACS level I-III, and VFCS level I-III were enrolled at Latika Roy Memorial Foundation, Dehradun, Uttarakhand, India. A baseline assessment was done using the Gross motor function measure (GMFM) 66, the Functional independence measure (WeeFim), the Goal attainment scale (GAS), and the pediatric balance scale. Outcome measures used to analyze participation were the Canadian Occupational Performance Measure (COPM) and Child Engagement in daily life measures. The group underwent a 10-week intervention program based on NDT. Pre and post-intervention data was analyzed.
The performance and satisfaction levels of participants improved as per COPM. There was an improvement in the participation of the children as per Child engagement in daily life measure. The Weefim scores, GMFM 66 total increased. GAS scores and balance scores of PBS were achieved and showed positive improvement.
The results post-intervention showed positive outcomes indicating that NDT can be useful for improving the function and participation of children with cerebral palsy.
NDT can be used as an active approach and with proper facilitation, carry-over at home, parent involvement, and looking at function from a participatory perspective. Changes can be expected in all domains of ICF thereby enhancing the quality of life of an individual with Cerebral Palsy and also their families.
Participation
function
