Effectiveness of Parent Integrated Physiotherapeutic Approach (PIPTA) on gross motor function and balance in children with spastic diplegia:A Randomized Controlled Trial

Studies show that Parent-delivered therapy helps children achieve better motor outcomes. Interventions given in home environment enhances motivation and engagement, and balances the effectiveness and compliance of children and care givers. Implementing task-oriented programmes at home produced improvement in performance with functional balance and the improvement persisted even after the training is completed.

Studies also suggest that with improvements in self-care and mobility of a CP child, there is reduction in physical strain of caring in caregivers. Being actively involved  in their child’s therapy reduces the emotional strain of caregivers.

Parent coaching is the key element of such interventions. In order to properly execute the intervention and understand its goal, parents and medical professionals must receive the necessary training and instruction. Applying a successful parent-delivered intervention requires reciprocal trusting relationships between the child, caregiver, and health care provider. By increasing connection and bonding time, a well-delivered parent-delivered intervention can improve the parent-child relationship which in turn develops the motor improvements in the child. Though parent delivered therapy improves the motor outcome of child, it can’t replace the expert health care professional care .There is scarce of evidence supporting an integrated strategy in which a therapist treats the child and involves parents in the treatment plan. There is also a lack of evidences for detailed description of working mechanism of an intervention that involves parents.  Also, there are fewer evidence that home therapy improved gross motor functions and balance outcomes. Therefore, the study intends to evaluate the effectiveness of `Parent Integrated Physio Therapeutic Approach’(PIPTA) on motor functions and balance on Children with Spastic Diplegia .This approach will include professional treatment, parent delivered home based program and parent education for environmental enrichment of the child to improve his functions.