Intensive Institutional Physical therapy intervention in children with Cerebral Palsy, GMFCS level II and III- Single group Pre-Post.

‘Cerebral palsy (CP) describes a group of 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. The overall pooled prevalence of cerebral palsy per 1000 children surveyed was 2.95. Sub-group analysis for rural, urban and mixed rural-urban study population demonstrated the pooled prevalence as 1.83 , 2.29  and 4.37 respectively. The problems encountered in a child with CP are abnormal gross and fine motor functioning and organization that reflects abnormal motor control are the core features of CP. The motor problem leads to difficulties with walking, feeding and swallowing, coordinated eye movements, articulation of speech, and secondary problems with behaviour, musculoskeletal function, and participation in society. Physiotherapy is essential in the management of CP, and almost all people with the condition receive it. The goals of physiotherapy are to facilitate the child’s participation needs and to reduce the physical impairments caused by the symptoms. Physiotherapy assists children with CP in reaching their full potential for physical independence and fitness levels, as well as improving the children’s and their families quality of life by minimising the impact of their physical impairments. Physiotherapy includes a use of variety of therapeutic interventions to improve voluntary movement autonomy, strength, and coordination. This study includes the children with CP of GMFCS level II and III and effect of Intensive Physical therapy will be measured for a duration of 6 months.Until now, the intensive protocol, which includes the most effective interventions, has not been studied with 3-4 hours per day for up to 5-6 months. As a result, the purpose of this single group feasibility study is to investigate the outcome of intensive institutional physiotherapy intervention.