Effect of Core Strength Training on Head and Trunk Control and Quality of Life in Spastic Cerebral Palsy

The goal of this observational study is to examine the effect of an 8-week therapist-assisted core muscle strengthening program on head control, trunk stability, functional core strength, quality of life, and automatic righting reactions in non-ambulatory children with spastic cerebral palsy. The main questions it aims to answer are:

• Does head control improve over time in supine, prone, and supported sitting?
• Does segmental trunk control improve across static, active, and reactive tasks?
• Does functional cervico-trunk strength improve?
• Do automatic righting reactions change after the intervention?

Participants will:

• Take part in 24 therapy sessions over 8 weeks.
• Receive therapist-assisted core activation exercises such as bridging, modified quadruped over a bolster, supported sitting on a therapy ball with multidirectional perturbations, and assisted pull-to-sit.
• Complete assessments at baseline, week 4, and week 8 for head control, trunk control, functional strength, and righting reactions.

Researchers will compare participants' outcomes across baseline, mid-intervention, and post-intervention time points to see whether the program is associated with improvements in motor control and function.