Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy

Group A will receive in Circuit Training for enhancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.

Obstacle standing balance Gym ball sitting balance Step-ups with resistance bands Ball toss while standing on foam Tandem walking on straight line

Warm-up 5 minutes such as stretching and basic active range of motion (AROM) exercises.

Group A (Circuit Training Group) Circuit stations (35 min] Station 1Obstacle standing balance [cones, foam pads] → challenges weight shifting.

Station 2 Gym ball sitting Balance training [child sit on a gym ball with feet flat on floor] alternating foot lifts Station 3 Step-ups with resistance band [forward /lateral] build lower limb strength and promotes symmetrical movement.

Station 4 Ball toss while standing on foam to increase challenge Station 5 Tandem walking on a straight line (forward / backward) improve heel to toe gait and posterior chain activation.

Cool down (5 min) Static stretching and, breathing exercises. Progression: increase difficulty weekly [narrower bases of support, added weights]

Task Oriented Training for ehancing Balance and child overall wellness in Children suffering from Spastic Diplegic Cerebral Palsy.

Stride stand on the mat and slight stuck by therapist Sit-to-stand with ball tasks (no walking) Walking on foam surface Stepping over soft obstacles Step up and down using a bar

Warm-up (5 min) Gentle Stretching (hamstring and gastrocnemius) Light aerobic activities (marching in place, stepping over low objects) Task oriented Training (35 min) Stride stand on the mat and slight tuck by therapist Sit to stand with ball tasks (no walking] Stepping over soft obstacles (soft cushions, foam blocks for child to step over) Walking on foam surface Stepping over soft obstacles Step up and down using a bar Cool down (5 min) Static stretching for major lower limb muscles. Deep breathing exercises. Progression: increase difficulty by adding distance, height, resistance, or unstable surfaces

A clinical test called Pediatric Balance Scale [PBS] is used to examine children's balance skills, especially in those with developmental delays or motor impairments. It is modified version of the adult berg balance scale, intended for use with children.

Asses functional balance in children between 5 and 15 years of age, often utilized for children with conditions like cerebral palsy, developmental coordination disorder, or after neurological injury.

Structure:

Consists of 14 tasks that assess static and dynamic balance, such as sitting to standing, standing unsupported, reaching forward, turning, and standing on one foot.

Scoring:

Each item is scored on a scale from 0 to 4, where 0 indicates inability to perform the task and 4 indicates independent and steady outcome. The highest possible score is 56.

Clinical Use:

Helps to identify balance deficits, monitor progress over time, and guide rehabilitation planning.

Advantages:

Simple

To asses quality of life specific to children with cp from both physical and psychosocial perspectives. Contains age-appropriate versions with domain including daily activities, school participation, and mobility.

5-points Likert scale [0 =never, 4 =almost always], transformed to a 0-100 scale; higher score indicates better Quality of life. 10 to 15 min