a Comparison Between the Effectiveness of Vestibular and Dual Task on Balance in Diplegic Children

Overview

the study is carried out to identify If there is any difference between the effectiveness of Vestibular training and Dual task training on balance in children with Diplegic Cerebral Palsy. so in this study the sample will be divided into two equal groups, each group will recieve only one type of training ( vestibular training or dual task training ) the balance of the diplegic children will be assessed before and after using HUMAC balance system and pediatric balance scale , the results will be compared between both groups and if there is one training is more effective than the other , it will be recommended most in the future treatment program.

A comparative experimental design was used. Children participating in this study were assigned into two equal groups, Thirty four children with diplegic Cerebral Palsy of both genders who have balance problems were selected to join this study with the following criteria: 1. all the children diagnosed as diplegic cerebral palsy. 2. Their age are range from 5 to 10 years old. 3. The degree of spasticity is between grade 1 or 1+ according to Modified Ashworth Scale (Charalambous ,2013). 4. They are at level I OR II on Gross Motor Function Classification System . 5. All the children were able to follow verbal command and instructions. And Children were excluded in the presence of the following: 1. Children that suffer from epilepsy. 2. Severe visual and auditory problems. 3. Structural or fixed soft tissue deformities of Lower extremities. 4. Severe mental retardation. 5. Botox injection in the lower extremity in the past 6 months.. all the children will be assigned in one of two groups ( vestibular training group and dual task group ) the training will be continue for definite period of time , and the balance abilities for the children in each group will be assessed before and after the treatment completely ended and the result will be compared to conclude which group benefit more and have a greater balance improvement and the treatment that causes a greater improvement will be more recommended in the future physical therapy plan for treatment of diplegic cerebral palsied children. the balance is assessed using HUMAC balance system and pediatric balance scale .