EFFECT OF STRENGTHENING EXERCISES OF SHOULDER MUSCLES ON HAND FUNCTIONS IN SPASTIC HEMIPLEGIC CEREBRAL PALSIED CHILDREN

Abstract

This study determines the effect of strengthening exercises of shoulder muscles on hand functions in spast.ic hemiplegic cerebral palsied children.This study was carried out on thirty spastic hemiplegic children of both sexes (14 females and 16 males) divided into two equal groups A and B. Their age ranged from six to ten years old. The muscular strength of shoulder flexors and extensors were evaluated by the biodex isokinetic dynammoter.Their hand functions were evaluated by using peabody development motor scale (PDMS) prior and after three months rehabilitation program. Group A" received the traditional physiotherapy program.. while group B received the traditional physiotherapy program. inaddition to strengthening exercises program for shoulder flexors and extensors muscles. Results showed significant improvement in group B" more than group A".