الفهرس 
Title : Effect of segmental trunk stability training on sitting and upper limbs functions in children with spastic cerebral palsy
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Abstract
Children with bilateral spastic cerebral palsy (BSCP) have insufficient
trunk control and upper limbs (ULs) dysfunction. Purpose: to investigate the effect of
segmental trunk stability training at different levels on sitting and ULs functions in
children with BSCP. Subjects and Methods: Thirty-eight children with BSCP, with
ages ranged from 2 to 4 years. All children were assigned to 3 groups. The three
groups (A, B, and C) received the same specially designed physical therapy (PT)
program for 1 hour, 3 times per week for 6 successive months while wearing a trunk
belt of a specific size according to the allocated group. group (A) (n=13) wore
segmental trunk support from a level just below the child’s inferior angle of the
scapula to the level of his/her pelvis. group (B) (n=13) wore segmental trunk support
from a level just below the child’s rib cage to the level of his/her pelvis. group (C)
(n=12) wore segmental trunk support from the level of the child’s inferior angle of the
scapula to the level of his/her last rib. Sitting and ULs functions were assessed using
dimension (B) of the Gross Motor Function Measure-88 (GMFM) and the Quality of
Upper Extremity Skills Test (QUEST) respectively before and after six months of
treatment. Results: There was a statistically significant difference in sitting
(dimension (B) of GMFM) in all three groups (P<0.05) after treatment. Also, there
was a statistically significant difference in sitting among groups after treatment
(P<0.05) in favor to group A. Regarding ULs functions, there was a statistically
significant improvement of all measured subtests of QUEST after treatment in favor
to group A (P<0.05). while, in group B, there was a significant difference in
dissociated movement subtest and total QUEST score after treatment (P<0.05).
However, there was a non-significant difference in all QUEST subtests in group C
(P>0.05). Moreover, there was a significant difference in ULs functions among the
three groups after treatment but in favor to group A. Conclusion: The segmental
trunk stability training using external trunk support for the thoracic and lumbar
regions within the physical therapy session is effective in improving sitting and ULs
functions in children with BSCP.