Unraveling the Impact of Spider Cage Therapy on Static and Dynamic Standing Balance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Clinical Trial

Authors

Varsha Anbu, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamilnadu, IndiaFollow
Senthil Kumar Natarajan, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamilnadu, IndiaFollow
Jagatheesan Alagesan, Mohan Babu University, Tirupati, Andhra Pradesh, IndiaFollow
Akshaya Venkat, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamilnadu, IndiaFollow
Rekha Chitrada, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, Tamilnadu, IndiaFollow

Abstract

Purpose: The intent of this study was to ascertain the efficacy of spider cage therapy for static and dynamic standing balance in children with spastic diplegic cerebral palsy using Pediatric Balance Scale (PBS) and Gross Motor Function Measure (GMFM). Cerebral palsy described as a group of disorders with uneven posture and movement were spastic diplegia is the most prevalent type. Method: This study was a randomized controlled trial that used random sampling and blinded evaluators. Children with diplegic CP aged between 5 and 10 years, with GMFCS levels II-IV, were assigned to spider cage therapy group and conventional therapy group. The treatment duration was 1 hour and 10 minutes, 5 days a week, for 12 weeks. Normality was tested, and baseline assessments were conducted. Results: The post-test mean values for GMFM in the spider cage group and conventional group were 74.8 (SD 3.59) and 70.5 (SD 2.92) respectively. The post-test mean values for PBS in the spider cage group and conventional group were 47.2 (SD 2.33) and 43.5 (SD 2.96) respectively. The post-test p-value wasConclusion: The Spider Cage group showed statistically significant improvements compared to the Conventional group. Based on the results from a 12-week study period, it is concluded that advanced spider cage therapy with a task-oriented approach works better than conventional therapy for improving both static and dynamic standing balance, thereby reducing the functional dependency of spastic diplegic cerebral palsy children.

Keywords: Web cage, Paediatric balance scale, GMFM, Suit therapy, Task oriented.

Author Bio(s)

Varsha Anbu, MPT is an Post graduate in Saveetha College of Physiotherapy, Specialized in Pediatrics, Saveetha Institute of Medical and Technical Sciences(SIMATS), chennai, Tamilnadu.

Senthil Kumar Nataraja, MPT, PhD is an Assistant professor in Saveetha College of Physiotherapy, Specialized in Pediatrics, Saveetha Institute of Medical and Technical Sciences(SIMATS), chennai, Tamilnadu.

Jagatheesan Alagesan, MPT, PhD, Dean- School of Paramedical, Allied & Health Care Sciences, Mohan Babu University, Tirupati, Andhra Pradesh. Specialized in Pediatrics, Yoga, Researc.

Akshaya Venkat, MPT is an Post graduate in Saveetha College of Physiotherapy, Specialized in Pediatrics, Saveetha Institute of Medical and Technical Sciences(SIMATS), chennai, Tamilnadu.

Rekha Chitrad, MPT is an Post graduate in Saveetha College of Physiotherapy, Specialized in Pediatrics, Saveetha Institute of Medical and Technical Sciences(SIMATS), chennai, Tamilnadu.

Acknowledgements

I thank my guide for their unwavering support and encouragement, our participants, Colleagues who provided valuable insights throughout our research process.

Recommended Citation

Anbu V, Natarajan SK, Alagesan J, Venkat A, Chitrada R. Unraveling the Impact of Spider Cage Therapy on Static and Dynamic Standing Balance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Clinical Trial. The Internet Journal of Allied Health Sciences and Practice. 2025 Oct 15;23(4), Article 32.