MANAGEMENT PHYSIOTHERAPY FOR CEREBRAL PALSY (CP) DIPLEGI TO IMPROVE TRUNK CONTROL WITH SATCO (SEGMENTAL ASSESMENT OF TRUNK CONTROL) EXERCISE COMBINATION TOA (TASK ORIENTED ACTIVITY)

Abstract

Introduction: Physiotherapy treatment in CP diplegi for improved trunk control with satco Exercise combination TOA. to report the results of the FT program on CP diplegi to improve trunk control capabilities with satco exercise combined with TOA. Case Presentation: Patients aged 3 years with the main diagnosis of CP diplegi with less (ugly) trunk control who are currently undergoing therapy using SATco Exercise combination TOA. The implementation of physiotherapy is carried out for approximately 6 weeks with the frequency of therapy a week 3 times. The patient sits 90 degree in stool then installed pelvic straps for pelvic stabilization then given trunk control exercises with satco exercise for approximately 30 min / session into 3 parts namely static control, active control and reactive control each - 10 minutes each .and combined with TOA in the frontal sagittal and transverse fields (reach / grab and insert puzzle ring donut) Management and Outcome: after 18 treatments in the results there was an increase in control trunk which was initially at the upper thoracic control level with the level of support on the axilla currently there is an increase in the upper lumbar control level with a level of support below ribs (L3). Discussion: SATco or these is combined the TOA (Task Oriented of Activity) wich is the therapy that takes stage by stage down through the trunk and then in those children are able through the lower limbs working on their posturalcontrol and from that their function then evolves. TOA (Task Oriented Activity Based) is one of the NDT principles that has been proven effective and efficient in improving performance promoting meaningful and goal-oriented intensive training. Both treatments effectively help improve trunk control in patients. Conclusion: In these cases there was a significant increase in trunk control with SATco exercise combined with TOA.