Introduction/Rationale: Children with Cerebral Palsy (CP) demonstrate low occupational performance mainly due to sensorimotor impairments. Spider Cage Therapy (SCT) provides postural support and dynamic resistance, potentially improving functional outcomes. This study evaluates the effectiveness of SCT combined with Traditional Occupational Therapy (TOT) compared to TOT alone in improving occupational performance and sensorimotor skills.
Objectives: This study aimed to:
• Evaluate effectiveness of SCT in enhancing Occupational Performance and Sensorimotor skills.
• Compare the effectiveness of TOT alone vs. TOT+SCT in children with Cerebral Palsy.
Methods/Approach: A comparative experimental study was conducted with 60 children (ages 3-16 years) diagnosed with CP (GMFCS levels I-IV). Participants were randomly assigned to Group A (TOT alone) or Group B (TOT+SCT). Both groups received therapy twice weekly for 24 weeks. The intervention protocol for SCT consisted of two halves. First half focused on play-based activities while, second half aimed at practicing daily living tasks. The TOT sessions, continuing traditional protocols focused on task-specific training. Pre- and post-intervention assessments included using standardized tools for occupational performance, sensory processing, Dynamic and Static balance, and motor skills.
Results/Practice implications: The TOT+SCT group demonstrated statistically significant improvements in occupational performance, sensory processing, balance, and motor skills. Sensory processing improvements lead to improved motor functioning and postural stability, enhancing self-care independence and social participation, enabling children to confidently engage in leisure-focused tasks. These findings suggest that SCT is an effective intervention for enhancing sensorimotor skills and occupational performance in children with Cerebral Palsy.
Conclusion/Significance to occupational therapy: This study supports the use of SCT as an adjunct to traditional occupational therapy, offering potential for improved pediatric rehabilitation strategies.