The Effect of Sensorimotor Exercises on Hand Mobility in Patients with Cerebral Palsy Hemiplegia Half of the Body

Abstract

Background and Aim: Cerebral palsy is a very common sensory-motor disorders that can lead to functional hand disabilities and reduced participation; therefore, the aim of the present study was to investigate the effect of sensorimotor training on the motor ability of patients with cerebral palsy. Methods: In the present quasi-experimental study, the statistical population included all patients with cerebral palsy in Tabriz rehabilitation centers. 30 male and female hemiplegia patients aged 45 to 70 years were selected as the available sample and randomly divided into two groups of 15 test and control. Box and block tests were used to measure gross motor ability. The training program included the sensory and motor part, which was done for eight weeks and 3 sessions per week and 60 minutes per session.  Statistical analysis of data was performed using SPSS software version 26. Independent and paired t-tests were used at a significance level of 0.05. Results: The results of the present study showed that after the application of simultaneous sensorimotor exercises, the motor function of the upper limb was significantly improved (p = 0.000).  The mean change was observed in the experimental group from 9.12 ± 1.16 to 13.05 ± 2.56 and in the control group from 8.92± 1.27 to 9.02 ± 0.94. Conclusion: Using simultaneous sensorimotor exercises can lead to improved hand mobility if sensory-motor experiences are created. Therefore, this type of exercise can be used in the rehabilitation program of patients with cerebral palsy according to their needs.  53% of the changes in depression and 57% of the changes in anxiety were due to neurofeedback; but neurofeedback had no effect on stress. Neurofeedback was able to reduce depression and anxiety in women with abdominal pain but had no effect on their stress level.