The Effectiveness of neurodevelopmental therapy versus conventional physiotherapy in improving fine motor function among hemiplegic cerebral palsy children: a randomized controlled trial Doi: https://doi.org/10.55522/jhpo.V3I1.0051

Abstract

Cerebral palsy (CP) is a non-progressive neurological disorder that affects posture and motor control, with hemiplegia being one of its most common forms. Fine motor dysfunction is a frequent feature of hemiplegic CP and often limits participation in daily activities. Neuro-Developmental Therapy (NDT) and conventional physiotherapy are commonly used intervention strategies to improve motor performance in this population. This randomized controlled trial was conducted on 30 children aged 2 to 18 years diagnosed with hemiplegic cerebral palsy, who were randomly assigned to either an NDT group or a conventional physiotherapy group. Both groups received their respective interventions for six weeks. Fine motor function was assessed at baseline and post-intervention using the Hawaii Early Learning Profile (HELP). Results showed that both groups demonstrated statistically significant improvements in fine motor function following the intervention period; however, greater improvement was observed in the NDT group compared to the conventional physiotherapy group. These findings suggest that Neuro-Developmental Therapy may be more effective than conventional physiotherapy in enhancing fine motor skills in children with hemiplegic cerebral palsy. Further research with larger sample sizes is recommended to confirm these results and strengthen the evidence base.