Pengaruh Terapi Mandiri Oleh Orang Tua Terhadap Kelurusan Tengah Tubuh Anak CP Spastic Quadriplegia

Abstract

Background: Cerebral palsy (CP) is a disorder of movement and posture during the growth and development of children that is not progressive. One type of CP is spastic quadriplegia with one of the problems, namely the alignment of the middle body that is not optimal. This will result in increased spasticity and impaired respiratory and digestive functions. Research method: one group pre and posttest design on 10 children with CP spastic quadriplegia who experience difficulties in orienting the mid-body alignment in the supine position in the happy CP family community in Surabaya. Parents are taught how to massage the back and lie on their back according to the alignment of the middle of the body, then the parents independently massage the child's back for 15 minutes, 2x per day for 14 days. Proof of treatment is done by video call. Measuring instrument with GMFM dimension A (supine and roll) in percent. Results: The subjects in this study totaled 10 children with CP spastic quariplegia with an average age of 2.9 ± 1.1 years with a total of 5 male and 5 female subjects. The mean pre-treatment GMFM value was 0.38 ± 0.8% and the mean GMFM increased post-treatment, namely 4.2 ± 1.2 %, with a significant Wilcoxon test at 0.003. Conclusion: independent therapy by parents in the form of back muscle massage and position adjustment affects the mid-body alignment of children with CP Spastic Quadriplegia.