The Effectiveness of Suit Therapy with Dual Task Exercises on Gross Motor Functions and Walking in Children with Diaplgic Cerebral Palsy

Abstract

Background: Cerebral palsy (CP) was recognized as a non-progressive neurological disorder that impaired movement and postural control, particularly in children with spastic diplegia. Suit therapy had been used to improve alignment and motor control, while dual-task training was suggested to enhance cognitive-motor integration by introducing simultaneous mental and physical challenges. Objective: This study aimed to examine the effectiveness of combining suit therapy with dual-task exercises in improving gross motor function and walking ability in children with spastic diplegic cerebral palsy (SDCP). Methods: 30 children aged 6–12 years with spastic diplegia were randomly assigned to two equal groups. Group A (control) received suit therapy in addition to a standard pediatric physical therapy program. Group B (experimental) received the same protocol plus structured dual-task exercises. Both groups underwent 30-minute sessions, three times per week, for 12 weeks. Outcomes were assessed pre- and post-treatment using the Gross Motor Function Measure-88 (GMFM-88) and the Pediatric Balance Scale (PBS) Results: While both groups showed improvements, the experimental group demonstrated significantly greater enhancements in static and dynamic balance, as well as in GMFM scores for standing and total motor function (p < 0.05). However, no significant difference was found between groups in the GMFM subscale for walking/running/jumping Conclusion: The findings suggested that incorporating dual-task training into suit therapy led to superior improvements in gross motor performance and balance in children with diplegic cerebral palsy. Therefore, this approach was recommended as an effective addition to standard rehabilitation protocols.