Clinical Research Directory

The intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight leg raises, stair climbing (ascending and descending), backward walking, balance beam walking, core strengthening via crunches and bridges, prone alternating arm/leg raises, side bridges, and cycling on a stationary bicycle with adjustable resistance and direction.

Sessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2 1. Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic muscle. 2. Strengthening Exercises Exercise Detail: Weak muscles are activated through gentle contractions performed against light resistance. Dosage: Perform 10 repetitions for each weak muscle in every session. 3. Positioning Exercise Detail: Child is positioned in sitting with legs open on a bench or block, heels touching the ground. Standing against a wall with moderate abduction and external rotation is also introduced. Dosage: Maintain sitting as tolerated. Wall -standing for 15 minutes