A Comparative Analysis of Neurodevelopment Therapy and Conventional Physiotherapy on Fine Motor Function in Hemiplegic Cerebral Palsy: A Randomized Controlled Trial

Background and Purpose: Cerebral palsy is a neurological disorder affecting motor function, with hemiplegia being a common type. Fine motor function is often impaired, impacting daily activities. Neuro-Developmental Therapy (NDT) and conventional physiotherapy are commonly used interventions. This study aimed to compare the efficacy of NDT and conventional physiotherapy on fine motor function in children with hemiplegic cerebral palsy. Methodology: This randomized controlled trial included 30 children with hemiplegic cerebral palsy, aged 2-18 years. Participants were randomly assigned to either NDT or conventional physiotherapy groups. Fine motor function was assessed using the Hawaii Early Learning Profile (HELP) at baseline and after six weeks of intervention. Results: Both groups showed significant improvements in fine motor function. However, the NDT group demonstrated greater improvements compared to the conventional physiotherapy group. Conclusion: This study suggests that NDT may be more effective than conventional physiotherapy in improving fine motor function in children with hemiplegic cerebral palsy. The findings have implications for clinical practice and highlight the need for further research. Keywords: Cerebral palsy, hemiplegia, fine motor function, Neuro-Developmental Therapy (NDT), conventional physiotherapy