Effectiveness of Task-Oriented Training in Improving Gait in a Child with Ataxic Cerebral Palsy: A Case Report

Abstract

This case report examines the impact of task-oriented training on gait improvement in a child with Ataxic Cerebral Palsy (CP), a rare subtype characterized by balance and coordination difficulties. The goal was to determine the effectiveness of this intervention in enhancing gait stability, motor coordination, and overall mobility. A 6-year-old boy with Ataxic CP underwent task-oriented training for five days per week over a four-week period. Each session lasted one hour and included lower limb strengthening, coordination exercises, stretching, and walking practice. The Holden Gait Scale (HG) and Gross Motor Function Measure (GMFM) were used to evaluate changes in the child's gait and motor function pre- and post-intervention. After one week of therapy, the child demonstrated reduced tremors and attempted to climb stairs independently. By the end of the four-week period, the child was able to walk approximately 200 meters indoors without displaying a high-guard posture, although supervision was still required when navigating stairs. Improvements in gait stability and balance were observed, though the scissor gait persisted. Task-oriented training proved to be an effective approach in improving gait stability and motor coordination in a child with Ataxic CP. However, challenges such as upper limb high guarding and scissor gait remained, indicating the need for further personalized rehabilitation strategies. Future research should focus on integrated interventions to address these residual issues and enhance the long-term outcomes for children with Ataxic CP.