Influence of Neurodevelopmental Treatment In Combination With Proprioceptive Neuromuscular Facilitation On Functional Shoulder Rotation In Individuals With Spastic Cerebral Palsy: A Randomized Clinical Study

Cerebral palsy (CP) is a group of disorders in the development of movement and posture of a child caused by brain damage. According to available data, there are currently no published studies and evidence-based neurophysiotherapy (NFTH) that would examine the short-term impact of modern RNO in combination with PNF on the effectiveness of the composite program on improving functional shoulder rotation. We conducted a study where we used the integration of quantitative and qualitative methodology, more precisely, explanatory approach. In the quantitative part, we performed a randomized clinical study. In the qualitative part, we performed a phenomenological study. Results: Based on the analysis of the results of the modified Apley test, we find that the study group achieved a statistically significant improvement in shoulder rotation (p <0.001) compared to the control. The improvement in their functional shoulder rotation is confirmed by the statements of the subjects, in which they emphasized the better mobility and stability of the shoulder girdle, which helped them to perform various activities in everyday life. Conclusions: Based on the integration of methods, we consequently gained a deeper insight into the subjective experience of the effectiveness of the mentioned neurophysiotherapy program of the physiotherapist of the subjects on the improvement in the field of activities and cooperation.