Effectiveness of different Therapeutic Doses in Intensive Segmental Trunk Training: A path to Trunk Control in Children with Cerebral Palsy

Arm I received Dose A with frequency of 3 sessions per week for 60 minutes per session for consecutive 3 months. The training focus for Dose A was both static and dynamic activities incorporating high-intensity intervals, conducted in a hospital setting with direct supervision by a trained pediatric physical therapist. it was a one on one session. The activities included were sitting balance exercises on various surfaces, reaching and grasping tasks while seated on mat and dynamic movements. Fun trunk control activities like playing games that involve reaching, bending or twisting. The level of intensity was assessed by Borg CR-10; 6-8 (Heavy to very hard) recorded at peak segments. Other than this clearly defined total weekly minutes have been mentioned. High-intensity segments were delivered by progressive increase in task difficulty and reduced rest intervals. The treatment sessions allowed for a thorough 7 minute warm-up, 45 minutes high intensity exercises focused on trunk control, and a 7 minute cool-down period. The session format included structured intervals of high-intensity exercises followed by brief rest periods to maintain engagement and intensity. Adherence was monitored through session attendance: tracking number of completed sessions vs planned sessions per participant. adherence rate: (completed sessions / scheduled sessions) × 100.