Comparison of the effect of group vs. individual exercises on balance, gross motor function, and participation in children with cerebral palsy spastic diplegia

Background: Groups exercise platforms provide a wide range of visual and auditory feedback that can be used to facilitate desirable movement patterns. Positive and negative reinforcement strategies are given as feedback when working in a group setting. Hence, group exercises accelerate motor learning and provide a controlled environment to socialize and mutually support one another. Aim: The aim of this study was to compare the effect of group exercises vs. individual exercises on balance, gross motor function, and participation in children with cerebral palsy spastic diplegia. Materials and Methods: The study included 30 participants over a period of 4 weeks. Participants were randomly allocated to both the groups. Post and follow-up assessments were done. Statistical Analysis: Friedman test and Mann–Whitney U test was used for intragroup and intergroup comparison. Results: Statistically significant improvements were noted in the group exercises, in Gross motor function measure (P = 0.002), Paediatric Balance Scale (P = 0.002), CPQ–ADL (P = 0.02), and IADL (P = 0.004), which was also maintained over a follow-up period of 4 weeks. Conclusion: Group exercises are more effective than individual exercises in improving balance, gross motor function, and participation in children with cerebral palsy spastic diplegia, which is also maintained over a follow-up period of 4 weeks.