{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:18:33Z","timestamp":1787847513004,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n The present study aims to evaluate the efficacy of a combined treatment of neurodevelopmental technique (NDT) and play therapy on gross motor function in children with spastic diplegic cerebral palsy. Fifteen children (4 to 10 years) received a combined intervention of NDT and play therapy three times a week for six weeks. Gross motor function was measured using the gross motor function measure scale (GMFM-88). Data were analyzed using paired\n t<\/jats:italic>\n -tests. The pre-intervention score was 61.13 \u00b1 18.94, and the post-intervention score was 73.00 \u00b1 16.87 (\n t<\/jats:italic>\n = 9.587,\n P<\/jats:italic>\n < 0.001). The combination of NDT and play therapy resulted in significant improvement in the GMFM-88 scores of the participants. The findings suggest that combining play therapy with NDT can significantly improve gross motor function in children with spastic diplegic cerebral palsy, indicating implications of this integrated approach in pediatric rehabilitation programs.\n <\/jats:p>","DOI":"10.4103\/ijpvm.ijpvm_315_25","type":"journal-article","created":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T21:00:12Z","timestamp":1780261212000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Gross Motor Function through Integrated Play Therapy and Neurodevelopmental Treatment in Spastic Diplegic Cerebral Palsy"],"prefix":"10.4103","volume":"17","author":[{"given":"Mandar","family":"Malawade","sequence":"first","affiliation":[{"name":"Department of Pediatric Physiotherapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5]]},"reference":[{"key":"R1-20260708","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/S1474-4422(23)00006-6","article-title":"People with cerebral palsy demand a major shift in research","volume":"22","year":"2023","journal-title":"Lancet Neurol"},{"key":"R2-20260708","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1111\/dmcn.12246","article-title":"A systematic review of interventions for children with cerebral palsy: State of the evidence","volume":"55","author":"Novak","year":"2013","journal-title":"Dev Med Child Neurol"},{"key":"R3-20260708","first-page":"127","article-title":"Development of a play-based motor learning approach (A. 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GIOCO) in children with bilateral cerebral palsy: Theoretical framework and intervention methodology","volume":"11","author":"Foscan","year":"2024","journal-title":"Children (Basel)"},{"key":"R4-20260708","doi-asserted-by":"crossref","first-page":"397","DOI":"10.3233\/BMR-170813","article-title":"Effectiveness of neuro-developmental treatment (bobath concept) on postural control and balance in cerebral palsied children","volume":"31","author":"Tekin","year":"2018","journal-title":"J Back Musculoskelet Rehabil"},{"key":"R5-20260708","doi-asserted-by":"crossref","first-page":"120","DOI":"10.4103\/jpn.JPN_35_19","article-title":"Effects of task-oriented activities based on neurodevelopmental therapy principles on trunk control, balance, and gross motor function in children with spastic diplegic cerebral palsy: A single-blinded randomized clinical trial","volume":"14","author":"Sah","year":"2019","journal-title":"J Pediatr Neurosci"},{"key":"R6-20260708","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1589\/jpts.27.2001","article-title":"Effects of interactive games on motor performance in children with spastic cerebral palsy","volume":"27","author":"AlSaif","year":"2015","journal-title":"J Phys Ther Sci"},{"key":"R7-20260708","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2522\/ptj.20060062","article-title":"Use of virtual reality to improve upper-extremity control in children with cerebral palsy: A single-subject design","volume":"87","author":"Chen","year":"2007","journal-title":"Phys Ther"},{"key":"R8-20260708","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/S0140-6736(04)16207-7","article-title":"Cerebral palsy","volume":"363","author":"Koman","year":"2004","journal-title":"Lancet"},{"key":"R9-20260708","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1080\/08990220.2021.1876016","article-title":"Randomised trial of virtual reality gaming and physiotherapy on balance, gross motor performance and daily functions among children with bilateral spastic cerebral palsy","volume":"38","author":"Jha","year":"2021","journal-title":"Somatosens Mot Res"},{"key":"R10-20260708","doi-asserted-by":"crossref","first-page":"pzaa232","DOI":"10.1093\/ptj\/pzaa232","article-title":"START-play physical therapy intervention impacts motor and cognitive outcomes in infants with neuromotor disorders: A multisite randomized clinical trial","volume":"101","author":"Harbourne","year":"2021","journal-title":"Phys Ther"}],"container-title":["International Journal of Preventive Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.ijpvm_315_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:20:43Z","timestamp":1787844043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.ijpvm_315_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4103\/ijpvm.ijpvm_315_25","relation":{},"ISSN":["2008-7802","2008-8213"],"issn-type":[{"value":"2008-7802","type":"print"},{"value":"2008-8213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-08-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}