Rahman A Mansoor, Raja Kavitha, Kumar Jagadish
MGM Institute of Physiotherapy, Chh. Sambhajinagar, India.
JSS College of Physiotherapy, Mysuru, India.
Disabil Rehabil Assist Technol. 2025 Apr;20(3):572-584. doi: 10.1080/17483107.2024.2389216. Epub 2024 Aug 13.
Children with cerebral palsy (CP) present unique challenges to physical activity due to various factors. Despite the benefits of inclusive approaches and adapted physical education, low- and middle-income countries face specific barriers including environmental, equipment, personal, policy, social and professional barriers. Traditional Indian games, with their cultural significance and potential therapeutic benefits, offer a promising avenue for inclusive adaptations. At present we couldn't find any studies that explore's the method of adaptation of traditional Indian games for children with cerebral palsy of varying functional levels.
The aim of the study was to explore the adaptation of traditional Indian games for children with CP of varying functional levels.
Traditional Indian games were identified through ethnographic qualitative research, and adapted using the Delphi process involving experts from various fields. A total of 10 traditional games were selected based on their health benefits using an operationalised conceptual model. The model of adapted physical activity was used to systematically adapt each game. Validation of the model was then performed on children with CP [a smaller sample size, = 10] with different levels of functioning.
The games varied in playing positions, surfaces and phases. Modifications included changes in game rules, play environment, equipment and time duration. The study validation through informal interview among the parents of CP children revealed that adapted traditional game protocol shown improvements in their children's activity levels and participation.
While this is a preliminary exploration, no firm conclusion can be drawn. The model presented in this study lays the foundation for future randomised controlled trials to validate the effects of adapted traditional Indian games on children with cerebral palsy of different functional levels.
由于多种因素，脑瘫患儿在进行体育活动时面临独特挑战。尽管包容性方法和适应性体育教育有诸多益处，但低收入和中等收入国家面临特殊障碍，包括环境、设备、个人、政策、社会和专业方面的障碍。具有文化意义和潜在治疗益处的传统印度游戏，为包容性改编提供了一条有前景的途径。目前，我们未找到任何探索针对不同功能水平脑瘫患儿改编传统印度游戏方法的研究。
本研究旨在探索针对不同功能水平脑瘫患儿改编传统印度游戏的方法。
通过人种志定性研究确定传统印度游戏，并采用德尔菲法，邀请各领域专家参与改编。基于一个可操作的概念模型，根据其对健康的益处，共挑选出10种传统游戏。运用适应性体育活动模型对每个游戏进行系统改编。随后，在功能水平不同的脑瘫患儿（样本量较小，n = 10）中对该模型进行验证。
这些游戏在玩法、场地和阶段方面各不相同。改编内容包括游戏规则、游戏环境、设备和时长的改变。通过对脑瘫患儿家长进行非正式访谈来验证该研究，结果显示改编后的传统游戏方案使患儿的活动水平和参与度有所提高。
虽然这只是初步探索，无法得出确凿结论。本研究提出的模型为未来的随机对照试验奠定了基础，以验证改编后的传统印度游戏对不同功能水平脑瘫患儿的效果。
