The eligibility of the participants will be taken on the basis of the inclusion criteria of this research study. The informed consent will be taken from 30 subjects that will be selected according to the inclusion criteria.

 

Pre-Test Procedure:- All the patients who will be involved in the study will be given consent form for their willingness to participate in the study.

The demographic data of the patient will be taken on day 1 before starting the treatment intervention.

The Sitting Balance Measure scale (SBM) score will be taken on day 1 before staring the treatment intervention.

 

Treatment Protocol:-

 

Group A : Functional Reaching Activities will be performed on 15 subjects. The exercises included tasks that involved moving the upper body over and outside the base of support.

Each exercise had three variations: one each for people with limited, average and very good ability to sit unsupported.

 

  Participant Selection: Patients are included according to inclusion and exclusion criteria of this study

 

  Initial Assessment:

Evaluate baseline sitting balance using standardised assessments(SBS)

Identify specific limitations and challenges in sitting balance.

 

 Intervention Components:

  Functional Reaching Activities:

  Tailor activities to individual abilities.

  Incorporate reaching in multiple directions (anterior and lateral). - Utilize reaching tasks that mimic daily functional movements.

 

 Session Structure: Frequency; and Duration

 

  Warm-up:

 Gentle stretching and range of motion exercises for upper body.

Deep breathing exercises to promote relaxation.

 

  Main Activities:

 Seated reaching exercises with varying arm trajectories.

Integration of reaching tasks into functional activities (e.g., reaching for objects, transferring items).

 

  Progression:

   Gradual increase in the complexity of reaching tasks.

  Incorporate dynamic elements, such as reaching while seated on an unstable surface