Efficacy of Myofascial Release Technique in Comparison with Passive Stretching in Reducing Spasticity in children with Cerebral Palsy*
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
Abstract
Background: Spasticity is a common pathological manifestation seen in children with Cerebral palsy. Ankle impairments are closely associated with functional limitations in children with cerebral palsy (CP). As a pattern of tradition spasticity is conservatively managed by application of manual stretching to elongate the tight musculoskeletal structures. But studies suggest that due to stretching there is activation of excitatory impulses which in turn may increase the tone of muscles. So this study is done to establish the efficacy of myofascial release technique in comparison to passive stretching. Objective: To determine whether Myofascial release technique effective in the treatment of spasticity in children with cerebral palsy in comparison to passive stretching. Methods: Data of 94 children’s with Cerebral palsy (Boys- 61, Girls-33) with mean age 7 years were included in the study. The subjects were divided into Control and Interventional group. Control group received Passive stretching technique while Interventional group received Myofascial release techniqueat a rate of 6 days per week for 12 weeks consecutively. The outcome was measured using GMFM score, MAS score and GONIOMETRY. Results: The data was analysed using SPSS 15.0 version. ANOVA test was performed and found significant differences between treatment by Myofascial release techniqueand Passive stretching technique with p value <.001. Cochran Mantel Haenszel tests when stratified by the methods in the present study found significant association indicating the likelihood of Passive stretching technique being superior to Myofascial release technique ( Chi sq-9.55,df=1,p = 0.002). Conclusion: Both the techniques i.e., Passive stretching technique as well as Myofascial release technique were found to be having significant effects. While on the basis of outcomes of GMFM grade, MAS grade and ROM (Dorsiflexion), Passive stretching was found to be more effective then Myofascial release.
Authors and Affiliations
Urvashi Bhattacharya
Keywords
Related Articles
- EP ID EP525319
- DOI -
- Views 64
- Downloads 0
A Study on Role of Alcohol and LFT in Liver Abscess
Liver abscess is a common surgical problem in our country. This study was carried out to determine the clinicopathology, role of alcohol and LFT in liver abscess, including the various modalities of treatment and its eff...
Influence of Cervical Collar on Vertebral Artery Blood Flow
Objective: This study was carried to determine the effect of hard cervical collar placement on vertebral artery (VA) lumen diameter (LD) and blood flow velocity parameters. Methods: In a sample of fifteen patients with c...
Clinical Study of Soft Tissue Sarcoma Cases in A South-Indian Teaching Hospital
Background: The purpose of present study is to know the incidence, clinical presentation and management of soft tissue sarcoma cases and to observe the outcome of the same. Extremity swellings are suspected to be Mesench...
Clinical Presentation of Neck Space Abscess and its Management in a Rural Based Tertiary Care Centre
Objective: The aim of this study is to evaluate patients of neck abscess in respect to its common presentation, predisposing factors, co-morbidity, frequently involved area and treatment modality needed. Study Design: It...
Allogenic Blood Transfusion and Post-operative Outcomes in Elective CABG cases: A Prospective Study
: To assess the relationship between RBC/whole blood transfusion and hospital length of stay in a large, single reference centre of cardiac surgery and then to compare the characteristics of patients who received RBC/who...