COMPARISON BETWEEN STRETCHING AND REFLEX INHIBITING PATTERN TO REDUCE TENDON ACHILLES SPASTICITY IN CEREBRAL PALSY CHILDREN
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Keywords
Cerebral Palsy, Muscle Spasticity, Thermotherapy, Achilles Tendon, Muscle Stretching, Exercises, Reflex Inhibiting Pattern
Abstract
Objective: To compare the effects of stretching exercise and reflex inhibiting patterns to treat achilles tendon spasticity in cerebral palsy children.
Methods: A randomized control trial was conducted at Govt. National Special Education Center, Faisalabad. Children of both genders in age from 5-15 years, diagnosed cases of spastic cerebral palsy with spasticity of grade 1-3 were included. A total of n=22 sample was collected through purposive sampling technique and was divided into two groups by lottery method into group-I "Stretching group" (n=11) and group-II "Reflex Inhibiting Patterns (RIP) group" (n=11). Both groups received infrared therapy as baseline treatment. The data was collected through Modified Ashworth Scale (MAS) and Barthal Index (BI). MAS readings were taken after every 15 days for 2 months. BI readings were taken pre treatment and at 8th week follow up.
Results: SPSS V .20 was used for data analysis. Independent Sample t-test results showed no significant improvement in spasticity and ADLS at 8th week follow up between group 1 and 2 with p-value being greater than 0.05.
Conclusion: The result showed that there is no difference between the treatment group I and II in the treatment of the spasticity in the cerebral palsy children.
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Noor ul Ain
DPT (TUF), MS-NMPT (TUF), Lecturer, The Limit Institute of Health Sciences, Sahiwal Pakistan.
Noreen Kiran
MS (Orthopedic Manual), Lecturer, The University of Faisalabad, Faisalabad, Pakistan
Kainat Idrees
MS (Neuromusculoskeletal Physical Therapy), Lecturer/Clinical Trainer, The University of Faisalabad, Faisalabad, Pakistan.
Adeera Azam
MS (MSK), Lecturer, The University of Faisalabad, Faisalabad, Pakistan.
Shanza Munir
Doctor of Physical Therapy, Physiotherapist, Royal Laboratory + Hamdard Clinic, Pakpattan. Pakistan.
Maria Noor
Doctor of Physical Therapy, Physiotherapist, Royal Laboratory Pakpattan Pakistan.
Fakiha Rana
Student of Doctor of Physical Therapy,