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- Title
Effect of Surged Faradic Current and Myofascial Release on Lower Limb Spasticity in Spastic Cerebral Palsy: A Review.
- Authors
Chauhan, Diksha; Singh, Aditi
- Abstract
Background: Cerebral palsy (CP) is a group of disorders in the development of infant movement and posture resulting from activity limitation in the infant's brain. Myofascial release is a manipulative treatment used to help in releasing tension in the fascia. It is a safe and low load stretch that helps in releasing spasticity, muscle shortness and tightness. Faradic currents have low pulse duration and are surged, hence they are primarily used to produce a tetanic contraction of innervated muscles. The effect on musculoskeletal properties is due to surging of the faradic current as it increases blood flow to the muscles and also enhances the contractile property of the muscle. The aim of this review is to identify studies on the effectiveness of surged faradic current and myofascial release on lower limb spasticity in spastic CP. Methods: Electronic databases such as PubMed and Google Scholar were used find the relevant studies. Five studies were included in this review (two randomized controlled trials and three case studies) based on the eligibility criteria of this study. Outcome measures used included Gross Motor Function Measure 88, Modified Ashworth Scale (MAS), Manual Muscle Testing, Reciprocal Electrical Stimulations, Pediatrics Balance Scale, Myofascial Release, and Surged Faradic Current. Result: Five studies were included in this review (2 randomized, controlled trials and 3 case studies) with a total of 154 participants. All the studies showed a significant decrease in spasticity as determined by the MAS and Gross Motor Function Measure 88. Myofascial release and surged faradic current showed a positive effect in decreasing spasticity in patients with spastic CP. Conclusion: Myofascial release and surged faradic current may be helpful in decreasing spasticity and improving gross motor function, but further evidence is needed to determine which of the above-mentioned techniques provides better results in decreasing spasticity in CP. More research is needed to draw firm conclusions.
- Subjects
CEREBRAL palsy treatment; ONLINE information services; MYOFASCIAL release; SYSTEMATIC reviews; LEG; SPASTICITY; TREATMENT effectiveness; ELECTRIC stimulation; DESCRIPTIVE statistics; COMBINED modality therapy; CEREBRAL palsy; MEDLINE; DISEASE complications
- Publication
Integrative & Complementary Therapies, 2023, Vol 29, Issue 4, p182
- ISSN
2768-3192
- Publication type
Article
- DOI
10.1089/ict.2023.29085.dch