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- Title
The Impact of Myofascial Release Therapy and Deep Oscillation Therapy on Hamstring Muscle Length and tone in Children with Spastic Cerebral Palsy: A Comparative Study.
- Authors
Mohapatra, Avilash; Pattnaik, Monalisha; Mohanty, Patitapaban
- Abstract
BACKGROUND: As a result of restricted joint range of motion due to spasticity in patients with spastic cerebral palsy, the patient's ability to regain normal functioning may be hindered. PURPOSE: To evaluate the effectiveness of Myofascial Release Therapy (MFR) versus Deep Oscillation Therapy (DOT) in helping children with spastic cerebral palsy to relax and extend their hamstring range of motion. METHODOLOGY: A total of 32 individuals with spastic cerebral palsy, aged 2 to 10, were recruited for this comparative experimental study through a method of random sampling. Sixteen subjects were assigned to each group. Group 1(N=16) received two sessions of MFR with conventional exercise per day, whereas Group 2(N=16) received a single session of DOT with conventional exercise per day. Throughout the course of four weeks, both groups got therapy five days per week. A universal goniometer was used to compare the knee extension passive range of motion (PROM), active range of motion (AROM), and Popliteal angle (POP angle) measurements between the pre- and post-treatment periods. Statistical analyses were conducted using ANOVA 2x2 and Post hoc tables. RESULT: Both groups' post-mean values for each of the dependent variables (AROM, PROM, and POP angle) statistically improved (p< 0.05). Both groups' mean differences in the PROM and POP angles were statistically significant, and Group 1's spastic hamstring muscle was more improved than Group 2's, but both groups' AROM showed almost equal improvement. CONCLUSION: In children with spastic cerebral palsy, both MFR and DOT, when combined with conventional therapy, reduce spasticity and increase length (AROM & PROM) in the hamstring muscle. However, our study clearly shows that MFR is more successful than DOT.
- Subjects
KNEE physiology; EXPERIMENTAL design; STATISTICS; RANGE of motion of joints; ANALYSIS of variance; MYOFASCIAL release; MEASUREMENT of angles (Geometry); SPASTICITY; TREATMENT effectiveness; COMPARATIVE studies; PRE-tests &; post-tests; RANDOMIZED controlled trials; HAMSTRING muscle; DESCRIPTIVE statistics; CEREBRAL palsy; ELECTROTHERAPEUTICS; DATA analysis; DATA analysis software; STATISTICAL sampling; EXERCISE therapy; EVALUATION; CHILDREN
- Publication
Indian Journal of Physiotherapy & Occupational Therapy, 2024, Vol 18, Issue 1, p7
- ISSN
0973-5674
- Publication type
Article
- DOI
10.37506/x165sq15