Abstract
Background and purposeHand function is necessary for activities of daily life. Hemiplegic cerebral palsied children who constitute a large portion in our country show evidence of defective hand function. So, it is worth finding a solution for such a problem. This study was conducted to determine the combined effects of myofeedback and isokinetic training on hand function in spastic hemiplegic children. Subjects and methodsThirty spastic hemiplegic children from both sexes ranging in age from five to seven years represented the sample of the study. The degree of spasticity ranged from 1 to 1+ according to the Modified Ashworth Scale. The affected upper limb was free from any structural deformities; however, children demonstrated variable degrees of tightness. They were assigned randomly into two groups of equal number (A and B). Evaluation was conducted for each child of the two groups before and after six months of treatment. The strength of the triceps brachii muscle was evaluated by using the biodex isokinetic dynamometer. The range of motion of wrist extension was evaluated by using digital electro-goniometer. Both groups received a designed physical therapy program with isokinetic training for the triceps brachii muscle for 60min, in addition group B received myofeedback training. ResultsThe post treatment results revealed significant improvement in the measured variables of both groups when comparing their pre and post treatment mean values, while significant results were observed in favor of group B when comparing the post treatment results of the two groups. ConclusionsMyofeedback training combined with isokinetic training is an excellent supplement for improving hand function in spastic hemiplegic children.
Highlights
Subjects and methodsThirty spastic hemiplegic children from both sexes ranging in age from five to seven years represented the sample of the study
Cerebral palsy (CP) describes a group of disorders of posture and movement that occur as a result of a non-progressive disturbance in the developing fetal or infant brain
Subjects and methods: Thirty spastic hemiplegic children from both sexes ranging in age from five to seven years represented the sample of the study
Summary
This study was conducted at the outpatient clinic of the Faculty of Physical Therapy, Cairo University. Thirty hemiparetic children from both sexes (15 girls and 15 boys), referred from pediatric neurologist who screened the children to fit the inclusion criteria, participated in this study. Their age ranged from five to seven years, age (mean ± standard deviation) of groups (A) and (B) were 5.83 ± 0.49 and 5.93 ± 0.69 years; respectively. All children were able to sit and follow simple verbal commands or instructions which were included in both testing and training sessions They were free from any associated disorders other than spasticity. The affected upper limb was free from any structural deformities; children demonstrated variable degrees of tightness They had partial volitional control over the antispastic muscle groups. Instructions about testing purpose and methods were provided for each child before each testing session with enough training program for all measurement procedures to make every child familiar with the devices
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