Abstract
Purpose: To find out the effectiveness of Myofascial Release in combination with conventional physiotherapy on spasticity of calf, hamstring and adductors of hip and on lower extremity function in spastic diplegic subjects. Methodology: 30 spastic diplegic subjects of age group 2-8 years were taken by random sampling method from MGM College and other private clinics in Aurangabad. 15 subjects were assigned in each group. Group A: Myofascial release and conventional PT treatment. Group B: conventional PT treatment. Both the groups received training for 4 weeks. Baseline and Post treatment measures of Modified Ashworth Scale (MAS), Modified Tardieu Scale (MTS) and Gross Motor Function Test (GMFM-88) were evaluated. Results: Mean difference of MAS and R2 value of MTS in group A was more than group B, for calf, hamstring and adductors, whereas GMFM showed nearly equal improvement in both groups. Conclusion: Overall, it can be concluded from our study that the MFR along with conventional treatment reduces spasticity in calf, hamstring and adductors of hip in spastic diplegic subjects.
Highlights
To find out the effectiveness of Myofascial Release in combination with conventional physiotherapy on spasticity of calf, hamstring and adductors of hip and on lower extremity function in spastic diplegic subjects
Overall, it can be concluded from our study that the myofascial release (MFR) along with conventional treatment reduces spasticity in calf, hamstring and adductors of hip in spastic diplegic subjects
There are few studies done on Myofascial release to reduce spasticity which showed immediate & short term effect. there are insufficient published evidences available for effect of MFR technique on spasticity, so present study is focus on to find out the effectiveness of Myofascial Release on calf muscle, hamstring muscle and adductor muscles of hip spasticity in spastic diplegic subjects
Summary
“Cerebral Palsy (CP) described as a group of permanent disorders of the development of the movement and posture, causing activity limitation that is attributed to non- disturbances that occurs in developing fetal or infant brain. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication, behavior, by epilepsy and by secondary musculoskeletal problems [1] This term is commonly used name for a group of conditions characterized motor dysfunction due to non-progressive brain damage early in life. The common physiotherapy approaches to reduce spasticity are stretching, strengthening of the antagonistic muscles, positioning, inhibitive casting and bracing, and weight bearing exercises [13] Some manual techniques such as massage, myofascial release (MFR), and acupressure are used along with other physiotherapy techniques [13]. Myofascial Release (MFR) techniques are utilized in a wide range of settings and diagnoses; pain, movement restriction, spasm, spasticity, neurological dysfunction, i.e., cerebral palsy, head and birth injury, Cardiovascular Accidents (CVA), scoliosis [16]. There are few studies done on Myofascial release to reduce spasticity which showed immediate & short term effect. there are insufficient published evidences available for effect of MFR technique on spasticity, so present study is focus on to find out the effectiveness of Myofascial Release on calf muscle, hamstring muscle and adductor muscles of hip spasticity in spastic diplegic subjects
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