EFFECTS OF QUADRICEPS FEMORIS STRENGTHENING ON SPASTICITY IN CHILDREN WITH SPASTIC DIPLEGIC CEREBRAL PALSY

Manjula. S

Abstract


AIM OF THE STUDY:
Background and purpose: The Bobath neuro developmental treatment approach advised against the use of resistive
exercise, as proponents felt that increased effort would increase spasticity. The purpose of this study was to test the premise that the performance
of exercises with maximum efforts will increase spasticity in children with spastic diplegic cerebral palsy (CP).
Objectives Of The Study: To study the effects of Quadriceps femoris strengthening on spasticity in children with spastic diplegic cerebral palsy
METHODOLOGY
Subjects: Thirty children with spastic diplegic cerebral palsy ranging age from 5 to 8 years participated in a Quadriceps femoris strengthening
program.
Duration : 6 weeks
Data Analysis: The pre and post test data has been collected from the subjects. The data has to be analyzed in statistics using the paired t test and
simple t test.
Results: There were no changes in spasticity following Quadriceps femoris strengthening exercise . i.e spasticty has not increased after
Quadriceps femoris strengthening exercise .
CONCLUSION: The results do not support the premise that exercises with maximum efforts increase spasticity in CP with spastic diplegic.


Keywords


Spasticity, Isometrics , Isotonics, First Swing Excursion

Full Text:

PDF

References


Mutch L, Alberman E, Hagberg B, et al. Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol. 1992;34(6):547–51. [PubMed]

Michael RB. Management of spasticity. Age Ageing. 1998;27(2):239–45. [PubMed]

Goldstein EM. Spasticity management: an overview. J Child Neurol. 2001;16(1):16–23. [PubMed]

Tilton AH. Management of spasticity in children with cerebral palsy. Semin Pediatr Neurol. 2004;11(1):58–65. [PubMed]

Matthews DJ, Balaban B. Management of spasticity in children with cerebral palsy. Acta Orthop Traumatol Turc. 2009;43(2):81–6. [PubMed]

Chan NNC. Physiotherapy in Spasticity Management for Children with Cerebral Palsy. Hong KongMed Bulletin. 2011;16(7):24–6.

Gage J, Gormley Jr M, Krach L, et al. Managing spasticity in children with cerebral palsy requires a team approach. a pediatric perspective. Gillette Children Spatiality Health Care. 2004;13(3)

Rassafiani M, Sahaf R. Hypertonicity in children with cerebral palsy: a new perspective. IRJ. 2011;9(0):66–74.

Khalid AM, Sabahat AW. Management of spastic cerebral palsy in the UAE: An overview. ACNR. 2009;9(2):30–2

Fowler EG,Ho TW, Nwigwe AI, Dorey F. The effect of quadriceps femoris muscle strengthening exercises on spasticity in children with cerebral palsy Phys Ther. 2001;81:1215–1223.


Refbacks

  • There are currently no refbacks.