Abstract
Background: Cerebral Palsy is described as group of permanent disorder causing activity limitation in developing infant. Spasticity is a motor disorder causing increase stretch reflex with exaggerated tendon jerks. Myofascial Release Technique is the aid to mechanical, neural and psycho-physiological adaptation in the myofascial system. Faradic currents are surged having low pulse duration, hence used to treat innervated muscles.
Purpose: To find out the effectiveness of Surged Faradic Current and Myofascial Release technique on spasticity of lower limb muscles in a cerebral palsy patient.
Methodology: A case study was done from 14th December 2020 to 9th January 2021. A 4 year old male child diagnosed with spastic cerebral palsy’s, pre and post treatment measures, data of Modified Ashworth Scale, Pediatric Manual Muscle Testing and Gross Motor Function-66 were evaluated and mentioned. MFR and SF was given to the calf, hamstring and adductor muscles for 3 days a week for 4 weeks.
Result: Gross Motor Function Scale, Pediatric Muscle Score and Modified Ashworth Scale improved after the intervention in this patient.
Conclusion: SF and MFR along with conventional rehabilitation was effective in case of spastic cerebral palsy subject.
Keywords: Cerebral Palsy, Myofascial Release Technique, Spasticity, Surged faradic Current.
References
- Rosenbaun P, Peneth N (2007) The definition and classification of cerebral palsy. Dev Med Child Neurol 49: 8-14.
- Sharma P, Sharma U, Kabra A (1990) Cerebral Palsy-Clinical profile and predisposing factors. Indian Pediatr 36: 1038-1042.
- Dan B, Cheron G (2004) Reconstructing Cerebral Palsy. J PediatrNeurol 2:57-64.
- Green LB, Hurvitz ED (2007) Cerebral palsy, physical medicine rehabilitation clinic. 859-882.
- Jan MM (2006) Cerebral Palsy: Comprehensive Review and Update. Ann Saudi Med 26: 123-132.
- Love SC, Valentineb JP, Blairc EM, Priced CJ, Coled JH, et al. (2001) The effect of botulinum toxin type A on the functional ability of the child with spastic hemiplegia a randomized controlled trial, Eur J Neurol 8: 50-58.
- Whisler SL, Lang DM (2012); Effect of myofascial release and other advanced myofascial therapies on children with cerebral palsy: six case reports. Explore 8: 199-205.
- Bovend' Eerdt TJ, Newman M, Barker K, Dawes H, Minelli C, Wade DT. The effects of stretching in spastic-ity: a systematic review. Archives of physical medicine and rehabilitation. 2008 Jul 1;89(7):1395-406.
- Haselkorn J, Loomis S. Multiple Sclerosis and Spasticity. Phys Med Rehabil Clin N. 2005; 16:467-481.
- Barnes JF (1995) Myofascial Release-The Missing Link in Your Treatment.
- Gregson JM, Leathley M, Moore P, Sharma AK, Smith TL, et al. (1999) Reliability of the Tone Assessment Scale and the Modified Ashworth Scale as clinical tools for assessing poststroke spasticity. Arch Phys Med Rehabil 80: 1013-1016.
- Robertson V, Ward A, Low J, Reed A. Electrotherapy Explained: Principles and Practice. 4th edition; 2005.
- Mehta K, Adodariya R, Sorani D. A Comparative Study To Determine The Effectiveness Of Low Level Laser Therapy And Strong Surge Faradic Current On Trapezius Spasm. Natl J Integr Res Med 2020; Vol.11(3): 33-38.
- Foster A,Palastanga N. Clayton‟s Electrotherapy- Theory and Practice. 9th ed .Delhi. A.I.T.B.S. 2006.
- Salvi Shah, AktaBhalara (2012) Myofascial Release. International Journal of Health Sciences & Research 2.
Corresponding Author
Vijal Mewada
BPT Intern, Nootan College of Physiotherapy, Sankalchand Patel University, Visnagar, Gujarat, India. 384 315