IJCRR - Vol 07 Issue 08, April, 2015
A COMPARATIVE STUDY BETWEEN ELECTRICAL STIMULATION IN ADDITION TO PASSIVE STRETCHING THAN ALONE PASSIVE STRETCHING ON SPASTICITY IN PATIENTS WITH SPASTIC DIPLEGIC CEREBRAL PALSY CHILDREN
Author: Ghazi Sharique Ahmad, Md Haider Ali, K. Sambhu Nath, Md Sarfraz
Aim: An electrical stimulation and passive stretching were used to reduce spasticity in spastic diplegic cerebral palsy children patient.
Methodology: Intervention for four weeks which consisted of 30 minutes of electrical stimulation of antagonistic muscles and 30 seconds of passive stretching of the agonist muscles (bicep brachi) 3 times per week of spastic diplegic child patients. Pre and
Post treatment Spasticity of the bicep brachi was measured using the modified Ashworth scale.
Results: The mean value 1.43 of Group A post treatment was compared to the mean value 1.93 of Group B post treatment then the P value found to be 0.0057.
Conclusions: Spasticity of diplegic cerebral palsy children are greatly reduced by using electrical stimulation combined with passive stretching. This suggests that electrical stimulation with passive stretching are more reliant to reduce spasticity than alone passive stretching.
Keywords: Electrical stimulation, Muscle spasticity, Diplegic cerebral palsy
Ghazi Sharique Ahmad, Md Haider Ali, K. Sambhu Nath, Md Sarfraz. A COMPARATIVE STUDY BETWEEN ELECTRICAL STIMULATION IN ADDITION TO PASSIVE STRETCHING THAN ALONE PASSIVE STRETCHING ON SPASTICITY IN PATIENTS WITH SPASTIC DIPLEGIC CEREBRAL PALSY CHILDREN International Journal of Current Research and Review. Vol 07 Issue 08, April, 39-44
1. A. Hussain R. Saadi et al. Maternal and foetal risk factors of cerebral palsy among Iraqi children: A case control study. 2012:2(3): 350-358.
2. Walraich, M, Droter, D et al. Developmental behavioural peditric, Evidence and practice. 2008: 14 : 483-517.
3. C. Rethelfsen SA et al. Classifiation systems in cerebral palsy.” Orthop Clin North Am. 2010 oct: 41 (4): 457–67.
4. Stanley F et al. Cerebral Palsies: Epidemiology and Causal Pathways. London, United Kingdom: MacKeith Press; 2000.
5. J. Maheshwari. Essential Orthopaedics. 4th edition: 222
. 6. Allison Brashear, Elie. P Elovic; Spasticity: Diagnosis and management; Demos medical publication.
7. Khalili, Mohammad A; Hajihassanie, Abdulhamid; Electrical simulation in addition to passive stretch has a small effect on spasticity and contracture; Journal of Physiotherapy; 2008; 54, 3; ProQuest Nursing and Allied Health Source.
8. Kuen-Horng Tsai et al. Effect of single session of Prolonged muscle stretch on Spastic muscle of stroke patients;
9. Bipin B Bhakta; Management of Spasticity in Stroke; Rheumatology and Rehabilitation; British Medical bulletin; 2000: 56: 476-485.
10. Sommerfeld DK et al.Spas ticity after stroke: Its occurrence and association with motor impairments and activity limitations. Stroke. 2004; 35: 134-140.
11. Lesley Wiart et al. Stretching with children with Cerebral Palsy, what do we know and where are we going;Pediatric PhysTher 2008; 20: 173-178.
12. Tamis Pin et al. The effectiveness of passive stretching in children with cerebral palsy; Developmental Medicine and Child Neurology 2006, 48: 855-862.
13. Carolyn Kisner, Lynn Allen Colby, Therapeutic Exercise: Foundations and Techniques, Jaypee, 4th Edition.
14. Sheila Kitchen, Sarah Bazin; Clayton’s Electrotherapy; Saunders; 1996.
15. John Low and Ann Reed; Electrotherapy Explained : Principles and Practice; 3rd Edition; Elseiver; 2003.
16. Juan Nicolás Cuenca and Eric Lazar; Functional Electrical stimulation in stroke.
17. Lourenção MI et al. Analysis of results of functional electrical stimulation on hemiplegic patients’ upper extremities using the Minnesota manual dexterity test. IntRehabil Res. 2005; 28: 25-31.
18. Liberson WT et al. Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients. Arch Phys Med Rehabil. 1961; 42: 101–105.
19. Susan R O Sullivan and Thomas J Schmitz; Physical Rehabilitation: Assessment and Treatment; Jaypee Brothers; 4lh Edition, 2001.
20. C. R. W.Edwards et al. Davidson’s Principles and Practice of Medicine; Churchill Livingstone; 18th edition ; 2000.
21. Barbara M Doucet; High vs. low electrical stimulation frequencies for motor recovery in hemiplegia; December. 2004.
22. A. Pandayan et al. Electrical stimulation of wrist extensors in post stroke hemiplegia; Stroke journal of American Heart Association 1999 : 30 :1384 – 1389.
23. S.R.A Akinbo et al. Comparison of the effect of Neuromuscular electrical stimulation and Cryotherapy on Spasticity and hand function in patients with spastic cerebral palsy; Nigeria medical practioner; 2005(6): 51: 128-132.
24. Sheila Kitchen, Sarah Bazin; Electrotherapy; Evidence based practice; 11th edition, 2002.