ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY

Elbasan, Bulent; Uzun Akkaya, Kamile

doi:10.21653/tjpr.697318

ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY

Kamile UZUN AKKAYA, (Yüksek İhtisas Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Bülent ELBASAN (Gazi Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)

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Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 60 - 66 Metin Dili: İngilizce DOI: 10.21653/tjpr.697318 İndeks Tarihi: 27-10-2022

ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY

Öz:

Purpose: Several methods are used to reduce spasticity in cerebral palsy (CP) rehabilitation. Oneof these methods is stretching. This study aimed to compare the acute effects of intramuscularstretching and passive stretching on spasticity in children with bilateral spastic CP.Methods: The study included a total of 22 children (12 boys and 10 girls) with bilateral CP, betweenthe ages of 5 and 13 years (mean age=6.45±1.96 years), who had spasticity in the plantar flexormuscle groups. All children were under an individualized physiotherapy program. In addition tothe physiotherapy program, intramuscular stretching was applied to the plantar flexor muscleson one side, whereas passive manual stretching was applied to the other side. The ModifiedAshworth Scale (MAS), Modified Tardieu Scale (MTS), and Silfverskiold test were used to assessthe spasticity. Evaluations were performed before and after the applications.Results: There was a significant difference between pre and post-treatment comparisons in theintramuscular stretching side (MAS p=0.024, MTS R2-R1 p<0.001, Silfverskiold test p=0.002) andthe passive stretching side (MAS p=0.014, MTS R2-R1 p=0.001, and the Silfverskiold test p=0.003).On the other hand, there was no difference between the intramuscular and passive stretching sides(p>0.05).Conclusion: Both intramuscular and passive stretching are effective methods for reducingspasticity in children with bilateral spastic CP, and their acute effects are similar.

Anahtar Kelime: Massage Cerabral Palsy Muscle Tone Muscle Stretching Exercises Muscle Spasticity

SEREBRAL PALSİLİ ÇOCUKLARDA KAS İÇİ GERME İLE PASİF GERME YÖNTEMLERİNİN SPASTİSİTE ÜZERİNE AKUT ETKİLERİ

Öz:

Amaç: Serebral palsi (SP) rehabilitasyonunda spastisiteyi azaltma amacıyla birçok yöntem kullanılır. Bu yöntemlerden birisi de germe uygulamalarıdır. Bu çalışmanın amacı bilateral spastik tip SP’li çocuklarda kas içi germe ve pasif germenin spastisite üzerine akut etkilerini karşılaştırmaktı. Yöntem: Çalışmamıza 5-13 yaş arasında (12 erkek ve 10 kız çocuk, ortalama yaş=6,45±1,96 yıl), plantar fleksör kaslarında spastisitesi olan, bilateral spastik tip SP’li çocuklar dâhil edildi. Tüm çocuklara kişiye özel fizyoterapi programı uygulanmaktaydı. Çocukların fizyoterapi programına ek olarak bir taraf plantar fleksör kas grubuna kas içi germe uygulanırken, diğer taraf plantar fleksör kas grubuna pasif germe uygulandı. Spastisite değerlendirmeleri Modifiye Ashworth Skalası (MAS), Modifiye Tardieu Skalası (MTS) ve Silfverskiold testi ile yapıldı. Değerlendirmeler uygulamalardan önce ve sonra yapıldı ve iki taraf değerleri birbiri ile karşılaştırıldı. Sonuçlar: Tedavi öncesi ve sonrası değerleri karşılaştırıldığında kas içi germe yapılan tarafta (MAS p=0,024, MTS R2-R1 p<0,001, Silfverskiold test p=0,002) ve pasif germe yapılan tarafta (MAS p=0,014, MTS R2-R1 p=0,001, Silfverskiold test p=0,003) anlamlı fark görüldü. Ancak iki taraf arasında anlamlı fark yoktu (p>0,05). Tartışma: Bilateral spastik tip SP’li çocuklarda kas içi germe ve pasif germe yöntemleri spastisiteyi azaltmakta etkili yöntemlerdir ve akut etkileri benzerdir

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Uzun Akkaya K, Elbasan B (2021). ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. , 60 - 66. 10.21653/tjpr.697318
Chicago	Uzun Akkaya Kamile,Elbasan Bulent ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. (2021): 60 - 66. 10.21653/tjpr.697318
MLA	Uzun Akkaya Kamile,Elbasan Bulent ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. , 2021, ss.60 - 66. 10.21653/tjpr.697318
AMA	Uzun Akkaya K,Elbasan B ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. . 2021; 60 - 66. 10.21653/tjpr.697318
Vancouver	Uzun Akkaya K,Elbasan B ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. . 2021; 60 - 66. 10.21653/tjpr.697318
IEEE	Uzun Akkaya K,Elbasan B "ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY." , ss.60 - 66, 2021. 10.21653/tjpr.697318
ISNAD	Uzun Akkaya, Kamile - Elbasan, Bulent. "ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY". (2021), 60-66. https://doi.org/10.21653/tjpr.697318

APA	Uzun Akkaya K, Elbasan B (2021). ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(1), 60 - 66. 10.21653/tjpr.697318
Chicago	Uzun Akkaya Kamile,Elbasan Bulent ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.1 (2021): 60 - 66. 10.21653/tjpr.697318
MLA	Uzun Akkaya Kamile,Elbasan Bulent ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.1, 2021, ss.60 - 66. 10.21653/tjpr.697318
AMA	Uzun Akkaya K,Elbasan B ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(1): 60 - 66. 10.21653/tjpr.697318
Vancouver	Uzun Akkaya K,Elbasan B ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(1): 60 - 66. 10.21653/tjpr.697318
IEEE	Uzun Akkaya K,Elbasan B "ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.60 - 66, 2021. 10.21653/tjpr.697318
ISNAD	Uzun Akkaya, Kamile - Elbasan, Bulent. "ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/1 (2021), 60-66. https://doi.org/10.21653/tjpr.697318