TY  - JOUR
TI  - ACUTE EFFECTS OF INTRAMUSCULAR STRETCHING AND PASSIVE STRETCHING ON SPASTICITY IN CHILDREN WITH CEREBRAL PALSY
AB  - 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.
AU  - Elbasan, Bulent
AU  - Uzun Akkaya, Kamile
DO  - 10.21653/tjpr.697318
PY  - 2021
JO  - Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)
VL  - 32
IS  - 1
SN  - 2651-4451
SP  - 60
EP  - 66
DB  - TRDizin
UR  - http://search/yayin/detay/460193
ER  -