Manjula, S (2017) A Study to Assess the Effects of Quadriceps Femoris Strengthening on Spasticity in Children with Spastic Diplegic Cerebral Palsy. Masters thesis, Madha College of Physiotherapy, Chennai.
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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). OBJECTIVE OF THE STUDY: To study the effects of Quadriceps femoris strengthening on spasticity in children with spastic diplegic cerebral palsy. HYPOTHESIS: Null Hypothesis: Quadriceps femoris strengthening has no effect on spasticity in children with spastic diplegic cerebral palsy. Alternate Hypothesis: Quadriceps femoris strengthening has effect 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. TREATMENT SESSION: - 3 Days/week. METHOD: Knee muscle spasticity was assessed bilaterally using the pendulum test to elicit a stretch reflex immediately before and after different forms of Quadriceps femoris muscle exercise (isometric and isotonic) during a single bout of exercise training. Pendulum test outcome measures were: (1) first swing excursion, (2) number of lower leg oscillations and (3) duration of the oscillations. Pre test and post test was conducted. STUDY SETTING: Clinical set up study. STUDY DESIGN: Quasi experimental study. STUDY SAMPLING: Convenient sampling. SAMPLE SIZE: 30 Samples. SOURCE OF DATA: Madha Medical College and Hospital, Kovur ; Paediatric Therapy centre, Perambur, Chennai ; Care and Cure Physio clinic, Perambur, Chennai ; SJC Hospital, Periyar Nagar, Chennai and Private cases from Nemelicherry, Thiruninravur, Kolathur. Study Duration: Total duration was six weeks. 3 days per week. SAMPLING CRITERIAS: Inclusion Criteria: • Diplegic spasticity. • Subjects of age of 5 to 8 yrs. • Good general health. • Ability to follow simple commands. • Ability to extend the knee from 90 to 45 in sitting position. • Not taking any pharmacological agent for reducing spasticity. Exclusion Criteria: • Subject below 5 and above 8 yrs of age. • Hip flexor tightness. • Hip adductor tightness. • TA tightness. • Fractures of Hip and knee. • Pain or orthopaedic problems affecting the legs. • Unstable seizures. Materials used: Couch, goniometre, pendulum exercise. towel, etc. 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 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 children with spastic diplegic cerebral palsy.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg. No: 271520221 |
| Uncontrolled Keywords: | Quadriceps Femoris Strengthening ; Spasticity ; Children ; Spastic Diplegic Cerebral Palsy. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Kambaraman B |
| Date Deposited: | 12 Mar 2018 16:21 |
| Last Modified: | 12 Mar 2018 16:21 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6094 |
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