تاثير تعديل حسي كف پا در كاهش اسپاستي سيته اندام تحتاني كودكان دي پلژي اسپاستيك

Impact of foot sensory modulation on inhibition of hypertonicity of the lower limb in children with spastic diplegia

Objective: The purpose of this study was to assess impact of foot sensory modulation on inhibition of hypertonicity of the lower limb in children with diplegia spastic cerebral palsy. Materials &Methods: 24 selected children (aged 2.5 to 4.5 years) were randomly assigned to a control and experimental groups. Muscle tone was assessed using modified Ashworth scale, passive Range of motion by goniameter (Pedretti), neurodevelopmental level by Bobath scale. All children were pre-post tested in an interval of ten weeks. Results: Significant reduction was observed in hypertonicity of hip extensor (p<0/1) and ankle planter flexor (P<0/05). Significant increase was observed in passive Range of motion of hip flexion (P<0/1), knee extension (P<0/05) and ankle dorsi flexion (P<0/05). There was found no significant difference of reduction in hypertonicity of knee flexor and improvement neurodevelopmental level. Meaningful relationship was observed between reduction hypertonicity of the hip extensor (P<0/05) and improvement of neurodevelopmental level (P<0/05). Conclusion: Impact of sensory modulation on children with diplegia spastic cerebral palsy reduces spasticity of lower limb and also extends joints domain of motion.