Myofascial Release and Sustained Stretching in Spastic CP Children

Comparative Effects of Myofascial Release and Sustained Stretching on Hamstring Flexibility in Spastic Cerebral Palsy Children

The aim of this research was to find and compare the effects of Myofascial Release Technique and Passive Sustained Stretching on Hamstrings Flexibility in Children with Spastic Cerebral Palsy.

Randomized Clinical Trials done at DHQ Sahiwal. 26 spastic CP children of age 6-12 years were taken by random sampling technique from DHQ Sahiwal. 13 were allocated to each group. Study duration was of 6 months. Sampling technique applied was non probability convenience sampling technique Group A received Passive Sustained Stretching along with conventional treatment. Whereas Group B received MFR along with conventional treatment. Both these groups received treatment for 6 weeks. The baseline and post treatment score of MAS, Goniometer (AKET to measure popliteal angle) and GMFCS -88 were evaluated. Data analysis was done by using the SPSS version 21.

Inclusion Criteria:

• Age range from 6 to 12 years were included.
• Both genders were included.
• Ambulatory subjects with or without ambulatory aids.
• Diagnosed children with Spastic CP.
• CP patients with grade 3 on modified Ashworth scale for hamstrings were included

Exclusion Criteria:

• Children with visual or auditory defects.
• Children with cognitive dysfunction.
• Subjects who had severe limitations in passive range of motion at lower extremities specially hamstrings due to surgery or any other complication.
• Children with other types of Cerebral Palsy such as Ataxic CP, Dyskinetic CP etc.