The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy
Objective To investigate the effect of physical therapy (PT) intervention on spasticity in patients with cerebral palsy (CP), and to assess the degree of deterioration of spasticity when regular PT is interrupted in those patients. Methods We recruited 35 children with spastic CP who visited our hos...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2019-06-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-2019-43-3-289.pdf |
| _version_ | 1827884053025521664 |
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| author | Heewon Lee Eun Kyung Kim Dong Baek Son Youngdeok Hwang Joon-Sung Kim Seong Hoon Lim Bomi Sul Bo Young Hong |
| author_facet | Heewon Lee Eun Kyung Kim Dong Baek Son Youngdeok Hwang Joon-Sung Kim Seong Hoon Lim Bomi Sul Bo Young Hong |
| author_sort | Heewon Lee |
| collection | DOAJ |
| description | Objective To investigate the effect of physical therapy (PT) intervention on spasticity in patients with cerebral palsy (CP), and to assess the degree of deterioration of spasticity when regular PT is interrupted in those patients. Methods We recruited 35 children with spastic CP who visited our hospital for PT, and whose Modified Tardieu Scale (MTS) scores were serially recorded including before and after a 10-day public holiday time frame period. The outcome measures were the angle of range of motion (ROM) of dorsiflexion of the ankle joint (R1 and R2) in the knee flexion and extension positions as assessed using the MTS. Results The range of dorsiflexion of the ankle joint (R1 and R2) after the holiday period was significantly decreased as compared with that measured ROM noted before the holiday period, regardless of the knee position, age, or gross motor function. The dynamic component of the MTS (R2–R1) showed a slight decrease in the knee flexion position. Conclusion Interruption of regular PT aggravated spasticity and decreased ankle joint ROM in children with spastic CP. Our findings suggest that regular PT in the care continuum for children with CP is crucial for the maintenance of ROM in the spastic ankle joints. |
| first_indexed | 2024-03-12T19:22:01Z |
| format | Article |
| id | doaj.art-92f29fe4fe39480697b957e119daf9ad |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T19:22:01Z |
| publishDate | 2019-06-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-92f29fe4fe39480697b957e119daf9ad2023-08-02T05:06:02ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-06-0143328929610.5535/arm.2019.43.3.2894093The Role of Regular Physical Therapy on Spasticity in Children With Cerebral PalsyHeewon Lee0Eun Kyung Kim1Dong Baek Son2Youngdeok Hwang3Joon-Sung Kim4Seong Hoon Lim5Bomi Sul6Bo Young Hong7 Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Statistics, Sungkyunkwan University, Seoul, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, KoreaObjective To investigate the effect of physical therapy (PT) intervention on spasticity in patients with cerebral palsy (CP), and to assess the degree of deterioration of spasticity when regular PT is interrupted in those patients. Methods We recruited 35 children with spastic CP who visited our hospital for PT, and whose Modified Tardieu Scale (MTS) scores were serially recorded including before and after a 10-day public holiday time frame period. The outcome measures were the angle of range of motion (ROM) of dorsiflexion of the ankle joint (R1 and R2) in the knee flexion and extension positions as assessed using the MTS. Results The range of dorsiflexion of the ankle joint (R1 and R2) after the holiday period was significantly decreased as compared with that measured ROM noted before the holiday period, regardless of the knee position, age, or gross motor function. The dynamic component of the MTS (R2–R1) showed a slight decrease in the knee flexion position. Conclusion Interruption of regular PT aggravated spasticity and decreased ankle joint ROM in children with spastic CP. Our findings suggest that regular PT in the care continuum for children with CP is crucial for the maintenance of ROM in the spastic ankle joints.http://www.e-arm.org/upload/pdf/arm-2019-43-3-289.pdfCerebral palsyMuscle spasticityPhysical therapyAnkle jointRange of motion |
| spellingShingle | Heewon Lee Eun Kyung Kim Dong Baek Son Youngdeok Hwang Joon-Sung Kim Seong Hoon Lim Bomi Sul Bo Young Hong The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy Annals of Rehabilitation Medicine Cerebral palsy Muscle spasticity Physical therapy Ankle joint Range of motion |
| title | The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy |
| title_full | The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy |
| title_fullStr | The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy |
| title_full_unstemmed | The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy |
| title_short | The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy |
| title_sort | role of regular physical therapy on spasticity in children with cerebral palsy |
| topic | Cerebral palsy Muscle spasticity Physical therapy Ankle joint Range of motion |
| url | http://www.e-arm.org/upload/pdf/arm-2019-43-3-289.pdf |
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