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2020•International Journal of Health Sciences and ResearchRequires access

Effectiveness of Modified Bamboo Knee Orthosis (Gaiter) on Knee Flexor’s Spasticity in Children with Spastic Cerebral Palsy

Minakshi Behera, W. Surbala Devi

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Abstract

Background: Spastic cerebral palsy (CP) is the most common type of cerebral palsy. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinical practice is the Modified Ashworth Scale (MAS). The test is based on the assessment of resistance to passive stretch of muscle group at one no specified velocity. Objective: The objective of this study was to investigate the effectiveness of Modified Bamboo Knee Orthosis (Gaiter) on knee flexor’s spasticity in Children with Spastic Cerebral Palsy. Participants: Twenty children with spastic cerebral palsy. Main Outcome Measure: Before and after treatments lower-extremity spasticity was measured by Modified Ashworth Scale Bohannon (MAS-B). Results: The mean MAS of left leg before application of Orthosis was 2.00(±.50) and reduced significantly to 1.08(±.52) after treatment whereas the mean MAS of right leg before application of Orthosis was 2.03(±.58) and reduced significantly to 1.10(±.58) after treatment. Conclusion: The Modified Bamboo Knee Orthosis (Gaiter) can be considered as a new, effective, environmental friendly and low cost method for treatment of Knee Flexor’s Spasticity in Children with Spastic Cerebral Palsy.

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Background: Spastic cerebral palsy (CP) is the most common type of cerebral palsy. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinical practice is the Modified Ashworth Scale (MAS). The test is based on the assessment of resistance to passive stretch of muscle group at one no specified velocity. Objective: The objective of this study was to investigate the effectiveness of Modified Bamboo Knee Orthosis (Gaiter) on knee flexor’s spasticity in Children with Spastic Cerebral Palsy. Participants: Twenty children with spastic cerebral palsy. Main Outcome Measure: Before and after treatments lower-extremity spasticity was measured by Modified Ashworth Scale Bohannon (MAS-B). Results: The mean MAS of left leg before application of Orthosis was 2.00(±.50) and reduced significantly to 1.08(±.52) after treatment whereas the mean MAS of right leg before application of Orthosis was 2.03(±.58) and reduced significantly to 1.10(±.58) after treatment. Conclusion: The Modified Bamboo Knee Orthosis (Gaiter) can be considered as a new, effective, environmental friendly and low cost method for treatment of Knee Flexor’s Spasticity in Children with Spastic Cerebral Palsy.

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Available abstract

Background: Spastic cerebral palsy (CP) is the most common type of cerebral palsy. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinical practice is the Modified Ashworth Scale (MAS). The test is based on the assessment of resistance to passive stretch of muscle group at one no specified velocity. Objective: The objective of this study was to investigate the effectiveness of Modified Bamboo Knee Orthosis (Gaiter) on knee flexor’s spasticity in Children with Spastic Cerebral Palsy. Participants: Twenty children with spastic cerebral palsy. Main Outcome Measure: Before and after treatments lower-extremity spasticity was measured by Modified Ashworth Scale Bohannon (MAS-B). Results: The mean MAS of left leg before application of Orthosis was 2.00(±.50) and reduced significantly to 1.08(±.52) after treatment whereas the mean MAS of right leg before application of Orthosis was 2.03(±.58) and reduced significantly to 1.10(±.58) after treatment. Conclusion: The Modified Bamboo Knee Orthosis (Gaiter) can be considered as a new, effective, environmental friendly and low cost method for treatment of Knee Flexor’s Spasticity in Children with Spastic Cerebral Palsy.

Key concepts: Spasticity, Cerebral palsy, Medicine, Modified Ashworth scale, Spastic cerebral palsy, Spastic, Physical medicine and rehabilitation, Physical therapy

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Effectiveness of Modified Bamboo Knee Orthosis (Gaiter) on Knee Flexor’s Spasticity in Children with Spastic Cerebral Palsy — Research Paper | ScholarLens