الفهرس | Only 14 pages are availabe for public view |
Abstract Spastic diplegic children may exhibit clumsiness and frequent falls during regular motor activities or may not be able to maintain standing position independently. Objective: To determine the effect of baclofen phonophoresis on spasticity in spastic diplegic cerebral palsied children. Methods: Forty children with diplegic cerebral palsy (20 boys and 20 girls with age range from 3 to 6 years) participated in a 12 weeks program. Children were assigned randomly into two groups of equal number (control group (A) and study group (B)). Children in control group received a designed physical therapy program while children in study group received the same program as control group in addition to baclofen phonophoresis on gastrocnemius muscle for 10 minutes, 3 times per week for 12 successive weeks before the designed physical therapy program. Spasticity and standing motor function were assessed before and after treatment by using surface electromyography and growth motor function measure scale respectively. Results: Between groups comparison of pre-treatment values revealed a non-significant difference in all measured variables. For post treatment values, there were statistically non-significant difference in all measured variables (p<0.05), with higher percentage of improvement in study group. Within group comparison showed a significant improvement only in standing domain of growth motor function measure scale in both groups. Conclusions: Using baclofen phonophoresis helps in improving standing in spastic diplegic cerebral palsy children, although it clinically helps in decrease spasticity in gastrocnemius muscle but it needs more investigating studies. |