RESUMO
Background: According to world health organization globally 15% of populations are disabled and in Bangladesh 10% are disabled and among them, 42% child has a disability related to CP. The study purpose was to explore the effectiveness of rebound therapy along with conventional physiotherapy for muscle tone management in children with Cerebral palsy (CP). Methodology: Study used Randomized control trial (RCT) at CRP pediatric department at Dhaka Bangladesh. Results: Statistical analysis was done by using Mann Whitney “U” test. Where in experimental group, mean difference of muscle tone at the following of quadriceps femoris (Right), quadriceps femoris (Left), Hamstrings (Right), Hamstrings (Left), Gastrocnemius (Right), Gastrocnemius (Left), Biceps brachi (Right), Biceps brachi (Left), Wrist flexors (Right) and Wrist flexors (Left) was 1, 1, 1.5, 1.4, 1.9, 1.9, 0.5, 0.7, 0.3 and 0.5 more than control group. Pre-test and post-test score ensure rebound therapy more significant for the management of lower limbs muscle tone than upper limbs. Significant improvement wasn’t found (p>0.05). So improvement was not statistically significant. According to mean difference study has found greater improvement in the experimental group by applying rebound therapy to CP child. Conclusion: This true experimental study concludes that rebound therapy with conventional physiotherapy is more effective than only conventional physiotherapy.
RESUMO
Osteoarthritis (OA) is the most common joint disease causing disability. Current Physical therapy management for knee OA is aiming to increase range of motion and improve functional performance. So the purpose of this study to assess the effectiveness of Mulligan Mobilization along with Conventional Physiotherapy in Knee osteoarthritis patients. Method: Patients of knee pain who fulfilled inclusion criteria were taken in study. Outcome like The Knee Injury & osteoarthritis Outcome Score (KOOS) Index, ROM with the help of Universal Goniometer, Manual muscle testing with Medical Research Council (MRC) scale &time up and Go test were taken at baseline and after 4 wks. Mulligan Mobilization along with conventional Physiotherapy was given to all patients for 4 wks. Result: Showed there was significant improvement 25.08% in Koos Index, while in knee flexion ROM, improvement on right side was 9.94% or in left side 6.20%. while muscle strength in MMT with 25% on right side or 4% on left side improvement seen for knee flexor and 5% on right side or no any improvement seen on left side for knee extensor. Time up and go test also showed 10.89% improvement compared to baseline. Conclusion: Improvement is seen in patients with knee osteoarthritis by Mulligan Mobilization along with Conventional Physiotherapy.
RESUMO
Background: Play therapy has become an important part of physiotherapy treatment program to improve functional outcome in children with cerebral palsy. This study is to examine the effectiveness of play therapy together with conventional therapy to improve the hand function ability in children with spastic diplegic cerebral palsy. Methods: 30 spastic diplegic cerebral palsy children were divided into two groups, Group-I received conventional physiotherapy alone where as Group-II received play therapy and conventional therapy (n=15) both. The treatment was given 3 days a week for 6 weeks continuously for both the groups. Results: After the treatment period Group II who received play therapy in addition to conventional therapy scored significantly higher on the Box and block test and Nine hole peg test for grasp and release showing p<0.05. Conclusion: Play therapy along with conventional physiotherapy was found to be much effective in improving the hand function in children with spastic diplegic cerebral palsy. This study may help the physiotherapist to utilize and evaluate the functional outcomes using play therapy in cerebral palsy children.