Background: The lives of children with cerebral palsy were worsened by the development of deformities, which impacted their lifestyle negatively. One of the major concerns was the equinus deformity in hemiparetic children. Different treatment procedures were used to remedy such deformities, including physical therapy training, or surgical correction through different types of Achilles tenotomies. Objective: To evaluate the effect of conventional physical therapy training versus Achilles tenotomy on balance as well as quality of life in hemiparetic children. Patients and Methods: Thirty-four hemiparetic children from both sexes, whose ages ranged from 6 to 10 years, were recruited equally into 2 groups. Group A underwent an Achilles tenotomy and received conventional physical therapy training for one month after removing the immobilizing plaster cast, while Group B received continuous physical therapy training over 3 months without any surgical procedures. Evaluation was done at three intervals, using the Humac Balance System and Quality of Life Questionnaire. Results:The stability scores for Group A showed a significant decline at post-treatment (1) in comparison with pretreatment. Whereas in Group B there was a significantly higher stability score at post-treatment (1) in comparison with pre-treatment. The overall limit of stability and quality of life measurements showed a decline in their scores posttreatment in Group A, while higher scores post-treatment were seen in Group B. Conclusion:The findings of the study support the impact of physical therapy, given the emergence of complications after Achilles tenotomy, which affect the balance and quality of a child's life.
Background: Standing plantar pressure measurement can help in tracing the correlation between plantar pressure distribution and lower-extremity posture, altogether with its relationship with BMI in children. The goal of this study is to figure out if BMI affects peak and average plantar pressure distribution in children when standing or not. Study Design: The current study is a primary, observational, cross-sectional one conducted in the Egyptian elementary schools in Talhka City, Dakahlia Governorate. Subjects & Methods: Ninety children; 47 girls and 43 boys with ages ranging between 6 to 12 years old were engaged in this study. The BMI of the study group highlighted the idea that 40% of the children were of normal weight (36 participants), 16.7% were overweight (15 participants), (7.8%) were obese (7 participants), and 35.6% were underweight (32 participants). All statistical measures were carried out using the statistical program for social sciences (SPSS) with version 22 for Windows (IBM SPSS, Chicago, IL, USA). Results: The current research suggests that there was substantial variance in both peak and average plantar pressure of both the right and left feet when standing in various cases with a spectrum of BMIs.
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