Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

Elshafey, Mohamed Ali; Abd-Elaziem, Adel; Gouda, Rana Elmarzouki

doi:10.1155/2014/814279

Cited by 8 publications

(9 citation statements)

References 30 publications

(27 reference statements)

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“… 83 , 84 ) or there was no control group (e.g. 85 ). These studies therefore did not fit with the inclusion criteria of the present systematic review and were consequently excluded.…”

Section: Discussionmentioning

confidence: 99%

Effects of stretching exercises on human gait: a systematic review and meta-analysis

et al. 2020

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Background: Stretching is commonly used in physical therapy as a rehabilitation tool to improve range of motion and motor function. However, is stretching an efficient method to improve gait, and if so, for which patient category? Methods: A systematic review of randomized and non-randomized controlled trials with meta-analysis was conducted using relevant databases. Every patient category and every type of stretching programs were included without multicomponent programs. Data were meta-analysed where possible. Estimates of effect sizes (reported as standard mean difference (SMD)) with their respective 95% confidence interval (95% CI) were reported for each outcome. The PEDro scale was used for the quality assessment. Results: Twelve studies were included in the analysis. Stretching improved gait performance as assessed by walking speed and stride length only in a study with a frail elderly population, with small effect sizes (both SMD= 0.49; 95% CI: 0.03, 0.96; PEDro score: 3/10). The total distance and the continuous walking distance of the six-minute walking test were also improved only in a study in an elderly population who had symptomatic peripheral artery disease, with large effect sizes (SMD= 1.56; 95% CI: 0.66, 2.45 and SMD= 3.05; 95% CI: 1.86, 4.23, respectively; PEDro score: 5/10). The results were conflicting in healthy older adults or no benefit was found for most of the performance, spatiotemporal, kinetic and angular related variables. Only one study (PEDro score: 6/10) showed improvements in stance phase duration (SMD=-1.92; 95% CI: -3.04, -0.81), swing phase duration (SMD=1.92; 95 CI: 0.81, 3.04), double support phase duration (SMD= -1.69; 95% CI: -2.76, -0.62) and step length (SMD=1.37; 95% CI: 0.36, 2.38) with large effect sizes. Conclusions: There is no strong evidence supporting the beneficial effect of using stretching to improve gait. Further randomized controlled trials are needed to understand the impact of stretching on human gait.

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“… 83 , 84 ) or there was no control group (e.g. 85 ). These studies therefore did not fit with the inclusion criteria of the present systematic review and were consequently excluded.…”

Section: Discussionmentioning

confidence: 99%

Effects of stretching exercises on human gait: a systematic review and meta-analysis

et al. 2020

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“…Franki et al (2012) found small improvements in ROM when stretching is combined with electrical stimulation, heat application or strengthening programmes. This is also supported by randomized control trials (RCT's) by Wu et al (2011) and Elshafey et al (2014). Although these studies found a beneficial effect of stretching within combined treatment programmes, it is impossible to identify the effectiveness of stretching alone.…”

Section: Literature Reviewmentioning

confidence: 98%

How effective is stretching in maintaining range of movement for children with cerebral palsy? A critical review

Eldridge

Lavin²

2016

International Journal of Therapy and Rehabilitation

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“…Spastic diplegic cerebral palsy usually affects muscle control and coordination, and affected people have increased muscle tone which leads to tight muscles and exaggerated reflexes. Leg muscles tend to be extremely tight [3]. So, the main treatment goal is to reduce stiffness in joints and increase the range of motion.…”

Section: Introductionmentioning

confidence: 99%

“…Various methods such as Vojta, Hippotherapy, Hydrotherapy, Massage, Casting and others are applied to children with cerebral palsy to manage spasticity and contractures, to improve muscle strength, motor activities, functions and self-care [3]. Recently a rising interest in the use of vibration for achieving therapeutic or physical performance goals has been observed [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Effect of vibration in the treatment of children with spastic diplegic cerebral palsy

Dudonienė¹,

Lendraitienė²,

Požėrienė³

2017

J. vibroeng.

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Cerebral palsy is one of the leading causes of movement and posture disorders. Recently, Vibration, as a treatment method in clinical practice has been used as a complementary approach. The aim of this intervention was to determine the effect of vibration in addition to conventional therapy on spasticity, range of motion and gross motor functions in children with cerebral palsy. A total of 20 children with spastic diplegic cerebral palsy (7-10 years old) were randomly divided into two equal groups (conventional therapy-Control group, and conventional therapy plus Vibration-Vibration group), and participated in a 3-week physiotherapy program. The same exercise program was prescribed for children of both groups; frequency of intervention-five times a week, one session lasted for 45 min. Children in the vibration group apart from conventional therapy also received treatment on a special vibration equipment set at 15 Hz frequency. Ashwort scale was used to assess spasticity, goniometry-range of motion, and Gross Motor Function Measure (GMFM) 88 domain-to assess standing (D) and mobility (E-walking, jumping, and running) functions. Both interventions significantly increased range of motion, decreased spasticity in legs and improved standing and mobility functions (0.05). No statistical differences were found between the two groups after interventions.

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Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

Cited by 8 publications

References 30 publications

Effects of stretching exercises on human gait: a systematic review and meta-analysis

Effects of stretching exercises on human gait: a systematic review and meta-analysis

How effective is stretching in maintaining range of movement for children with cerebral palsy? A critical review

Effect of vibration in the treatment of children with spastic diplegic cerebral palsy

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