The Effectiveness of Classroom Passive Stretching Programs for Increasing or Maintaining Passive Range of Motion in Non-Ambulatory Children:

Miedaner, James A.; Renander, Jean

doi:10.1300/j006v07n03_03

Cited by 13 publications

(1 citation statement)

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“…(1987) used ankle PROM exercises for 10 weeks on children with spastic cerebral palsy and showed significant results [24]. It was suggested that standing, which is believe to help maintain normal joint movement by providing stretch to joint capsules, ligaments and muscle tendons units was not effective in reducing contractures in study cohort.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Sustained Muscle Stretch With Tilt Table Versus Passive Exercises in Children With Spastic Cerebral Palsy: A Clinical Study

Sukumari¹,

Baba²

2017

IJPR

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Background: The control of spasticity is habitually a major problem in the management of children with cerebral palsy which hinders in achieving the mobility and operational ability in such children.Purpose: To determine the outcome of sustained muscle stretch or passive exercises to reduce spasticity and increase the ankle dorsiflexion range of motion which may enhance the milestone/ambulatory capacity of children with spastic cerebral palsy.Materials and Methods: Thirty spastic diplegia and quadriplegia children according to Modified Ashworth Scale range between 1-3from both sexes ranging in age from three to eight years were randomly assigned. The children were distributed into two groups of equal number. Control group received passive exercises for 30 minutes per session per day for five days a week and study group received sustained muscle stretch of the plantar-flexors of the ankle for 30 minutes per session per day for five days a week on tilt table with ankle dorsiflexed. Spastic hypertonia was evaluated using Modified Ashworth scale as well as ankle dorsiflexion range of motion were assessed using the Universal goniometer before and after two weeks of treatment. Results:The results show statistically significant improvement in bilateral ankle dorsiflexion range of motion in both the groups, i.e. group A receiving sustained muscle stretch and group B receiving passive exercises (p<0.005). However, statistically significant improvement was seen in spasticity of ankle plantar flexors on Modified Ashworth Scale score within the groups (p>0.005). Comparing the pre-and post-treatment mean values between two groups, there was a minimal significant difference in improvement of ankle dorsiflexion range of motion and Modified Ashworth Scale score. Conclusion:There is minimal statistical significant in the difference in the level of spasticity showing that both treatment techniques have an equal effect on spasticity. It is further concluded that both the techniques are equally effective in increasing the range of motion of ankle dorsiflexors.

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Section: Methodsmentioning

confidence: 99%

Effectiveness of Sustained Muscle Stretch With Tilt Table Versus Passive Exercises in Children With Spastic Cerebral Palsy: A Clinical Study

Sukumari¹,

Baba²

2017

IJPR

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Does acute passive stretching increase muscle length in children with cerebral palsy?

Theis

Korff

Kairon

et al. 2013

Clinical Biomechanics

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Does long-term passive stretching alter muscle–tendon unit mechanics in children with spastic cerebral palsy?

Theis

Korff

Mohagheghi

2015

Clinical Biomechanics

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DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT. AbstractBackground: Cerebral Palsy causes motor impairments during development and many children may experience excessive neural and mechanical muscle stiffness. The clinical assumption is that excessive stiffness is thought to be one of the main reasons for functional impairments in cerebral palsy. As such, passive stretching is widely used to reduce stiffness, with a view to improving function. However, current research evidence on passive stretching in cerebral palsy is not adequate to support or refute the effectiveness of stretching as a management strategy to reduce stiffness and/or improve function. The purpose was to identify the effect of six weeks passive ankle stretching on muscle-tendon unit parameters in children with spastic cerebral palsy.Methods: Thirteen children (8-14 y) with quadriplegic/diplegic cerebral palsy were randomly assigned to either an experimental group (n=7) or a control group (n=6). The experimental group underwent an additional six weeks of passive ankle dorsiflexion stretching for 15 minutes (per leg), four days per week, whilst the control group continued with their normal routine, which was similar for the two groups. Measures of muscle and tendon stiffness, strain and resting length were acquired pre and post intervention.Findings: The experimental group demonstrated a 3° increase in maximum ankle dorsiflexion. This was accompanied by a 13% reduction in triceps surae muscle stiffness, with no change in tendon stiffness. Additionally, there was an increase in fascicle strain with no changes in resting length, suggesting muscle stiffness reductions were a result of alterations in intra/extra-muscular connective tissue.Interpretation: The results demonstrate that stretching can reduce muscle stiffness by altering fascicle strain but not resting fascicle length.

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The Effectiveness of Classroom Passive Stretching Programs for Increasing or Maintaining Passive Range of Motion in Non-Ambulatory Children:

Cited by 13 publications

References 0 publications

Effectiveness of Sustained Muscle Stretch With Tilt Table Versus Passive Exercises in Children With Spastic Cerebral Palsy: A Clinical Study

Effectiveness of Sustained Muscle Stretch With Tilt Table Versus Passive Exercises in Children With Spastic Cerebral Palsy: A Clinical Study

Does acute passive stretching increase muscle length in children with cerebral palsy?

Does long-term passive stretching alter muscle–tendon unit mechanics in children with spastic cerebral palsy?

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