A Comparative Study On The Effect of Myofascial Release Over Muscle Energy Technique On Calf Muscle Tone in Spastic Diplegic Cerebral Palsy

Abstract

Background: .CP is the leading cause of childhood disability with incidence of 2 to 3 per 1000 live births. The lesion in CNS frequently results in spasticity. This produces functional problems. There are various approaches to reduce spasticity including medical surgical and physiotherapeutic approaches like stretching positioning, manual techniques like massage, MFR, and MET. MFR and MET both are expected to have an effect on spastic muscle but there are limited evidence about which of the either technique is more efficient then other to reduce spasticity. Thus the purpose of this study is to compare the effect of both techniques on calf spasticity Methodology and Result: 30 subjects fulfilling inclusion criteria were taken and informed written consent was filled. Baseline data of calf muscle tone was assessed by MAS and tardieu scale.Then participants were randomly allocated into 2 groups. Group A subjects received MFR in prone position for 15 mins whereas Group B received MET to calf muscle in supine position for 15 mins. Both the groups were given conventional treatment. After 4th week of session, effect of intervention on tone was assessed by MAS and tardieu scale. Data was recorded and analyzed using statistical test of Wilcoxon and Mann Whitney test. It was found that both groups where equally effective in reducing tone. Conclusion: This study concludes that MFR and MET both are equally effective in reducing calf muscle spasticity in spastic diplegic cerebral palsy.