The Impact of Myofascial Release Therapy and Deep Oscillation Therapy on Hamstring Muscle Length and tone in Children with Spastic Cerebral Palsy: A Comparative Study
DOI:
https://doi.org/10.37506/x165sq15Keywords:
Myofascial release, Deep Oscillation Therapy, Spastic Hamstring muscle, Spastic cerebral palsy, passive range of motion.Abstract
BACKGROUND: As a result of restricted joint range of motion due to spasticity in patients with spastic cerebral
palsy, the patient’s ability to regain normal functioning may be hindered.
PURPOSE: To evaluate the effectiveness of Myofascial Release Therapy (MFR) versus Deep Oscillation Therapy
(DOT) in helping children with spastic cerebral palsy to relax and extend their hamstring range of motion.
METHODOLOGY: A total of 32 individuals with spastic cerebral palsy, aged 2 to 10, were recruited for this
comparative experimental study through a method of random sampling. Sixteen subjects were assigned to each
group. Group 1(N=16) received two sessions of MFR with conventional exercise per day, whereas Group 2(N=16)
received a single session of DOT with conventional exercise per day. Throughout the course of four weeks, both
groups got therapy five days per week. A universal goniometer was used to compare the knee extension passive
range of motion (PROM), active range of motion (AROM), and Popliteal angle (POP angle) measurements between
the pre- and post-treatment periods. Statistical analyses were conducted using ANOVA 2×2 and Post hoc
tables.
RESULT: Both groups’ post-mean values for each of the dependent variables (AROM, PROM, and POP angle)
statistically improved (p< 0.05). Both groups’ mean differences in the PROM and POP angles were statistically
significant, and Group 1’s spastic hamstring muscle was more improved than Group 2’s, but both groups’ AROM
showed almost equal improvement.
CONCLUSION: In children with spastic cerebral palsy, both MFR and DOT, when combined with conventional
therapy, reduce spasticity and increase length (AROM & PROM) in the hamstring muscle. However, our study
clearly shows that MFR is more successful than DOT.
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