COMPARING THE IMPACT OF VIBRATION THERAPY AND PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION TECHNIQUE ON SPASTICITY REDUCTION AND ENHANCEMENT OF LOWER EXTREMITY FUNCTION IN CHILDREN WITH CEREBRAL PALSY.

Main Article Content

Dr. Rituporna Bhattacharjee1, Dr. Anita Sharma 2, Dr. Anand Kumar Singh2, Dr. Sonali Soumyashree3,

Keywords

FIM – Functional Independence Measurement, MAS – Modified Ashworth Scale, MMAS – Modified Modified Ashworth Scale, MTS – Modified Tardieu Scale

Abstract

Cerebral palsy is a non-progressive condition that primarily affects children before, during, and after birth. The objective of this study was to determine the comparative effectiveness of whole body vibration and the proprioceptive neuromuscular facilitation (PNF) technique in reducing spasticity and improving lower extremity function in children with cerebral palsy. A pre- and post-study design was employed, and 24 subjects with spasticity and weakness in the lower extremities were randomly assigned to two groups. Group A received whole body vibration in conjunction with conventional therapy, while Group B received the proprioceptive neuromuscular facilitation technique known as Hold relax Contract relax, also combined with conventional therapy. The total treatment period lasted for 6 weeks. Significantly greater improvements were observed in Group A, the whole body vibration group, in terms of spasticity (mean difference = MMAS LL = 2.33 and MMAS RL = 2.25) and lower extremity function (mean difference = 31.67), compared to Group B, the proprioceptive neuromuscular facilitation group, in terms of spasticity (mean difference = MMAS LL = 2.91 and MMAS RL = 2.91) and lower extremity function (mean difference = 21.41). Therefore, it can be concluded that whole body vibration is the most effective approach for reducing spasticity and improving lower extremity function in children with cerebral palsy.

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