DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20172657

Efficacy of sub-occipital muscles decompression techniques in restoring functional walking capacity in hemiplegic cerebral palsy children

Ahmed M. Azam

Abstract


Background: This work was carried out to investigate the efficacy of sub-occipital muscles decompression in restoring functional walking capacity in hemiplegic cerebral palsy children.

Methods: Thirty children were enrolled in this study and randomly assigned into two groups; group A (sub-occipital muscles decompression techniques plus traditional physiotherapy program) and group B (Traditional physiotherapy program only). 6 minutes walking test (6MWT) was used to quantify, evaluate and follow functional walking capacity also flexibility tests were used to detect and follow hamestring and calf muscles elasticity. This measurement was taken before treatment and after 12 weeks of treatment for all patients. The children parents in both groups A and B were instructed to complete 3 hours of home routine program.

Results: Data analysis was available on the 30 hemiplegic cerebral palsy children participated in the study. No significant difference was recorded between the mean values of all parameter of the two groups before treatment. By comparison of the two groups 'results after treatment there was significant improvement in functional walking capacity in favor of the study group. The difference between pre-and post-treatment results of each group was significant.

Conclusions: According to the results of this study supported by the relevant literature it can be concluded that the combined effect of physiotherapy training program in addition to sub-occipital muscles decompression techniques can be recommended in restoring functional walking capacity in hemiplegic cerebral palsy children. 


Keywords


Functional walking capacity, Hemiplegic cerebral palsy, Sub-occipital muscles decompression

Full Text:

PDF

References


Turner D, Gossman RM, Nicholson CG and Lemons J. Comparison of cyclic and sustained passive stretching using a mechanical device to increase resting length of hamstring muscles. Physical Therapy. 1988;69:314-20.

Spernoga SG, Uhl T, Arnold BL. Duration of maintained hamstring flexibility after a one- time modified hold- relax stretching protocol. J Athletic Training. 2001;36:44-8.

Waseem M, Inhumane S, Ram CS. Efficacy of muscle energy technique on hamstring muscles flexibility in normal Indian collegiate males. Calicut Med J. 2009;7:4.

Robert Schleip. How upper neck muscles influence hamstring length. J bodywork movement therapies. J Manipulative Physiologic Therap. 1997;20:443-7.

Aderonke O, Bakere U, Adegoke BOA. Influence of age on hamstring tightness in apparently healthy Nigerians. J Nig Soc Physiother. 2005;15:35-41.

Kendall FP, McCreary Ek, Provance PG, Rodgers MM, Romani WA. Muscles. Testing and Function with Posture and Pain. Lippincott, Williams and Wilkins. 5th ed; 2005.

Chaitow L, DeLany J. clinical application of neuromuscular techniques the upper body. Churchill Livingstone; 2000:1.

McPartland JM, Brodeur RR. Rectus capitis posterior minor: a small but important suboccipital muscle. J Body Work and Movement Therapy. 1999;3(1):30-5.

Rae PS, Waddell G, Venner RM. A simple technique for measuring spinal flexion: its use in orthopedic practice. J R Coll Surg Edinb. 1984;29: 281-4.

Schlelp R. Roltlng and the neuro-myofascial net. Boulder: Rolflines; 1996.

Aparicio EQ, Quirante LB, Blanco CR, Sendin FA. Immediate effects of the suboccipital muscle inhibition technique in subjects with short hamstring syndrome. J Manipulative Physiol Ther. 2009;32(4):262-9.

Strauss D, Brooks J, RosenB R, Shavelle R. Life Expectancy in cerebral palsy: an update. Dev Med Child Neurol. 2008;50:487-93.

Van ZB, Miller M, Russo R, MurchL S, Crotty MM. Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the Assessment of Motor and Process Skills. Dev Med Child Neurol. 2006;48(9):723-7.