Background- Spasticity following stroke is often associated with pain, soft tissue stiffness, decreased quality of life, increased treatment cost, and increased caregiver burden. Myofascial release is a new approach to relieve spasticity. It may act in the future as a facilitator and intensifier of treatment for a more consistent effect. Also, Inhibition techniques are used in spastic patients. In tendinous pressure, manual pressure is applied to the tendinous insertion of the muscle or across long tendons produces an inhibitory effect. AIM- To To find the immediate effect of tendinous pressure technique versus myofascial release in the reduction of spasticity. METHOD- The study was conducted in Vikhe Patil Hospital, Physiotherapy OPD, and Phuntamba Stroke Center. It was a cross over study conducted on spastic stroke patients using a purposive sampling method. Twenty-seven patients were included in the study. The duration of the study was of 6 months. Modified Tardieu scale was the outcome measure used at pre, and post-treatment measurement and the subject was treated with both the techniques with 2 hours of the interval to see which of the technique is more beneficial for reducing spasticity. RESULT-Result of within-group analysis of pre and post-treatment measurement of myofascial release showed clinical and statistical significance, but muscle reaction testing (X) showed no significant difference in MTS whereas the result of within-group analysis of pre and post-treatment measurement, and muscle reaction testing (X) of tendinous pressure showed clinical and statistically significant improvement in MTS. The result of between the post-treatment measurement and muscle reaction testing of myofascial release and tendinous pressure showed no significant difference. In contrast, muscle reaction testing showed a significant difference in MTS of both the techniques. CONCLUSION-So the conclusion can be made that tendinous pressure is more effective as compared to MFR in reducing the spasticity of stroke patients.
This is a follow up case report of male child with West Syndrome, brought to Physiotherapy department at the age of 1 year with a chief complaint of unable to transit to sitting, standing and walking. He had poor ability to focus and orient to environment and poor somatosensory, kinesthetic, and proprioceptive awareness throughout his body. Parents also complained that he becomes aggressive and irritated on moving surfaces. Treatment strategies were targeted towards specific impairments of the sensory, neuromuscular, and musculoskeletal systems to improve his gross motor abilities. At the early age of 1 year the score of GMFM was 3.98% and GMFCS level was V. At the age of 5 years there was increase in score of GMFM with 84.07% and GMFCS changed to level II indicating level of independence is also improved. This suggest that participation of a child with West Syndrome can be improved with combine sensory motor approach.
Background: Balance is defined as the ability to maintain a position within the limits of stability or base of support. It is indicated that postural control system plays an important role in maintenance of balance on the small support base. The complexity of balancing processes makes it challenging to assess balancing abilities in a concise, holistic approach. This study extends previous efforts by reviewing a large number of papers that use of various mechanical tools to assess postural balance and by providing a detailed overview of the common mechanical tools used to assess postural balance and gait.Methods: We searched the electronic database. The literature search produced a total of 302 items. After removal of duplicates, posters, other studies not mention mechanical tools to evaluate static and dynamic balance in clinical conditions, 28 papers met the inclusion criteria for this review.Results: This search selected 7 tools to assess trunk control in various clinical conditions: Inertial balance sensor, Computerised dynamic posturography, Biodex Balance System, Force plate., MatScan® pressure mat, Microsoft Kinect's built-in RGB-D sensor and Clinical Test of sensory integration using Chinese lantern.
Conclusion:Inertial as well as Microsoft Kinect's built-in RGB-D sensors are cost effective, time effective, does not need a specific set up, analysis static balance as well as the gait parameters. This can therefore be chosen over other mechanical tools due to its better convenience and efficiency.
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