Efficacy of Adjustable Abduction Spreader Bar in Correction of Adduction Deformity of the Hip in Spastic Diplegic Cerebral Palsy Children
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- Category: Vol. 78, December 2010
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Efficacy of Adjustable Abduction Spreader Bar in Correction of Adduction Deformity of the Hip in Spastic Diplegic Cerebral Palsy Children,AHMED M. AZZAM
Abstract
Objective: The aim of this work was to show the effect of adjustable abduction spreader bar in improvement of hip stability, motor control, decrease tightness of hip adductors and increase range of hip in abduction.
Method: Thirty children were enrolled in this study and randomly assigned into two groups of equal number: Group A (traditional physiotherapy program plus adjustable abduction spreader bar ) and group B (traditional physiotherapy program only). Both groups had tightness of hip adductors, decrease in ROM in abduction, all of the children can stand with support and all children who had surgical release of tightness are excluded from the study. Standard plastic goniometer was used to detect and follow hip abduction, tape measure was used to measure the knee to knee distance in the point of abduction limitation and flexibility tests was used to detect hip adductor flexibility. These measurement were taken before initial treatment and after 12 weeks post treatment. The children parents in group A were instructed to wear adjustable abduction spreader bar during standing and sleep.
Results: Data analysis were available on 30 spastic diplegic CP children and it was insignificant difference in the variables related to age, sex (p>0.05). The mean value of hip abduction pre and post treatment for the right lower limb was highly statistical significant difference (p<0.01) for the study group while statistically non significant difference (p>0.05) to the right lower limb in group (B). On the other hand there was a highly statistical significant difference of the (Lt) lower limb pre and post treatment in the study group (p<0.01) and significant difference to the (Lt) lower limb in the control group (p<0.05). The mean value of distance between both knees being highly statistical significant pronounced (p<0.01) in the traditional PT plus adjustable abduction bar group than traditional only (p<0.05).
Conclusion: The use of traditional physiotherapy program plus adjustable abduction spreader bar are superior to traditional physiotherapy alone for all measurements that include hip mobility and hip adductor flexibility after 12 weeks follow-up.