Relations between Knee Joint Range of Motion and Growth Motor Function Measure in Children with Hemiplegic Cerebral Palsy, MOSTAFA M. MOSTAFA, KHALED A. MAMDOUH, SHAIMAA ABDALGELEEL and RADWA S. ABDULRAHMAN
Abstract
Background: Knee contracture is a frequent problem in cerebral palsy (CP) child due to spasticity. Aim of Study: To determine the effect of therapeutic ultrasound in addition to passive stretching on knee joint range of motion (ROM) in children with HCP (hemiplegic CP). Material and Methods: Sixty HCP children, were suffering from knee joint flexion deformity due to hamstrings muscle tightness and their ages ranged from 4 and 6 years old. They were divided into two equal groups.Control group received traditional treatment in addition to stretching while study group received the same program in addition to therapeutic ultrasound 3 times per week for 3 months. Patients in both groups were assessed by Absolute + AxisTM Digital Goniometer and Growth Motor Function Measure (GMFM-88&66) before treatment and after 12 weeks. Results: There is a strong positive significant correlation between ROM and GMFM post treatment in study group (r=0.95, p=0.0001) when compared with the control group (r=0.85, p=0.0001). Conclusion: There was a signficant improvement in knee ROM and gross motor functions infavour the study group.