IJPR.2017.260

Type of Article:  Original Research

Volume 6; Issue 1 (February 2018)

Page No.: 2595-2599

DOI: https://dx.doi.org/10.16965/ijpr.2017.260

A STUDY TO FIND THE EFFECTIVENESS OF CRYOTHERAPY WITH TASK ORIENTED TRAINING IN IMPROVING UPPER LIMB FUNCTION IN HEMIPLEGIC CEREBRAL PALSY

Satheeskumar Durairaj 1, Dhaneshkumar K.U 2, Rajasenthil K *3, Ajay Thakur 4.

1 PhD Research Scholar, NITTE institute of Physiotherapy, NITTE University, Mangalore, Karnataka, India.

2 Professor, NITTE institute of Physiotherapy, NITTE University, Mangalore, Karnataka, India.

3 Professor, PPG College of Physiotherapy, Coimbatore, Tamil Nadu, India.

4 Associate professor, NITTE institute of Physiotherapy, NITTE University, Mangalore, Karnataka, India.

Corresponding author: Prof. Rajasenthil K, Professor, PPG College of Physiotherapy, 9/1, Keeranatham road, Saravanampatti, Coimbatore, Tamil Nadu, India, Pincode 641065. E-Mail: rajasenthil1996@gmail.com

ABSTRACT

Background: The cryotherapy is one of the short terms benefit producing physiotherapeutic intervention on spasticity in neurological patients. Task oriented training (TOT) is used to facilitate functional control and overcome disability in hemiplegic cerebral palsy children (HCP).

Objectives of the study: to find out the effectiveness of cryotherapy with task oriented training in improving upper limb sensory function in HCP children.

Methods: This is a single group study design, included 30 diagnosed case of hemiplegic cerebral palsy children and undergone cryotherapy with task oriented training for 8 weeks. The outcome measures were modified Tardieu’s scale (MTS), tactile registration and quality of upper extremity skill test (QUEST). All the measures were taken before the intervention for pretest, and posttest at the end of 2nd month.

Results: reduction of shoulder adductor and elbow flexor spasticity in MTS, improvement in tactile registration function in Semmes-Weinstien monofilament and increment in grasp function in QUEST scale were statistically significant at p<0.05 level.

Conclusion: the cryotherapy combined with task oriented training effective to improve upper limb function in HCP children but it requires further study to explore the intervention efficacy.

Key words: Cold Pack, task, cerebral palsy, hand function.

REFERENCES

  1. Gorter, J. W., Rosenbaum, P. L., Hanna, S. E., Palisano, R. J., Bartlett, D. J., Russell, D. J., Walter, S. D., Raina, P., Galuppi, B. E. and Wood MD, E. Limb distribution, motor impairment, and functional classification of cerebral palsy. Developmental Medicine & Child Neurology. 2004;46: 461–467.
  2. Gracies, J.-M. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve. 2005; 31: 535–551.
  3. Beaman, J., Kalisperis, F.R., and Miller-Skomorucha, K. The infant and child with cerebral palsy. in: J. Tecklin (Ed.) Pediatric physical therapy. 5 ed. Lippincott Williams & Wilkins, Sydney. 2015: 187–246.
  4. Umphred DA, McCormack GL. Classification of common facilitatory and inhibitory treatment techniques. In: Neurological Rehabilitation. Umphred DA, editor. Missouri: Mosby; 1990. pp. 111–61.
  5. Min-Hee Park, Jong-Im Won. The effects of task-oriented training with altered sensory input on balance in patients with chronic stroke. J. Phys. Ther. Sci. 2017; 29: 1208–1211.
  6. Green, M.E. Chambers, D.A. Sugden, Does subtype of developmental coordination disorder count: Is there a differential effect on outcome following intervention?, In Human Movement Science. 2008; 27(2): 363-382.
  7. Allison SC, Abraham LD. Sensitivity of qualitative and quantitative spasticity measures to clinical treatment with cryotherapy. Int J Rehabil Res. 2001;24(1):15-24.
  8. Laura K. B, Doreen J. B. Validity and Reliability of Two Abbreviated Versions of the Gross Motor Function Measure. Physical Therapy. 2011; 91 (4): 577–588.
  9. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, Beckung E, Arner M, Ohrvall AM, et.al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Developmental Medicine & Child Neurology. 2006; 48(7): 549–554.
  10. Thorley M, Lannin N, Cusick A, Novak I, Boyd R.Reliability of the Quality of Upper Extremity Skills Test for Children with Cerebral Palsy Aged 2 to 12 Years. Physical and Occupational Therapy in Pediatrics. 2012;32(1):4-21.
  11. Numanoglu A., GunelM.K..Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. ActaOrthopTraumatolTurc. 2012;46(3):196-200.
  12. Auld ML, Boyd R, Moseley GL, Ware R, Johnston LM. Tactile function in children with unilateral cerebral palsy compared to typically developing children. Disability Rehabilitation. 2012;34(17): 1488-94.
  13. Breslin M, Lam P, Murrell GAC. Acute effects of cold therapy on knee skin surface temperature: gel pack versus ice bag. BMJ Open Sport Exerc Med 2015;1: e000037.
  14. Warren CG, Lehman JF, Koblanski JN. Elongation of rat tail tendon: effect of load and temperature. Arch Phys Med Rehabil. 1971;52(10):465–74.
  15. Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med. 2007;41(6):365-369.
  16. Furmanek MP, Słomka K, Juras G. The Effects of Cryotherapy on Proprioception System. BioMed Research International. 2014; Article ID 696397, 14 pages. doi:10.1155/2014/696397.
  17. Hopkins JT, Ingersoll CD, Edwards J, Klootwyk TE. Cryotherapy and Transcutaneous Electric Neuromuscular Stimulation Decrease Arthrogenic Muscle Inhibition of the Vastus Medialis After Knee Joint Effusion. Journal of Athletic Training. 2002;37(1):25-31.
  18. Rubley MD, Denegar CR, Buckley WE, Newell KM. Cryotherapy, Sensation, and Isometric-Force Variability. Journal of Athletic Training. 2003;38(2):113-119.
  19. Chiang-Soon S. Effects of Task-oriented Approach on Affected Arm Function in Children with Spastic Hemiplegia Due to Cerebral Palsy. J PhysTher Sci. 2014;26:797-800.

Cite this article: Satheeskumar Durairaj, Dhaneshkumar K.U, Rajasenthil K, Ajay Thakur. A STUDY TO FIND THE EFFECTIVENESS OF CRYOTHERAPY WITH TASK ORIENTED TRAINING IN IMPROVING UPPER LIMB FUNCTION IN HEMIPLEGIC CEREBRAL PALSY. Int J Physiother Res 2018;6(1):2595-2599. DOI: 10.16965/ijpr.2017.260