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A Comparitive Study on the efficacy of Cryostretches Versus Hold- Relax on Plantar Flexors Spasticity in the Subjects with Stroke


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1 Neuro, MIAP, SVIMS, Tirupathi, Andhra Pradesh, India
     

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Aim of The Study: To evaluate the efficacy of cryostretches versus hold-relax on plantar flexors spasticity in the subjects with stroke.

Objectives of the Study: • To evaluate the efficacy of cryostretches on plantar flexors spasticity in the subjects with stroke. • To evaluate the efficacy of hold-relax on plantar flexors spasticity in the subjects with stroke. • To compare the efficacy of cryostretches and hold-relax on plantar flexors spasticity in the subjects with stroke.

Methodology: 30 hemiplegic patients were divided into two groups, Group-1 received cryostretches (n=15). It contains 20 min of cooling, followed by 5-6 repetitions of 65 sec stretches are applied with a 20 sec rest between the stretches with three 5 sec isometric contractions interspersed through out the stretch, and Group II with hold- relax (n=15), in this the plantar flexors was made to contract isometrically for 6-8 sec, followed by immediate relaxation during which the muscle was taken into new lengthened position (dorsiflexion) which was held for 10 sec; it was repeated 5-6 times with a rest period of 20 sec between each stretch, for a period of 6 days in a week for 6 weeks.

Statistical Analysis: Paired T- test and Unpaired T-test has been carried out to observe the treatment impact with in the groups and between the groups before and after the treatment.

Results: After a 6 week treatment period, the subjects in the Group I (cryostretches) compared with the subjects in the Group II (Hold-relax) had shown a statistically significant improvement with the out come measures at 0.05 level.

Conclusion: Cryostretches was found much effective in reducing spasticity which helps to enhance and upgrade functional outcome of the patients.


Keywords

Spasticity, Stroke, Cryostretches, Hold - Relax
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  • Alan K. Stretching and flexibility. Health News, Features & Webcasts.2002; Retrieved May 27, fromhttp:www.sciencedaily.com/health/feed= features & category = fitness & article = fitness stretching flexibility.
  • American College of Sports Medicine: The recommended quantity & quality of exercise for developing & maintaining cardiopulmonary and muscular fitness and flexibility in healthy adults. Med.S.G.Sports Exercise.1998; 30: 975-991.
  • Joseph H. Biomechanical basis of human movement. 2nd edition. USA: Williams and Wilkins ; 2003.
  • Vivian HH: Human kinetics: Advanced fitness assessment and exercise prescription. 2nd edition; 2007.
  • Oatis C A. Kinesiology: The mechanics and pathomechanics of human movement. Philadelphia: Lippincott Williams and Wilkins; 2004.
  • Abelson Brian, Abelson K. Release your pain. Resolving repetitive strain injuries with active release technique. Rowan Tree books limited; 2006.
  • Cottingham JT: Healing through touch: a history and review of the physiological evidence. Rolf Institute: Boulder, Colo; 1985.
  • Rolf IP: Structural Integration: A contribution to the understanding of stress. Confin Psychiatr. 1973; 16(2):69.
  • Leahy P M. Active Release Techniques. LLP: Colorado Springs; 1996.
  • Rolf IP. Rolfing: The integration of human structures. Santa Monica, Calif: Dennis-Landman Publications; 1977.
  • Mackenzie B. Sit and Reach test. (2000). Available from http:www.brianmac.co.uk/sitreach.htm.
  • Watkins MA, Riddle DL, Lamb RL, et al. Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Phys Ther 1991;71:90
  • Coughlin P: Principles and Practice of Manual Therapeutics; Churchill Livingstone.
  • Oschman JL: Reading on the scientific basis of bodywork, Dover, NH, 1997, Nature’s Own Research Association.
  • Cottingham JT , Maitland JA: Three-paradigm treatment model using soft tissue mobilisation and guided movement awareness techniques for a patient with chronic low back pain: a case study, J Orthop Sports Phys Ther. 1997; 26:155.
  • Deutsch J, Derr LL, Judd P, Reuven B. Treatment of chronic pain through the use of Structural Integration (Rolfing) Orthopedic Physical Therapy Clinics of North America 2000; 9(3): 411-427
  • James H, Castaneda L, Miller MM, Findley T. Rolfing structural integration treatment of cervical spine dysfunction. Journal of Bodywork Movement Therapy, 2008.
  • Findley T, Quigley K, Maney M, Chaudhry H, Agbaje I. Improvement in balance with Structural Integration (Rolfing): a controlled case series in persons with myofascial pain. (Poster 147) American Academy of Physical Medicine and Rehabilitation, October 9, 2004, Phoenix, Arizona. Arch Phys Med Rehabil 2004; 85(9): E34.
  • Improvement in balance with Structural Integration (Rolfing): A controlled case series in persons with myofascial pain. American Academy of Physical Medicine and Rehabilitation, October 9, 2004, Phoenix Arizona. Archives of Physical Medicine and Rehabilitation 85(9):e34, Sep 2004.
  • Le Viet D, et al. Trigger Finger treatment by ulnar slip resection. J Hand Surg 2004; 29(4):368-373.
  • Oliveira-Campelo NM, Rubens-Rebelatto J, Martin-Vallejo FJ et al. The immediate effects of atlanto-occipital joint manipulation and suboccipital muscle inhibition technique on active mouth opening and pressure pain sensitivity over latent myofascial trigger points in masticatory muscles. J. Orthop Sports Phys Ther. 2010; 40(5) : 310-7.
  • Andrew Robb. Immediate effect on pain thresholds using Active release technique on adductor strains: Pilot study. Journal of Bodywork and Movement Therapies. January 2011; 15(1):457-62.
  • James W. George. The effects of active release technique on carpal tunnel patients. Journal of Chiropractic Medicine. 2006; 5(4):119-122.

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  • A Comparitive Study on the efficacy of Cryostretches Versus Hold- Relax on Plantar Flexors Spasticity in the Subjects with Stroke

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Authors

Suvarna Devi Avilala
Neuro, MIAP, SVIMS, Tirupathi, Andhra Pradesh, India
Sri Kumari
Neuro, MIAP, SVIMS, Tirupathi, Andhra Pradesh, India

Abstract


Aim of The Study: To evaluate the efficacy of cryostretches versus hold-relax on plantar flexors spasticity in the subjects with stroke.

Objectives of the Study: • To evaluate the efficacy of cryostretches on plantar flexors spasticity in the subjects with stroke. • To evaluate the efficacy of hold-relax on plantar flexors spasticity in the subjects with stroke. • To compare the efficacy of cryostretches and hold-relax on plantar flexors spasticity in the subjects with stroke.

Methodology: 30 hemiplegic patients were divided into two groups, Group-1 received cryostretches (n=15). It contains 20 min of cooling, followed by 5-6 repetitions of 65 sec stretches are applied with a 20 sec rest between the stretches with three 5 sec isometric contractions interspersed through out the stretch, and Group II with hold- relax (n=15), in this the plantar flexors was made to contract isometrically for 6-8 sec, followed by immediate relaxation during which the muscle was taken into new lengthened position (dorsiflexion) which was held for 10 sec; it was repeated 5-6 times with a rest period of 20 sec between each stretch, for a period of 6 days in a week for 6 weeks.

Statistical Analysis: Paired T- test and Unpaired T-test has been carried out to observe the treatment impact with in the groups and between the groups before and after the treatment.

Results: After a 6 week treatment period, the subjects in the Group I (cryostretches) compared with the subjects in the Group II (Hold-relax) had shown a statistically significant improvement with the out come measures at 0.05 level.

Conclusion: Cryostretches was found much effective in reducing spasticity which helps to enhance and upgrade functional outcome of the patients.


Keywords


Spasticity, Stroke, Cryostretches, Hold - Relax

References