Efficacy of Mesh Glove Sensory Stimulation on Spasticity Control in Hemiplegic C.P.

Objectives: The aim of this work was to show the effect of mesh glove sensory stimulation on spasticity control in hemiplegic C.P children.

Method: Thirty children were enrolled in this study and randomly assigned into two groups; group A(mesh glove sensory stimulation plus traditional physiotherapy program) and group B(traditional physiotherapy program only). Modified ash worth scale was used to detect and follow spasticity control. This measurement was taken before initial treatment and after 12 weeks post treatment. The children parents in( group A) were instructed to complete 3 hours of home routine program.

Results : Data analysis were available on 30 spastic hemiplegic C.P children and the mean values of the modified ash worth scale grading pre and post treatment in both groups were non statistical significant difference (p >0.05). Mean values of the modified ash worth scale grading in study group pre and post treatment were highly statistical significant differences p<.0001 while the mean values of the modified ashworth scale grading in the control group pre and post treatment were statistical significant differenc p<.05 .The improvement of the spasticity control according to modified ash worth scale in the study group more pronounced than the improvement of the control group.

Conclusion: The combined effect of physiotherapy training plus mesh glove sensory stimulation are recommended to overcome the lack of hand sensory feed- back and lack of its representation in brain.