Efficacy of Different Types of Mulligan Techniques in Management of Children with Spastic Diplegia with Crouch Gait
Shivangi Trivedi,
Snehal Deshpande,
Deepak Kumar
Issue:
Volume 3, Issue 1, February 2017
Pages:
1-4
Received:
7 January 2017
Accepted:
18 January 2017
Published:
6 March 2017
Abstract: Mulligan techniques focus on improving the movement, range of motion and reducing pain on movement in adults. The technique is not inadequately studied in children with cerebral palsy. Three Mulligan techniques i.e. adductor elongation, bent leg raise and rectus elongation was applied in children with diplegic spastic cerebral palsy with crouch gait. Four children with diplegic spastic cerebral palsy with crouch gait participated in a prospective study carried out at SNEH RERC over a period of 12 weeks. Adductor elongation, bent leg raise and rectus elongation treatment was given to each child for an average of 1 hour-3 times a week based on the Mulligan techniques. The primary outcome measures included Thomas Test and Duncan Ely Test (hip flexor angle), adductor spread and Tardieu's scale for hamstrings to measure Popliteal angle and secondary outcome measures included Gross Motor Functional Classification Scale (GMFCS), Silfverskiold test, Ashworth's test for iliopsoas, hamstrings, tendo-achilles and selective motor control for hip, knee and ankle respectively. After the completion of 12 weeks, an application of the three Mulligan techniques showed highly significant changes in the range of hip, knee and ankle as seen using the above outcome measures. Mulligan techniques such as adductor elongation, bent leg raise and rectus elongation may significantly improve mobility of the joint and extensibility of the muscle tissue in children with diplegic spastic cerebral palsy with crouch gait. Further research is warranted in this area.
Abstract: Mulligan techniques focus on improving the movement, range of motion and reducing pain on movement in adults. The technique is not inadequately studied in children with cerebral palsy. Three Mulligan techniques i.e. adductor elongation, bent leg raise and rectus elongation was applied in children with diplegic spastic cerebral palsy with crouch gai...
Show More
