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THERAPEUTIC EFFICACY OF OPEN VERSUS CLOSED KINETIC STRENTH TRAINING WITH BILATERAL AFO FOR THE TREATMENT OF SPASTICITY DIPLEGICS GAIT  CONDITIONS -COMPARATIVE STUDY
EP30414
Poster Title: THERAPEUTIC EFFICACY OF OPEN VERSUS CLOSED KINETIC STRENTH TRAINING WITH BILATERAL AFO FOR THE TREATMENT OF SPASTICITY DIPLEGICS GAIT CONDITIONS -COMPARATIVE STUDY
Submitted on 04 Aug 2019
Author(s): Karthikeyan T
Affiliations: NIMHANS
This poster was presented at NATIONAL CONFERENCE ASSISTIVE TECHNOLOGY FOR ALL 2030 NIMHANS CONVENTION CENTER BANGALORE INDIA
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Abstract: Background: It is nonprogressive neurological disorder mainly affecting human locomotor systems. Functional Resistance Training is slowing gaining recognition among the Physiotherapist dealing with Cerebral Palsy. However the practical application of this compound strength training has not studied yet in developing the ambulatory skills of Spastic Diplegics. Objectives: To study the efficacy of 'functional resistance training with bilateral AFO ' and compare it with conventional 'symptom based treatment approach' in improving gait parameters of spastic diplegics aged between 6 - 14 years. Materials and Methods: Single blinded experimental, comparative study done at DEIC, Malappuram. 30 numbers of Conveniently chosen Spastic Diplegics aged below 14 years were randomly divided into 2 groups. Group A & B (Experimental and Conventional respectively) were intervened for 90 Minutes of therapy regularly for 4 months. GMFM 66, Stride length, Step length and Cadence were considered as the outcome measures. Pre and Post intervention values were tabulated and treated statistically using 't tests'. Results: Both the groups shown improvement after intervention. Inter-group comparison done using 'independent t test' reveals statistically significant progress in experimental group (GMFM (P=0.001), Stride length (P=<0.001) and step length (P=<0.001), and cadence compared to Group B. Conclusion: The results of this study indicate that closed kinetic strength training with bilateral AFO is better than open kinetic approach to develop gait skills of spastic diplegic cerebral palsy.

Summary: The results of this study indicate that closed kinetic strength training with bilateral AFO is better than open kinetic approach to develop gait skills of spastic diplegic cerebral palsy.References: Eek MN.Tranberg R.Beckung E.Muscle strength and kinetic gait pattern in children with bilateral spastic CP. Gait & Posture .2010;33:333–337
2. Smania N. Improved gait after repetitive locomotor training in children with cerebral palsy. AMJ Physical Medicine Rehabilitation. 2011
3. Bax M, Goldstein M, Rosenbaum, et al. Proposed definition and classification of cerebral palsy. Developmental Medicine & Child Neurology. April 2005; 47:571- 576
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