Hemiplegic cerebral palsy presents with unilateral impairment of upper and lower limbs, resulting in spasticity and impaired hand function in daily activities. A 4-year-old patient presented with right upper limb spasticity with difficulty in hand function. There are various physical therapy approaches like passive stretching, task-oriented approach, etc. used in cerebral palsy but have not shown satisfactory results. Current study incorporates proprioceptive neuromuscular facilitation-irradiation along with surge faradic therapy, a combination of physical treatment that works on muscle spasticity and strength. No study has been studied for this combination of therapies for the reduction of spasticity cerebral palsy patients. Hence, this study aims at the effectiveness of combined surge faradic stimulation and PNF irradiation on hand functions in hemiplegic cerebral palsy patient. Outcome measures used in study are TCMS to assess trunk control, MAS to assess spasticity and QUEST to assess hand function skills before and after physiotherapeutic intervention. Present study concluded that surge faradic stimulation and PNF irradiation given for wrist extensors has improved hand function skills, decreased spasticity and improved trunk control in hemiplegic cerebral palsy.
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Sant et al. (2022) studied this question.
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