“EFFECT OF MYOFASCIAL RELEASE ON SPASTIC MUSCLES AND FUNCTIONAL OUTCOME IN CHRONIC STROKE SUBJECT”- A RANDOMIZED CONTROL TRIAL

Abstract

Background: Stroke is damage to the brain from interruption of blood supply causing altered sensations, reduced muscle power and tone, reduced joint mobility and stability, balance, gait impairment leading to plegia or paresis. Hemiplegia causes paralysis of one side of the body leading to inactivity, impaired movements, posture and gait pattern. Spasticity is increase in tonic stretch reexes with exaggerated tendon jerks. Myofascial release is a manipulative treatment that helps reduce fascial tension. Purpose:The aim of study was to nd out the effectiveness of Myofascial Release on spasticity of hamstrings, calf, adductors and biceps muscles in spastic hemiplegic subject. Methodology:Atotal 30 participants of middle aged group were diagnosed with chronic spastic hemiplegia. They were divided in two groups by randomized sampling, of which 15 (controlled group) and 15 (experimental group) who were treated with MFR and conventional treatment. Pre and Post treatment measures of Modied Ashworth Scale, Modied Tardieu Scale, Functional Independence Measure and Berg Balance Scale were evaluated. MFR was given to hamstrings, calf, adductors and biceps muscles for 5 days a week for 12 weeks. Result: MFR and conventional physiotherapy treatment had an excellent effect on the experimental group as compared to the controlled group. Conclusion: The current study concludes that MFR along with conventional treatment has signicant effect in reducing spasticity and improving the functional activities