To Evaluate the Effectiveness of TBTS – A Novel Device to do Self-Stretching of Gastroc-Soleus Muscle in Patients with Equinus Deformity
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 6
Abstract
Introduction: Various methods have been used for management of equinus deformity. However, stretching gastroc-soleus muscle and achilles tendon is a difficult task. It is labour intensive, which makes the provision of treatment difficult for many patients. Aim: To study the effectiveness of Tension Bar Tendon Stretch (TBTS) compared to conventional stretching in patients with equinus deformity in terms of improvement in equinus angle and spasticity. Materials and Methods: A prospective randomised case control study was done on 16 patients of both the sexes in the age group four years to 56 years. Patients were stratified based on presence or absence of spasticity. Patients were further randomly allotted to the study or control group. Study group received stretching with TBTS in addition to the conventional rehabilitation programme. Patients were assessed in terms of improvement in equinus deformity and spasticity (modified Ashworth scale). These indices were measured at 0 month (pretreatment), 1 month (post-treatment), and 6 months (follow up). Results: Equinus deformity in patients with spastic equinus changed from 22.4° to 12° in study group while in control group change was from 21° to 17°. The difference was statistically significant with p-value of 0.001. Non-spastic (post accidental) changed from 30° to 15° in study group while in control group change was from 31° to 23° with p-value of 0.001. Modified Ashworth Score (MAS) was assessed only in spastic equinus, while in study group MAS changed from 2.8 to 1.5 and MAS change was 2.6 to 2 in control group; this difference after six months of therapy was statistically significant with a p-value of 0.001. Conclusion: TBTS can be an effective tool in rehabilitation of patients having equinus deformity; it provides an effective and patient controlled stretching and no need for a physical therapist. TBTS is a novel but simple instrument that can be made locally by the patient or the family
Authors and Affiliations
Tufail Muzaffar, Abdul Hamid Rather, Kaleem ul Haque, Sheikh Javeed Ahmad
Keywords
Related Articles
- EP ID EP350708
- DOI 10.7860/JCDR/2017/27626.10093
- Views 82
- Downloads 0
Bilateral Single System Orthotopic Ureterocele with Bilateral Multiple Calculi Presented with Retention of Urine - an Urological Emergency
The ureterocele is an uncommon congenital anomaly of the lower ureter. Ureterocele with a single pelvicalyceal system, bilateral, and orthotopic variety is less common. Calculi within bilateral ureterocele are a rare occ...
The Efficacy of Plaque Control by Various Toothbrushing Techniques-A Systematic Review and Meta-Analysis
ABSTRACT Introduction: Efficient removal of dental plaque plays a key role in the maintenance of oral health. Dental Plaque is responsible for the occurrence of dental caries and periodontal diseases. Aim: To compare the...
Permanent Maxillary Central Incisor with Dilacerated Crown and Root and C-Shaped Root Canal
Dilaceration is a rare disturbance in traumatised permanent teeth, which constitutes about 3% of the injuries to developing teeth. It usually occurs as a result of trauma to the deciduous predecessors and results in non...
To Evaluate the Correlation Between Skeletal and Dental Parameters to the Amount of Crowding in Class II Div. 1 Malocclusions
Introduction: Crowding of teeth is one of the most common problem that motivates the patient to seek orthodontic treatment. Determination of etiology of crowding could have a significant effect on treatment planning and...
Role of CD10 Immunoexpression in Grading Phyllodes Tumour of the Breast
Introduction: Fibroepithelial tumours are a heterogeneous group of biphasic neoplasms consisting of a proliferation of both epithelial and stromal components. Fibroadenoma (FA) and Phyllodes Tumour (PT) constitute the ma...