الفهرس Only 14 pages are availabe for public view
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Abstract
Introduction: Spastic cerebral palsy affects the ankle joint function as a result of calf muscles hypertonia and joint stiffness, leading to a decline of the gross motor abilities. Kinesio Tape application with its various techniques is showing promising results regards increasing joint ranges of motion and inhibiting muscular spasticity. Objective: To compare between the muscle inhibitory and the functional corrective Kinesio Taping techniques on ankle range of motion, spasticity and gross motor functional abilities in children with spastic cerebral palsy. Patients and methods: the study was carried out on thirty two children with spastic cerebral palsy selected from the outpatient clinic of the Faculty of physical therapy Cairo university for three months , the children was on level II according to gross motor function classification System and their developmental age ranged from nine to twelve months according to peabody developmental motor scale and chronological age ranged from two to four years; angle of ankle dorsiflexion range of motion was measured using digital goniometer ; Hoffman reflex to muscle response ratio was used to asses spasticity of calf muscle and peabody developmental gross motor scale was used to assess the gross motor function. Kinesio tape was applied in two various techniques which were muscle inhibitory and functional corrective. Results: the study revealed that in both kinesio tape techniques there is an increase in the ankle range of motion, an inhibition in the calf muscle spasticity and improvement in the gross motor functional abilities, however comparing two techniques, the functional corrective was revealed to be clinically more effective than the muscle inhibitory concerning increasing ankle range of motion and inhibiting calf muscular spasticity, however there was no difference between the two techniques in the gross motor functions