Effect of Matrix Rhythm Therapy in B/L Adductor Muscle Tightness in Pediatric Cerebral Palsy: A Case Report

Abstract

Cerebral palsy describes a group of chronic disorders that affect a person's ability to control body movement and posture, occurring in two to six cases in 1000 births. There are many types of cerebral palsy, of which spastic cerebral palsy is the most common form and is the type seen in 75 to 80 percent of cases. Spasticity is a common symptom seen after upper motor neuron syndrome. Spasticity due to neurological disorders such as cerebral palsy results from a significant increase in muscle tone and muscle tightness, limiting movement and joint mobility. Tight muscles cause a decrease in range of motion and limited joint mobility. This leads to an abnormal gait commonly observed as scissors, with 1 foot crossing in front of the other at each step. There are different physical therapies and modalities used in the treatment of muscle tightness caused by cerebral palsy, but have not yielded satisfactory results. The tightness of the bilateral adductors also influences the calf muscle, pulling the toes toward the ground and lifting the heel from the affected floor. The most commonly used techniques are passive stretching. Passive stretching uses an external force applied by the therapist to stretch the tense muscles. It shouldn't be painful, and excessive stretching can cause muscle damage. This stretching position is maintained for about 30 seconds and repeated several times to maintain the length. According to physical medicine and rehabilitation clinics in North America, passive stretching alone is not effective in improving long-term muscle tightness in children with cerebral palsy. Although passive stretching continues to be common among the long-standing component of physiotherapy programs, research has not proven effective over the long term. Passive stretching combined with active exercise has also shown little benefit in improving muscle strength. There is no specific division used which has shown an advantage in sealing the adductor muscles. Therefore, we need to look for new feelings in physical modalities or techniques that can show long-term results on muscle oppression. Reliable and valid tools should be used should be used to accurately assess spasticity in clinical practice and for research purposes. Results from several studies have shown that the interrater and intra-rater reliability of the modified Ashworth scale stated that repetition of measurements by the same physiotherapist and experience may not affect the reliability of the scale modified from Ashworth. The modified BohannonSmith Ashworth scale (MAS) was recently modified and is an ordinal measure of spasticity, which ranks the intensity of spasticity from 0 to 4. Recent studies on the modified modified Ashworth scale (MMAS) are a reliable measure to assess spasticity of the upper or lower limbs of patients with spasticity. Therefore, in this study, we used the modified Ashworth scale to record the basic study data. Matrix rhythm therapy is a basic therapy method to maintain good body health (prevention) and to support healing of musculoskeletal, postoperative and rehabilitation problems. Deficient energy metabolism at the cellular level during illness must be normalized prior to adequate therapy. Rhythmic matrix therapy Cell metabolism can be rehabilitated before subsequent gross exercises which will move and train the muscles. It also helps to cure pain and readjust the dynamic balance shifted at the cellular biological level and this healing must be activated at the cellular level.