combine effects of ice massage and passive stretching in spastic cp (Full Version)

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ratha78 -> combine effects of ice massage and passive stretching in spastic cp (October 8, 2001 9:45:00 AM)

Thanks for all those gave me suggestions.My refine topic is "Combine effects of Ice massage followed by passive stretching upon hamstring flexibility in a child with spastic CP".Iam getting few literature for stretching but not for ice massage.
THANKS FOR SUPPORTING ME.
RADHA



Andrew M. Ball MS MBA PT -> Re: combine effects of ice massage and passive stretching in spastic cp (October 8, 2001 11:45:00 AM)

You'll want to refine your topic even further (e.g. what about CP are you looking to effect). Anyway, you're on the right track. Your question is at least refined enough to enable some preliminary searches to justify your research. Using MEDLINE, I was able to generate the following:

26 hits under
"Ice Massage"

8 hits under
"Ice Massage" and muscle

1 hit under
"Ice Massage" and muscle

2 hits under
"Ice Massage" and strength

Not everything will be useful, but there's a few that caught my eye. You'll want to try to use the literatrue to justify why you've considered combination therapy, why you've chosen ice massage over another form of cryotherapy, and finally try to find a study that allows for you to suggest a hypotheis based upon existing literature. For example, consider reviewing the following three articles:

Yurtkuran M, Kocagil T. TENS, electroacupuncture and ice massage: comparison of treatment for osteoarthritis of the knee. Am J Acupunct. 1999;27(3-4):133-40.
(This article demonstrates that other studies have examined the use of combination therapy including ice massage)


Zemke JE, Andersen JC, Guion WK, McMillan J, Joyner AB. Intramuscular temperature responses in the human leg to two forms of cryotherapy: ice massage and ice bag. J Orthop Sports Phys Ther. 1998 Apr;27(4):301-7. (This study shows that cooling effects are achieved more rapidly with ice massage than ice bag - this may be a reason why your study will use ice massage as opposed to ice bag).

Curkovic B, Vitulic V, Babic-Naglic D, Durrigl T. The influence of heat and cold on the pain threshold in rheumatoid arthritis.
Z Rheumatol. 1993 Sep-Oct;52(5):289-91.
(This study shows that pain thresholds increase immediately after hot or cold. Could the analgesic effect of cold allow for more effective passive stretching afterwards? This study may help to justify your current investigation).



ratha78 -> Re: combine effects of ice massage and passive stretching in spastic cp (October 11, 2001 8:48:00 AM)

Thanks DREW,
Thanks for your suggestions.My Guide liked my topic,but she asked me three parameter to evaulate hamstring flexbility in spastic diplegia.
THANKS
RADHA



Andrew M. Ball MS MBA PT -> Re: combine effects of ice massage and passive stretching in spastic cp (October 12, 2001 3:19:00 AM)

Try the search string:

"Measure" AND "Hamstring Flexibility"

You'll generate 4 articles, two of which will guide you toward or away from specific techniques to measure hamstring flexibility.

Micheli LJ, Greene HS, Cassella M, Gruber J, Zurakowski D. Assessment of flexibility in young female skaters with the modified Marshall Test. J Pediatr Orthop. 1999 Sep-Oct;19(5):665-8.

Jones CJ, Rikli RE, Max J, Noffal G. The reliability and validity of a chair sit-and-reach test as a measure of hamstring flexibility older adults. Res Q Exerc Sport. 1998 Dec;69(4):338-43.

You'll have to review each article to see if either or both apply to chilren with spastic diplegia. Neither study was conducted on that population, but it doesn't mean that you can't extrapolate techniques used, for your study.

The search string

"Measure" AND "Hamstring" AND "Cerebral Palsy"

will generate 5 articles. Some neat stuff comes up. For instance, pediatric PT's tend to assume that hamstring tighness leads to a crouched gait and toe walking. Is this true?

Thompson NS, Baker RJ, Cosgrove AP, Saunders JL, Taylor TC. Relevance of the popliteal angle to hamstring length in cerebral palsy crouch gait. J Pediatr Orthop. 2001 May-Jun;21(3):383-7.

Also, two other means for measurement of hamstring flexibility are generated, and this time more applicable to children with CP:


Salen M, Hirschfeld H, Olsson A. Forward leaning reaching task in sitting (FLRS): a new measure for clinical evaluation of hamstring length in children. Physiother Res Int. 1999;4(4):262-77.

Kuno H, Suzuki N, Akataki K, Mita K, Yasubayashi M, Ito M. Geometrical analysis of hip and knee joint mobility in cerebral palsied children. Gait Posture. 1998 Oct 1;8(2):110-116.

Now that I've conducted/helped you with your literature searches twice now, I'd appeciate, in return, if you'd provide us with a review of several of these studies so that we can better understand what choice you make in terms of hamstring flexibility measurment.

Drew



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