EFFECT OF MANUAL THERAPY (MET) VS CONVENTIONAL THERAPY FOR IMPROVING TENDO-ACHILLES (TA) FLEXIBILITY AND FOOT POSTURE IN CHILDREN WITH AUTISM SPECTRUM DISORDER
DOI:
https://doi.org/10.15621/ijphy/2020/v7i4/749Keywords:
Autism Spectrum Disorder, ASD, conventional therapy, elastography, manual therapy, a neurodevelopmental disorder.Abstract
Background: Autism Spectrum Disorder (ASD) is a disorder of neurodevelopment, which affects individuals across social, ethnic, and geographic groups. Autistic children have difficulty with gross motor and fine motor functioning difficulties, including a wide range of signs and symptoms. Toe walking due to TA tightness is commonly observed gait in autistic children altering foot posture in them. The knowledge about the abnormalities can be useful for the assessment and treatment planning of ASD children. We evaluated TA tightness, ROM of the ankle joint, and compare the effect of manual therapy (MET) and conventional therapy for improving TA flexibility and foot posture.
Methods: An RCT included 20 diagnosed autistic children(13male,7female) as per inclusion criteria the subjects were divided into two groups, i.e., group A and B, the group A was given Conventional Therapy in the form of passive stretching whereas Group B was given Manual Therapy in the form Muscle Energy Technique. The participants were clinically examined and evaluate TA tightness in the form of Elastography, Range of motion, and foot posture. Data were taken as pre and after post-intervention.
Results: There were significant changes in elastography readings, foot posture index, and range of motion in both groups post-intervention, but significant improvement was observed in group B as compared to group A, i.e., p>0.05.
Conclusion: This has been concluded that there is a significant effect of Manual therapy in the form of muscle energy technique for improving TA flexibility and foot posture as compared to conventional treatment.
References
Juneja M, Sairam S. Autism Spectrum Disorder - An Indian Perspective. 2018.
Daley TC. From symptom recognition to diagnosis: children with autism in urban India. Social Science & Medicine. 2004 Apr;58(7):1323–35.
Oakley C, Mahone EM, Morris-Berry C, Kline T, Singer HS. Primary Complex Motor Stereotypies in Older Children and Adolescents: Clinical Features and Longitudinal Follow-Up. Pediatric Neurology. 2015 Apr;52(4):398-403.e1.
Williams CM, Pacey V, de Bakker PB, Caserta AJ, Gray K, Engelbert RH. Interventions for idiopathic toe walking. Cochrane Neuromuscular Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2016 Oct 3 [cited 2019 Jul 15]; Available from: http://doi.wiley.com/10.1002/14651858.CD012363
Blacher J, Christensen L. Sowing the Seeds of the Autism Field: Leo Kanner (1943). Intellectual and Developmental Disabilities. 2011 Jun;49(3):172–91.
Engström P, Tedroff K. Idiopathic Toe-Walking: Prevalence and Natural History from Birth to Ten Years of Age. The Journal of Bone and Joint Surgery. 2018 Apr;100 (8):640–7.
Esposito G, Venuti P. Analysis of Toddlers' Gait after Six Months of Independent Walking to Identify Autism: A Preliminary Study. Percept Mot Skills. 2008 Feb;106(1):259–69.
Kaur M, M. Srinivasan S, N. Bhat A. Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD). Research in Developmental Disabilities. 2018 Jan;72:79–95.
Kaur M, M. Srinivasan S, N. Bhat A. Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD). Research in Developmental Disabilities. 2018 Jan;72:79–95.
Kindregan D, Gallagher L, Gormley J. Gait Deviations in Children with Autism Spectrum Disorders: A Review. Autism Research and Treatment. 2015;2015:1–8.
Bishop C. Evaluation of Pediatric Toe Walking. Physician Assistant Clinics. 2016 Oct;1(4):599–613.
Chino K, Takahashi H. Measurement of gastrocnemius muscle elasticity by shear wave elastography: association with passive ankle joint stiffness and sex differences. Eur J Appl Physiol. 2016 Apr;116(4):823–30.
Gijon-Nogueron G, Montes-Alguacil J, Alfageme-Garcia P, Cervera-Marin JA, Morales-Asencio JM, Martinez-Nova A. Establishing normative foot posture index values for the paediatric population: a cross-sectional study. J Foot Ankle Res. 2016 Dec;9(1):24.
Tan K, Jugé L, Hatt A, Cheng S, Bilston LE. Measurement of large strain properties in calf muscles in vivo using magnetic resonance elastography and spatial modulation of magnetization. NMR in Biomedicine. 2018 Oct;31(10):e3925.
Manning C, Tibber MS, Charman T, Dakin SC, Pellicano E. Enhanced Integration of Motion Information in Children With Autism. Journal of Neuroscience. 2015 May 6;35(18):6979–86.
Eggleston JD, Harry JR, Dufek JS. Lower extremity joint stiffness during walking distinguishes children with and without autism. Human Movement Science. 2018 Dec;62:25–33.
McCahill J, Stebbins J, Koning B, Harlaar J, Theologis T. Repeatability of the Oxford Foot Model in children with foot deformity. Gait & Posture. 2018 Mar;61:86–9.
Martínez-Nova A, Gijón-Noguerón G, Alfageme-García P, Montes-Alguacil J, Evans AM. Foot posture development in children aged 5 to11 years: A three-year prospective study. Gait & Posture. 2018 May;62:280–4.
Ilias S, Tahir NM, Jailani R, Hasan CZC. Linear Discriminant Analysis in Classifying Walking Gait of Autistic Children. In: 2017 European Modelling Symposium (EMS) [Internet]. Manchester: IEEE; 2017 [cited 2020 Mar 14]. p. 67–72. Available from: https://ieeexplore.ieee.org/document/8356792/
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