Comparison between rood inhibitory approach and bobath reflex inhibiting patterns to improve gross motor function and reduce spasticity in hemiplegic children of encephalitis
Keywords:
Rood Inhibitory approach, Bobath, Reflex Inhibitory pattern, Spasticity, Gross Motor Functional Movements, EncephalitisAbstract
Objectives: To compare the effects of Rood Inhibitory approach and Bobath Reflex Inhibiting pattern to improve Gross motor Function and reduce spasticity in Hemiplegic Children of Encephalitis. Methods: A randomized clinical trial was conducted comprising of 22 patients recruited from different clinics of Faisalabad. Participants from both genders, in age range from 08-12 years were recruited and randomly allocated into two groups. Treatment group A received Rood inhibitory approach and treatment group B received Bobath Reflex inhibiting pattern. Measurement of Modified Ashworth scale were recorded at pre-treatment and weekly for 4 weeks, while (GMFM-88 and GMFM- 66) was assessed at baseline and at end of 4th week. SPSS version 22 was used to analyze the data. Result: Mean age in Group A was 10.00+1.673 years and in Group B was 9.82+1.537 years. Total 11 were male and 11 were female. There was significant improvement in mean MAS score at 2nd week, 3rd week and 4th week post treatment readings (p value < 0.05). There was significant improvement in mean (GMFM-88 and GMFM- 66) at 4th week post treatment readings (p value < 0.05).
Downloads
References
Bechter K. Encephalitis, mild encephalitis, neuroprogression, or encephalopathy—not merely a question of terminology. Frontiers in Psychiatry. 2019 Feb 6;9:782.
Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, Ueno M, Sakata H, Kondo K, Myose N, Nakao A. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. International journal of infectious diseases. 2020 May 1;94:55-8.
Goyal C, Naqvi WM, Sahu A. An atypical case of febrile infection-related epilepsy syndrome following acute encephalitis: impact of physiotherapy in regaining locomotor abilities in a patient with neuroregression. Pan African Medical Journal. 2020 Jun 17;36(1).
Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age and ageing. 2006 Sep 1;35(suppl_2):ii7-11.
Tu T, Xu K, Xu L, Gao Y, Zhou Y, He Y, Liu Y, Liu Q, Ji H, Tang W. Association between meteorological factors and the prevalence dynamics of Japanese encephalitis. PloS one. 2021 Mar 3;16(3):e0247980.
Bordoloi K, Deka RS. Scientific reconciliation of the concepts and principles of rood approach. Int J Health Sci Res. 2018;8(9):225-34.
Zhang LQ, Chung SG, Bai Z, Xu D, Van Rey EM, Rogers MW, Johnson ME, Roth EJ. Intelligent stretching of ankle joints with contracture/spasticity. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2002 Sep;10(3):149-57.
Flett PJ. Rehabilitation of spasticity and related problems in childhood cerebral palsy. Journal of Paediatrics and child health. 2013 Jan;39(1):6-14.
Desouzart G. Physiotherapy intervention according to the Bobath concept in a clinical case of cerebral palsy. Orthop Res Online J. 2018;3(4):1-3.
Varadharajulu G, Shetty L, Sahoo K. The effect of bobath concept and conventional approach on the functional outcome in the post stroke hemiplegic individuals. Journal of Sports and Physical Education. 2017;4(2):10-4.
van der Heide JC, Hadders-Algra M. Postural muscle dyscoordination in children with cerebral palsy. Neural plasticity. 2015 Jan 1;12(2-3):197-203.
Kim HY. Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restorative dentistry & endodontics. 2013 Feb 1;38(1):52-4.
Ozgur C, Strasser SE. A study of the statistical inference criteria: Can we agree on when to use Z versus t?. Quality control and applied statistics. 2005;50(2):189-90.
Batra M, Sharma VP, Malik GK, Batra V, Agarwal GG. Intervention based on dynamics of postural control in children with cerebral palsy-An integral approach. Physiotherapy and Occupational Therapy. 2011 Jul;5(3):68.
Kumar P, Pisudde PM, Sarthi PP, Sharma MP, Keshri VR. Status and trend of acute encephalitis syndrome and Japanese encephalitis in Bihar, India. The National Medical Journal of India. 2017 Nov 1;30(6):317-20.
Joffe JR. The effect of functional electrical stimulation on abdominal muscle strength and gross motor function in children with cerebral palsy a randomised control trial (Master's thesis, University of Cape Town).
Batra V, Batra M, Pandey RM, Sharma VP, Agarwal GG. Modulating tone to promote motor development using a neurofacilitation of developmental reaction (NFDR) approach in children with neurodevelopmental delay. The Malaysian Journal of Medical Sciences: MJMS. 2015 Sep;22(5):50.
Bobath B. The very early treatment of cerebral palsy. Developmental Medicine & Child Neurology. 1967 Aug;9(4):373-90.
Blackburn M, Van Vliet P, Mockett SP. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Physical therapy. 2018 Jan 1;82(1):25-34.
Broder CC, Geisbert TW, Xu K, Nikolov DB, Wang LF, Middleton D, Pallister J, Bossart KN. Immunization strategies against henipaviruses. Henipavirus. 2018:197-223.
Barba M, Fairbanks EL, Daly JM. Equine viral encephalitis: prevalence, impact, and management strategies. Veterinary Medicine: Research and Reports. 2019;10:99.
Behzadi F, Noroozi H, Mohamadi M. The comparison of neurodevelopmental-bobath approach with occupational therapy home program on gross motor function of children with cerebral palsy. Journal of Rehabilitation Sciences & Research. 2014 Jan 11;1(1):21-4.
Blundell SW, Shepherd RB, Dean CM, Adams RD, Cahill BM. Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4–8 years. Clinical rehabilitation. 2013 Feb;17(1):48-57.
Bartlett DJ, Palisano RJ. A multivariate model of determinants of motor change for children with cerebral palsy. Physical Therapy. 2019 Jun 1;80(6):598-614.
Alves VS, Leite-Aguiar R, da Silva JP, Coutinho-Silva R, Savio LE. Purinergic signaling in infectious diseases of the central nervous system. Brain, Behavior, and Immunity. 2020 Oct 1;89:480-90.
Curtis DJ, Butler P, Saavedra S, Bencke J, Kallemose T, Sonne‐Holm S, Woollacott M. The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study. Developmental medicine & child neurology. 2015 Apr;57(4):351-7.
Granerod, J., Ambrose, H.E., Davies, N.W., Clewley, J.P., Walsh, A.L., Morgan, D., Cunningham, R., Zuckerman, M., Mutton, K.J., Solomon, T. And Ward, K.N., 2020. Causes of Encephalitis and Differences in Their Clinical Presentations in England: A Multicentre, Population-Based Prospective Study. The Lancet Infectious Diseases, 10(12): 835-44.
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








