Abstract:
To compare the effect of baclofen, Transcutanoues Electrical Nerve Stimulation & sustain Stretch for the spasticity management in traumatic spinal cord injury. Intervention study. Randomized control trial with baseline and for four-week intervention. In the Hospital setting for 1 month. Sixty-three patients both males and females with traumatic spinal cord injury having an age range between 20 to 45 years were included. Convenient sampling is used for the selection procedure. Interventions were provided for four weeks. Sustain stretches (20 seconds/ 10repetition/day with conventional physical therapy) were given to the treatment group whereas for control group 1 Baclofen (45mg/day) & for control group 2 Transcutaneous Electrical Nerve Stimulation with the frequency of 100 Hz and 100ms (2 sessions/day. 10 minutes each) were given. Spasticity was measured using the Modified Ashworth Scale. Data were collected at baseline, 1st week, 2nd week, 3rd week & 4th week after the intervention.Friedman’s two-way analysis of variance by rank was used to see the difference of different interventions between baseline and 1st, 2nd, 3rd & after 4th week of intervention. Results showed a significant difference (p0.05). Control group 1(Baclofen) however the same results as with the treatment group. Post hoc analysis by Bonferroni has also confirmed the significance levels. Treatment group have significant effects within and between the group. Drug and electrophysiological devices are more common for the treatment of spasticity but showed adverse effects after some time whereas sustained stretch is most effective with no side effects.
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DOI:
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Published:
Journal: Abstract Book on 9th Annual Neuroscience Conference (ANC-23) August 12-13, 2023 , Volume: 0, Issue: 0, Year: 2023