الفهرس 
Effect Of Baclofen Phonophoresis On Spasticity In Gastrocnemius Muscle In Children With Spastic Diplegia
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Abstract
Spastic diplegic children may exhibit clumsiness and
frequent falls during regular motor activities or may not be able to
maintain standing position independently. Objective: To determine the
effect of baclofen phonophoresis on spasticity in spastic diplegic cerebral
palsied children. Methods: Forty children with diplegic cerebral palsy
(20 boys and 20 girls with age range from 3 to 6 years) participated in a
12 weeks program. Children were assigned randomly into two groups of
equal number (control group (A) and study group (B)). Children in
control group received a designed physical therapy program while
children in study group received the same program as control group in
addition to baclofen phonophoresis on gastrocnemius muscle for 10
minutes, 3 times per week for 12 successive weeks before the designed
physical therapy program. Spasticity and standing motor function were
assessed before and after treatment by using surface electromyography
and growth motor function measure scale respectively. Results: Between
groups comparison of pre-treatment values revealed a non-significant
difference in all measured variables. For post treatment values, there were
statistically non-significant difference in all measured variables (p<0.05),
with higher percentage of improvement in study group. Within group
comparison showed a significant improvement only in standing domain
of growth motor function measure scale in both groups. Conclusions:
Using baclofen phonophoresis helps in improving standing in spastic
diplegic cerebral palsy children, although it clinically helps in decrease
spasticity in gastrocnemius muscle but it needs more investigating
studies.