Initial and final assessments for each outcome measured were performed. For isometric strength of knee extensors, a handheld dynamometer (Nicholas Manual Muscle Tester Model 011160) was used. Three attempts were recorded, averaging the second and third scores. The modified Ashworth scale was used to measure spasticity for hip adductors, knee extensors, and ankle plantar flexors. For the walking speed evaluation, the investigators used the Six-minute walk...
... middle of paper ...
...omparing both groups post - treatment p-values a statistically significance was seen in the treatment results in favor of WBV with a p value = 0.022. No clinical significance differences were established as a result of this trial.
The outcome data obtained from this study suggested improvement after WBV and PT together in children with spastic diplegia CP in isometric knee extensors, potentially caused by the input of proprioceptive pathways in the production of reflexive muscle contraction (Cochrane & Stannard, 2005), decrease of knee extensors spasticity, increase of walking speed and increase of gross motor function in GMFM – 88, dimension E: walking, running and jumping. WBV did not exhibit any changes in spasticity in hip adductors and ankle plantar flexors. D or standing dimension increased similarly in both groups. Walking balance did not change in any group.
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