A COMPARATIVE STUDY BETWEEN THE IMMEDIATE EFFECTS OF TENDINOUS PRESSURE TECHNIQUE VERSUS MYOFASCIAL RELEASE IN THE REDUCTION OF SPASTICITY: A CROSS OVER STUDY

Abstract

Background- Spasticity following stroke is often associated with pain, soft tissue stiffness, decreased quality of life, increased treatment cost, and increased caregiver burden. Myofascial release is a new approach to relieve spasticity. It may act in the future as a facilitator and intensifier of treatment for a more consistent effect. Also, Inhibition techniques are used in spastic patients. In tendinous pressure, manual pressure is applied to the tendinous insertion of the muscle or across long tendons produces an inhibitory effect. AIM- To To find the immediate effect of tendinous pressure technique versus myofascial release in the reduction of spasticity. METHOD- The study was conducted in Vikhe Patil Hospital, Physiotherapy OPD, and Phuntamba Stroke Center. It was a cross over study conducted on spastic stroke patients using a purposive sampling method. Twenty-seven patients were included in the study. The duration of the study was of 6 months. Modified Tardieu scale was the outcome measure used at pre, and post-treatment measurement and the subject was treated with both the techniques with 2 hours of the interval to see which of the technique is more beneficial for reducing spasticity. RESULT-Result of within-group analysis of pre and post-treatment measurement of myofascial release showed clinical and statistical significance, but muscle reaction testing (X) showed no significant difference in  MTS whereas the result of within-group analysis of pre and post-treatment measurement, and muscle reaction testing (X) of tendinous pressure showed clinical and statistically significant improvement in MTS. The result of between the post-treatment measurement and muscle reaction testing of myofascial release and tendinous pressure showed no significant difference. In contrast, muscle reaction testing showed a significant difference in MTS of both the techniques.               CONCLUSION-So the conclusion can be made that tendinous pressure is more effective as compared to MFR in reducing the spasticity of stroke patients.