Akademik Veri Yönetim Sistemi
JPMA. THE JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION, cilt.7, sa.7, ss.1219-1223, 2024 (SCI-Expanded)
Abstract
Objective: To assessthe impact ofrange of motion changes before and after Mulligan mobilisation with ankle movement
interventions on the daily lives of children with diplegic cerebral palsy.
Method: The single blind randomised controlled study was conducted from July 30, 2022, to January 10, 2023, at 3
rehabilitation centres in Hebron, Palestine, after approval from the ethics review committee of Eastern Mediterranean
University,Northern Cyprus, and comprised children with cerebral palsy, who were randomised into intervention group IG
and control group CG. All the subjects received regular physiotherapy sessions, overseen by their parents, while those in
groupIGreceivedmobilisationwithanklemovementtreatment 3 timesperweek for 4weeks. Post-interventionassessment
of ankle range of motion, balance, functional performance and quality of life was done using a goniometer, the timed up
and go test, 88-item gross motor function measure, 6-minute walk test and the cerebral palsy quality of life questionnaire.
Data was analysed using SPSS 24.
Results: Of the 64 patients, 40(63%) were girls, and 24(37%) were boys. The overall age range was aged 4-12 years. There
were 32(50%)patientsineachofthe twogroups. Mobilisationwithmovementhada significant effectonactive andpassive
range of motion forthe left andright ankles(p<0.05) aswell as onbalance, gross motorfunction andquality oflife (p>0.05).
However, mobilisationwith movement had no significant effect on the the distance covered during the 6-minutewalk test
(p>0.05).
Conclusion: Mobilisation with movement had a significant impact on active and passive ankle range of motion, balance
and quality of life in diplegic children with cerebral palsy, but it had no impact on gait function.