Ocena skuteczności rozciągania mięśni jako formy rehabilitacji młodych pacjentów z mózgowym porażeniem dziecięcym – przegląd piśmiennictwa

*Jakub S. Gąsior^{1, 2}, Piotr Jeleń³, Mariusz Pawłowski^{1, 2}, Paweł Ruszczuk⁴, Marcin Bonikowski²

Summary
This article presents a review of the literature concerning the use of the lower limb muscle stretching in rehabilitation process in young patients with cerebral palsy (CP). Medical databases were searched using keywords sequence: cerebral palsy, stretching exercises, muscle stretching, passive muscle stretching. The three papers that met our inclusion criteria were analyzed. The results were presented according to the International Classification of Functioning, Disability and Health at structure, activity and participation levels. Simple flow-chart that may help to make decision for implementation of this type of rehabilitation was presented. Current results on passive stretching in CP are not sufficient to support or refute the effectiveness of this kind of therapy on all ICF levels. Future studies should take into account the proper identification of the muscle activation pattern. It appears that the functional muscle stretching, i.e. performed during a specific activities of daily living may lead to satisfactory results in young patients with CP.

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