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Effectiveness of a neurophysiotherapy program in combination with elements of music therapy on spasticity reduction in hip adductors in a child after traumatic brain injury

Introduction: Traumatic brain injury (TBI) in children is one of the leading causes of early mortality, and for those who survive, they experience disability. There are currently no guidelines and recommendations in the field of neurophysiotherapy treatment of children with NMP, which is an extremely heterogeneous vulnerable group. Methods: In order to evaluate the short-term efficacy of contemporary neurodevelopmental treatment (NDT) in combination with elements of music therapy that is increasingly being integrated into the neurorehabilitation of children with TBI, we conducted a single case study and used a quantitative research methodology. The study included a 10-year-old boy who sustained diffuse brain damage at the age of 2 months, as reflected by the clinical picture of spastic tetraparesis. To evaluate the spasticity of the adductors in the hip joint, we used the Modified Ashworth Scale (MAS) and the Modified Tardie Scale (MTS). Using standardized functional tests, we measured the range of motion in hip joint in the direction of abduction and extension. Results: Spasticity in the hip adductors of a child with TBI decreased by assessments with MAS and MTS after 5 months of neurophysiotherapy, and there was an improvement in the results of the extent of abduction motility and hip extension. Conclusions: Based on the analysis of the obtained data, it can be concluded that the combined neurophysiotherapy program is more effective than the independent contemporary NDT.

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