TY - JOUR AU - Ms. Renuka Dhomne , AU - Dr. Suvarna Ganvir , AU - Dr. Chetana Kunde , PY - 2019/06/14 Y2 - 2024/03/29 TI - Effect of Tonal Abnormality On Physiological Cost Index In Patients With Cerebral Palsy JF - VIMS Health Science Journal JA - VIMSHSJ VL - 6 IS - 2 SE - Articles DO - 10.46858/dvvpf.j. UR - https://www.vimshsj.edu.in/index.php/main/article/view/14 SP - 47-49 AB - <p><strong>Background</strong>: &nbsp;Children with cerebral palsy (CP) have limited functional level due to primary and secondary functional impairments like movement difficulty, problem with balance and coordination. Physiological Cost Index (PCI) is a reliable clinical tool for measuring energy expenditure during walking. However presence of tonal abnormality may affect the PCI and subsequently the energy expenditure. <strong>Aim:</strong> To investigate the effect of tonal abnormality in lower limb muscles on PCI patients with CP. <strong>Methodology:</strong> After obtaining Institutional Ethical Committee approval, ambulatory patients with cerebral palsy were included with their parent consent. Patients were asked to walk a pathway of 50 meters with or without orthosis as a self-selected speed. Along with the demographic data, type of Tonal abnormality, muscles involved, Resting &amp; Walking Heat Rate, Walking Speed &amp; PCI were recorded. Spasticity in lower limb muscles was assessed with the help of Modified Tardieu scale. <strong>Resul</strong>t: In the present study, out of 30 patients there were 16 boys and 14 girls in the age group of 6-12 years. Patient were divided into 3 groups on the presence of spasticity in either Tendo Achilles(TA), Hamstring(H), and in both the muscle (TA+H). There was no significant difference among three groups for the parameters – Resting Heart Rate (RHR), Walking Heart Rate (WHR), Walking speed, Physiological Cost Index. (P value for RHR 0.4724, WHR-0.8936, WALKING SPEED-0.3379, PCI -0.4952). <strong>Conclusion:</strong> It is concluded from study that tonal abnormality in various muscle group does not affect Physiological Cost Index.</p> ER -