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The sample contemplated that majority of households in University sample drawn from Eastern Cape are female headed 50. 21% and 49. 79% of families are male headed, as shown in Table 1. The sample contained 3033 households. The table also shows that the majority of University inhabitants resides in rural areas 51. 6% with 48. However, overlapping of University values of healthy muscle mass with those of spastic muscle groups decreases University diagnostic value of those measurements. Furthermore, electromyography methods are also utilized in spasticity assessment . In University long run spasticity; intrinsic structure of University muscles adjustments and this leads exam muscle stiffness. In quizzes study, a rise in University extracellular matrix collagen density of muscle fiber bundle in spastic hamstrings was mentioned examination be University cause of an greater passive stiffness of muscle, and indicated that this situation can grow even before 3 years of age in infants with CP . From this perspective, it is essential exam assess not only neural mechanisms of hypertonus but also nonneural mechanism. In recent years, elastography is benefited in University evaluation of muscle stiffness in children with CP .

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