Clinical Use of Neuromuscular Electrical Stimulation for Children With Cerebral Palsy, Part 2: Upper Extremity

1993 ◽  
Vol 73 (8) ◽  
pp. 514-522 ◽  
Author(s):  
Judy Carmick
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Upper Extremity ◽  
Neuromuscular Electrical Stimulation ◽  
Clinical Use ◽  
Children With Cerebral Palsy

Neuromuscular Electrical Stimulation and Dynamic Bracing as a Treatment for Upper-Extremity Spasticity in Children with Cerebral Palsy

1999 ◽  
Vol 24 (2) ◽  
pp. 226-232 ◽  
Author(s):  
L. R. SCHEKER ◽  
S. P. CHESHER ◽  
S. RAMIREZ
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Upper Extremity ◽  
Marked Improvement ◽  
Neuromuscular Electrical Stimulation ◽  
Young Patients ◽  
Therapeutic Regimen ◽  
Spastic Cerebral Palsy ◽  
Children With Cerebral Palsy ◽  
Upper Extremity Function

We have investigated a therapeutic regimen using neuromuscular electrical stimulation (NMES) and dynamic bracing to assess their effectiveness in reducing upper-extremity spasticity in children with cerebral palsy. Nineteen patients between 4 and 21 years of age with documented diagnoses of spastic cerebral palsy were treated. The patients included in the study followed a regimen of two 30-minute sessions of NMES of the antagonist extensors combined with dynamic orthotic traction during the day. A static brace was used at night. Spasticity of the wrist and fingers was assessed periodically using the Zancolli classification. Treatment ranged from 3 to 43 months. After treatment with electrical stimulation and dynamic bracing, all the patients moved up 1 to 3 levels in the Zancolli classification and showed a marked improvement in upper-extremity function. These results show that combining NMES and dynamic orthotic traction dramatically decreases spasticity of the upper extremity in young patients with cerebral palsy.

omparison of the effects of Kinesio tape and neuromuscular electrical stimulation on hand extensors in children with cerebral palsy

2020 ◽  
Vol 27 (7) ◽  
pp. 1-12
Author(s):  
Ece Acıkbas ◽  
Devrim Tarakcı ◽  
Miray Budak
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Range Of Motion ◽  
Classification System ◽  
Neuromuscular Electrical Stimulation ◽  
Left Shoulder ◽  
Kinesio Taping ◽  
Skill Test ◽  
Children With Cerebral Palsy ◽  
Joint Range

Background/aims Cerebral palsy is a lifelong condition resulting in weakness in the muscles, difficulty moving and excessive tension in the muscles of the arms and legs. This study aimed to investigate the effects of adding Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment on joint range of motion, muscle tone and functional ability in children with cerebral palsy. Methods A total of 30 children were included in the study. They were allocated to one of two groups: Kinesio taping (n=15) or neuromuscular electrical stimulation (n=15). The children in both groups received 20 sessions of twice-weekly neurodevelopmental treatment. Range of motion, Modified Ashworth Scale, Duruoz Hand Index, Manual Ability Classification System, Gross Motor Function Classification System, Minnesota Hand Skill Test and Jebsen Hand Function Test were assessed before and after the treatment programme. Results Statistically significant improvements (P<0.05) were found in all measures except Gross Motor Function Classification System in both groups. Significant between-group differences in left shoulder flexion, left shoulder abduction and unilateral Minnesota Hand Skill Test were found in favour of neuromuscular electrical stimulation; whereas significant improvement in left elbow flexion was found in favour of Kinesio taping. Conclusions The addition of Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment improved the joint range of motion and functional ability of children with cerebral palsy.

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