Effect of Percutaneous Intramuscular Electrical Stimulation on Gait and Gross Motor Function of a Child with Cerebral Palsy, Spastic Diplegia

AbstractThe Trunk Impairment Scale (TIS) is a valid and reliable tool to assess trunk impairment in children with heterogeneous cerebral palsy. The purpose of this study was to determine the reliability and validity of the TIS in assessing children with spastic diplegic cerebral palsy. The sample was a total of 30 subjects (15 = boys, 15 = girls). All subjects underwent an assessment of the sitting component of the Gross Motor Function Measure-88 and TIS by rater 1. Rater one observed video recordings within 24 h and scored TIS for intra-rater reliability, while rater two did likewise after 48 h for inter-rater reliability. The mean and standard deviation of the TIS and sitting components of the Gross Motor Function Measure-88 were 15.66 ± 4.20 and 52.36 ± 6.26, respectively. We established intra-rater and inter-rater reliability of the TIS with Intra Class Correlation Coefficient 0.991 and 0.972, respectively. The concurrent validity of the TIS with the sitting component of the Gross Motor Function Measure-88 was good, with an r-value of 0.844 (p < 0.001). This study showed the excellent intra-rater and inter-rater reliability and high concurrent validity of the TIS in assessing children with spastic diplegic cerebral palsy.

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Effect of Action Observation Training on Spasticity, Gross Motor Function, and Balance in Children with Diplegia Cerebral Palsy

Children ◽

10.3390/children7060064 ◽

2020 ◽

Vol 7 (6) ◽

pp. 64

Author(s):

Young-a Jeong ◽

Byoung-Hee Lee

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Action Observation ◽

Training Group ◽

Control Group ◽

Spastic Diplegia ◽

Post Intervention ◽

Gross Motor ◽

Gross Motor Function ◽

Observation Training

This study evaluated the effect of action observation training on spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy. Eighteen children with cerebral palsy participated in this study. The participants were randomized into the action observation training group (n = 9) and a control group (n = 9). The action observation training group repeatedly practiced the action with their motor skills, while the control group practiced conventional physical therapy. Both groups received 30 min sessions, 3 days a week, for 6 weeks. To confirm the effects of intervention, the spasticity, gross motor function measurement (GMFM), and pediatric reaching test (PRT) were evaluated. The results showed that in the plantar flexor contracture test of both sides, the Modified Tardieu Scale (MTS) of the right side of knee joints, GMFM-B, C, and D were significantly increased between pre- and post-intervention within both groups (p < 0.05). PRT was significantly increased between pre- and post-intervention within the both groups (p < 0.05), and there was a significant difference between the two groups (p < 0.05). These results suggest that action observation training is both feasible and beneficial for improving spasticity, gross motor function, and balance in children with spastic diplegia cerebral palsy.

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The Effects of Pelvic Movement on the Gross Motor Function in Cerebral Palsy Children with Spastic Diplegia

10.17817/2017.07.05.111172 ◽

2017 ◽

Author(s):

Moon Kang

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Spastic Diplegia ◽

Gross Motor ◽

Gross Motor Function ◽

Pelvic Movement

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LOADED AND UNLOADED SIT-TO-STAND STRENGTHENING EXERCISES EFFECT TO GROSS MOTOR FUNCTION MEASURE IN SPASTIC DIPLEGIA CEREBRAL PALSY PATIENTS

International Journal of Integrated Health Sciences ◽

10.15850/ijihs.v4n1.680 ◽

2016 ◽

Vol 4 (1) ◽

pp. 8-14 ◽

Cited By ~ 1

Author(s):

Imran Safei, ◽

◽

Marina Moeliono ◽

Tertianto Prabowo

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Spastic Diplegia ◽

Gross Motor ◽

Gross Motor Function ◽

Sit To Stand ◽

Gross Motor Function Measure ◽

Strengthening Exercises ◽

Function Measure

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Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series

Sensors ◽

10.3390/s21227661 ◽

2021 ◽

Vol 21 (22) ◽

pp. 7661

Author(s):

Kelly Greve ◽

Caroline Colvin

Keyword(s):

Cerebral Palsy ◽

Electrical Stimulation ◽

Motor Function ◽

Orthopaedic Surgery ◽

Neuromuscular Electrical Stimulation ◽

Case Series ◽

System Level ◽

Electrode Placement ◽

Gross Motor ◽

Gross Motor Function

Cerebral palsy (CP) is a non-progressive, neurological disorder often resulting in secondary musculoskeletal impairments affecting alignment and function which can result in orthopaedic surgery. Neuromuscular electrical stimulation (NMES) is a modality that can be used for rehabilitation; however, NMES immediately following orthopaedic surgery in children with CP using surface electrodes has not been previously reported. The purpose of this case series is to describe the novel use of NMES in the acute rehabilitation phase directly after orthopaedic surgery. This case series included three children with spastic diplegia CP, Gross Motor Function Classification System level II who underwent Single Event Multi-Level orthopaedic Surgery. Each long leg cast contained window cast cut-outs to allow for surface electrode placement for daily NMES intervention to the quadriceps muscles while immobilized. Children were assessed pre- and post-operatively using the Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM-66), and 6-Minute Walk Test (6MWT). All children demonstrated no adverse effects using NMES intervention and had improvements in the 6MWT. Most children demonstrated gains in the FMS and GMFM-66. Use of NMES through window cast-cuts in a long leg cast is a novel practice approach for delivery of early rehabilitation following lower extremity orthopaedic surgery.

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Critically appraised paper: A program of functional electrical stimulation cycling, goal-directed training and adapted cycling improves gross motor function in children with cerebral palsy [commentary]

Journal of Physiotherapy ◽

10.1016/j.jphys.2020.11.002 ◽

2021 ◽

Vol 67 (1) ◽

pp. 63

Author(s):

Noula Gibson

Keyword(s):

Cerebral Palsy ◽

Electrical Stimulation ◽

Motor Function ◽

Functional Electrical Stimulation ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy

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EFFECTIVENESS OF THE COMBINED USE OF ROBOTIC KINESIOTHERAPY AND BOTULINUM THERAPY IN THE COMPLEX REHABILITATION OF CHILDREN WITH CEREBRAL PALSY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i9.26541 ◽

2018 ◽

Vol 11 (9) ◽

pp. 360

Author(s):

Balgayeva Maira ◽

Bulekbayeva Sholpan

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Muscle Tone ◽

Botulinum Toxin Type A ◽

Main Group ◽

Control Group ◽

Spastic Diplegia ◽

Gross Motor ◽

Gross Motor Function ◽

Combined Use

Objective: The objective of this study is to evaluate the effectiveness of combined use of robotic kinesiotherapy and botulinum therapy in the complex rehabilitation of children with spastic diplegia.Methods: In the research, 162 children were participated in the age from 4 to 6 years with spastic diplegia. The main group was carried out using robotic kinesiotherapy with the help of the Lokomat complex and intramuscular injection of botulinum toxin type A (BtA), as a part of complex rehabilitation. Children from the control group received rehabilitative treatment with traditional methods.Results: During the comparative study of groups, higher results were obtained in the main group, where average according to Gross Motor Function Measure 88 increased from 69.99 to 76.41 with a difference of 6.42 points (p=0.0001). In the control group, this indicator increased from 67.01 to 69.41 with a difference of 2.4 points. In the main group, a moderate coupling was noticed between overall motor activity improvement and muscle tone improvement (rs=0.411, p=0.001). Herewith, the correlation was pronounced more with children of the III level in Gross Motor Function Classification System (rs=0.483, p=0.002) in comparison with the II development level (rs=0.304, p=0.042).Conclusion: Research results indicated that the children with spastic diplegia have significant improvement in motor characteristics when the combined applying of robotic walking and botulinum therapy compared with conventional therapy. In our opinion, the data obtained allow to recommend this method as one of the perspective methods of rehabilitation treatment for children with spastic forms of cerebral palsy.

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