scholarly journals EFFECT OF NEUROMUSCULAR ELECTRICAL STIMULATION ON WRIST EXTENSORS TO IMPROVE HAND FUNCTION IN CHILDREN WITH SPASTIC CEREBRAL PALSY.

2017 ◽  
Vol 5 (7) ◽  
pp. 2271-2277
Author(s):  
Nibedita Samal ◽  
◽  
Monalisa Pattnaik ◽  
Patitapaban Mohanty ◽  
◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Hand Function ◽  
Neuromuscular Electrical Stimulation ◽  
Spastic Cerebral Palsy

Therapeutic Effect Evaluation of Neuromuscular Electrical Stimulation With or Without Strengthening Exercise on Spastic Cerebral Palsy

2017 ◽  
Vol 57 (5) ◽  
pp. 580-583 ◽  
Author(s):  
Ya-Chao Qi ◽  
Xiao-Li Niu ◽  
Ya-Ran Gao ◽  
He-bo Wang ◽  
Ming Hu ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Treatment Group ◽  
Walking Speed ◽  
Neuromuscular Electrical Stimulation ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Control Groups ◽  
Strengthening Exercise ◽  
And Control

The aims of this study were to investigate the effect of neuromuscular electrical stimulation (NMES) combined with strengthening exercise on movement in children with spastic cerebral palsy (CP). One hundred children with spastic CP were randomly divided into a treatment group (NMES and strengthening exercise, n = 50) and a control group (only NMES, n = 50). We compared the Comprehensive Spasticity Scale (CSS) score, Gross Motor Function Measure (GMFM) score, and walking speed before treatment and 6 weeks and 3 months after treatment between the 2 groups. There was no difference in CSS score between the treatment and control groups before the therapy (12.0 ± 3.4 vs 12.3 ± 3.6), which decreased much more in the treatment group after 6 weeks (7.6 ± 3.0 vs 9.5 ± 2.8) and 3 months (7.4 ± 2.4 vs 9.4 ± 2.6) with significant differences ( P < .05). No difference in GMFM score was observed between the treatment and control groups before the therapy (44.5 ± 13.2 vs 44.0 ± 12.6), which increased much more in the treatment group after 6 weeks (70.6 ± 15.2 vs 56.7 ± 14.3) and 3 months (71.0 ± 16.4 vs 58.0 ± 15.6) with significant differences ( P < .05). The walking speed improved over time, which was the same before the treatment (0.43 ± 0.13 m/s vs 0.45 ± 0.14 m/s), and was significantly greater in the treatment group than that in the control group (6 weeks: 0.69 ± 0.15 m/s vs 0.56 ± 0.12 m/s, P < .05; 3 months: 0.72 ± 0.17 m/s vs 0.57 ± 0.18 m/s, P < .05). NMES combined with strengthening exercise was more effective than NMES alone in the recovery of spastic CP.

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.

scholarly journals Neuromuscular electrical stimulation-assisted gait increases muscle strength and volume in children with unilateral spastic cerebral palsy

2015 ◽  
Vol 58 (5) ◽  
pp. 492-501 ◽  
Author(s):  
Dayna Pool ◽  
Catherine Elliott ◽  
Natasha Bear ◽  
Cyril J Donnelly ◽  
Caroline Davis ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Muscle Strength ◽  
Neuromuscular Electrical Stimulation ◽  
Spastic Cerebral Palsy

scholarly journals The Synergic Effects of Mirror Therapy and Neuromuscular Electrical Stimulation for Hand Function in Stroke Patients

2011 ◽  
Vol 35 (3) ◽  
pp. 316 ◽  
Author(s):  
Gi Jeong Yun ◽  
Min Ho Chun ◽  
Ji Young Park ◽  
Bo Ryun Kim
Keyword(s):  
Electrical Stimulation ◽  
Hand Function ◽  
Neuromuscular Electrical Stimulation ◽  
Mirror Therapy ◽  
Stroke Patients

scholarly journals Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy

2006 ◽  
Vol 86 (7) ◽  
pp. 987-1000 ◽  
Author(s):  
Chia-Ling Ho ◽  
Kenneth G Holt ◽  
Elliot Saltzman ◽  
Robert C Wagenaar
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stride Length ◽  
The Body ◽  
Stride Frequency ◽  
Spastic Cerebral Palsy ◽  
Significant Difference ◽  
Muscle Complex ◽  
Spring System

Abstract Background and Purpose. Children with cerebral palsy (CP) often are faced with difficulty in walking. The purpose of this experiment was to determine the effects of functional electrical stimulation (FES) applied to the gastrocnemius-soleus muscle complex on the ability to produce appropriately timed force and reduce stiffness (elastic property of the body) and on stride length and stride frequency during walking. Subjects and Methods. Thirteen children with spastic CP (including 4 children who were dropped from the study due to their inability to cooperate) and 6 children who were developing typically participated in the study. A crossover study design was implemented. The children with spastic CP were randomly assigned to either a group that received FES for 15 trials followed by no FES for 15 trials or a group that received no FES for 15 trials followed by FES for 15 trials. The children who were having typical development walked without FES. Kinematic data were collected for the children with CP in each walking condition and for the children who were developing typically. Impulse (force-producing ability) and stiffness were estimated from an escapement-driven pendulum and spring system model of human walking. Stride length and stride frequency also were measured. To compare between walking conditions and between the children with CP and the children who were developing typically, dimensional analysis and speed normalization procedures were used. Results. Nonparametric statistics showed that there was no significant difference between the children with CP in the no-FES condition and the children who were developing typically on speed-normalized dimensionless impulse. In contrast, the children with CP in the FES condition had a significantly higher median value than the children who were developing typically. The FES significantly increased speed-normalized dimensionless impulse from 10.02 to 16.32 when comparing walking conditions for the children with CP. No significant differences were found between walking conditions for stiffness, stride length, and stride frequency. Discussion and Conclusion. The results suggest that FES is effective in increasing impulse during walking but not in decreasing stiffness. The effect on increasing impulse does not result in more typical spatiotemporal gait parameters. [Ho CL, Holt KG, Saltzman E, Wagenaar RC. Functional electrical stimulation changes dynamic resources in children with spastic cerebral palsy. Phys Ther. 2006;86:987–1000.]

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