scholarly journals Fatiguing Effects on the Multi-Scale Entropy of Surface Electromyography in Children with Cerebral Palsy

Entropy ◽  
2016 ◽  
Vol 18 (5) ◽  
pp. 177 ◽  
Author(s):  
Tong Hong ◽  
Xu Zhang ◽  
Hongjun Ma ◽  
Yan Chen ◽  
Xiang Chen
2020 ◽  
Vol 11 ◽  
Author(s):  
Germana Cappellini ◽  
Francesca Sylos-Labini ◽  
Carla Assenza ◽  
Laura Libernini ◽  
Daniela Morelli ◽  
...  

Surface electromyography (sEMG) can be used to assess the integrity of the neuromuscular system and its impairment in neurological disorders. Here we will consider several issues related to the current clinical applications, difficulties and limited usage of sEMG for the assessment and rehabilitation of children with cerebral palsy. The uniqueness of this methodology is that it can determine hyperactivity or inactivity of selected muscles, which cannot be assessed by other methods. In addition, it can assist for intervention or muscle/tendon surgery acts, and it can evaluate integrated functioning of the nervous system based on multi-muscle sEMG recordings and assess motor pool activation. The latter aspect is especially important for understanding impairments of the mechanisms of neural controllers rather than malfunction of individual muscles. Although sEMG study is an important tool in both clinical research and neurorehabilitation, the results of a survey on the clinical relevance of sEMG in a typical department of pediatric rehabilitation highlighted its limited clinical usage. We believe that this is due to limited knowledge of the sEMG and its neuromuscular underpinnings by many physiotherapists, as a result of lack of emphasis on this important methodology in the courses taught in physical therapy schools. The lack of reference databases or benchmarking software for sEMG analysis may also contribute to the limited clinical usage. Despite the existence of educational and technical barriers to a widespread use of, sEMG does provide important tools for planning and assessment of rehabilitation treatments for children with cerebral palsy.


2020 ◽  
Vol 30 (2) ◽  
pp. 216-226
Author(s):  
Bruna Garcia Schmidt ◽  
Laís Rodrigues Gerzson ◽  
Carla Skilhan de Almeida

Introduction: Cerebral palsy is the most common physical disability in childhood. Physical therapy plays a central role in managing the treatment of disease sequelae. However, it is always a challenge to quantify the results obtained in physical therapy interventions. Thus, surface electromyography has been increasingly used by physiotherapists because it is a quantitative method of evaluation and treatment of neuromuscular system dysfunctions. Objective: To analyze the use of surface electromyography as a physical therapy outcome measure in children with cerebral palsy. Methods: From the search in two important databases, clinical trials of physical therapy interventions that used surface electromyography as a physiotherapy outcome factor in children with cerebral palsy, published in Portuguese, English, French or Spanish until August 2019, were selected. Results: A total of 166 articles were found in the databases searched. Of these, only 15 were included and classified with good methodological quality by PEDro and because they were related to surface electromyography. A flowchart with standardization of actions was built taking into account the most prevalent findings in the studies. Conclusion: Surface electromyography has been applied by physiotherapists to evaluate the effects of the intervention, but it is necessary to improve its level of evidence.  


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