scholarly journals Effect of Neuromuscular Electrical Stimulation on Gluteus Maximus and Quadriceps in Cerebral Palsy Children with Crouch Gait

2016 ◽  
Vol 4 (3) ◽  
Author(s):  
Patitapaban Mohanty ◽  
Monalisa Pattnaik
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Gluteus Maximus ◽  
Crouch Gait

scholarly journals Effects of electrode size and placement on comfort and efficiency during low-intensity neuromuscular electrical stimulation of quadriceps, hamstrings and gluteal muscles

2022 ◽  
Vol 14 (1) ◽  
Author(s):  
J. Flodin ◽  
R. Juthberg ◽  
P. W. Ackermann
Keyword(s):  
Electrical Stimulation ◽  
Muscle Contraction ◽  
Current Density ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Neuromuscular Electrical Stimulation ◽  
Gluteus Maximus ◽  
Major Drawback ◽  
Electrode Size ◽  
Low Intensity

Abstract Background Neuromuscular electrical stimulation (NMES) may prevent muscle atrophy, accelerate rehabilitation and enhance blood circulation. Yet, one major drawback is that patient compliance is impeded by the discomfort experienced. It is well-known that the size and placement of electrodes affect the comfort and effect during high-intensity NMES. However, during low-intensity NMES the effects of electrode size/placement are mostly unknown. Therefore, the purpose of this study was to investigate how electrode size and pragmatic placement affect comfort and effect of low-intensity NMES in the thigh and gluteal muscles. Methods On 15 healthy participants, NMES-intensity (mA) was increased until visible muscle contraction, applied with three electrode sizes (2 × 2 cm, 5 × 5 cm, 5 × 9 cm), in three different configurations on quadriceps and hamstrings (short-transverse (ST), long-transverse (LT), longitudinal (L)) and two configurations on gluteus maximus (short-longitudinal (SL) and long-longitudinal (LL)). Current–density (mA/cm2) required for contraction was calculated for each electrode size. Comfort was assessed with a numerical rating scale (NRS, 0–10). Significance was set to p < 0.05 and values were expressed as median (inter-quartile range). Results On quadriceps the LT-placement exhibited significantly better comfort and lower current intensity than the ST- and L-placements. On hamstrings the L-placement resulted in the best comfort together with the lowest intensity. On gluteus maximus the LL-placement demonstrated better comfort and required less intensity than SL-placement. On all muscles, the 5 × 5 cm and 5 × 9 cm electrodes were significantly more comfortable and required less current–density for contraction than the 2 × 2 cm electrode. Conclusion During low-intensity NMES-treatment, an optimized electrode size and practical placement on each individual muscle of quadriceps, hamstrings and gluteals is crucial for comfort and intensity needed for muscle contraction.

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

Sensors ◽  
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.

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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