Efficacy of microcurrent therapy in infants with congenital muscular torticollis involving the entire sternocleidomastoid muscle: a randomized placebo-controlled trial

Kwon, Dong Rak; Park, Gi Young

doi:10.1177/0269215513511341

Cited by 29 publications

(34 citation statements)

References 25 publications

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“…Previous studies also reported that microcurrent therapy can prevent muscle damage compared to the sham treatment. [10,11,23] Excessive accumulation of intracellular Ca 2+ can alter membrane integrity, which gradually induces morphological and functional changes in the contractile structure of the muscle. [9,10] The main mechanism of MENS is maintaining intracellular Ca 2+ homeostasis in damaged muscle cells.…”

Section: Discussionmentioning

confidence: 99%

“…[10,11,23] Excessive accumulation of intracellular Ca 2+ can alter membrane integrity, which gradually induces morphological and functional changes in the contractile structure of the muscle. [9,10] The main mechanism of MENS is maintaining intracellular Ca 2+ homeostasis in damaged muscle cells. [10,23] Muscle weakness during aging suggests that the Ca 2+ -dependent excitation-contraction coupling might be impaired.…”

Section: Discussionmentioning

confidence: 99%

“…If microcurrents of a physiological amperage were delivered into damaged muscle tissues, it could control the altered membrane function by various mechanisms, such as the maintenance of intracellular Ca 2+ homeostasis and the upregulation of ATP production. [10–12] Previous studies revealed that treatment of muscle damage with microcurrent therapy with low amperage <500 μA can reduce the severity of muscle symptoms. [11,13] However, the mechanism of MENS has not yet been clarified and it is presumed that MENS has various therapeutic effects owing to differences in microcurrent parameters such as ampere and frequency.…”

Section: Introductionmentioning

confidence: 99%

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Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly

Kwon

Kim²,

Kim³

et al. 2017

Medicine

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Background:Microcurrent electrical neuromuscular stimulation (MENS) has been suggested to improve muscle function and restore damaged muscle. However, current evidence is insufficient to determine the effectiveness of this therapy in age-dependent muscle weakness. Therefore, a prospective, randomized, double-blinded, sham-controlled clinical trial was designed to evaluate the effects of short-term MENS on muscle function in the elderly.Methods:A total of 38 healthy elderly participants aged 65 years and above were enrolled and randomly divided into 2 stimulation groups: real or sham MENS group. Real or sham MENS were applied to the 8 anatomical points of the dominant arm and leg during the course of 40 minutes. We performed muscle function tests at baseline and after the intervention: the handgrip strength tests (HGS, kg), the root mean square values (RMS, μV), and the single leg heel-rise tests (HRT) to determine changes in the strength, activity, and endurance of the elderly muscle, respectively.Results:In the real MENS group, the mean values of the HGS and the number of plantar flexions were significantly increased, but the RMS value of the electromyography signal was significantly decreased after the real intervention (P < .05). However, the sham MENS group showed a significant decrease in the number of plantar flexions and the total time for HRT after the sham stimulation (P < .05). The mean difference in the RMS value was significantly lower, but the number of plantar flexions and the total time for HRT was significantly higher in the real MENS group than in the sham MENS group (P < .05).Conclusion:The findings suggest that short-term application of MENS may play a partial role in enhancing physical activities of the elderly, as it can improve some muscle function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly

Kwon

Kim²,

Kim³

et al. 2017

Medicine

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“…Powodują przyspieszenie ruchów jonów, które mogą wnikać do tkanek i wspomagać procesy regeneracyjne [34]. Kwon i Park [35] oraz Kim i Kown [36] uznali MET, za skuteczną metodę w leczeniu kręczu szyi, która powiększa skuteczność tradycyjnego postępowania usprawniającego. Poza doniesieniami dotyczącymi MET, w literaturze zagadnienia można odnaleźć doniesienia o stosowaniu ultradźwięków [35,36,37].…”

Section: Fizykoterapiaunclassified

Congenital muscular torticollis – an over view of treatment methods

Michalska¹,

Szmurło²,

Pogorzelska³

et al. 2017

Child Neurology

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sTResZCZeNieKręcz szyi jest zaburzeniem wrodzonym lub nabytym, które może wpływać na postawę i globalną motorykę dziecka, prowadząc do opóźnienia rozwoju ruchowego. Wczesne wdroże-nie leczenia zachowawczego gwarantuje wycofanie objawów u większości pacjentów. W przypadkach ciężkich postaci klinicznych, z obecnością guza w masie mięśnia mostkowo-obojczykowo-sutkowego, rokowanie jest mniej pomyślne, a leczenie poza leczeniem zachowawczym, może obejmować metody inwazyjne. Celem pracy jest przedstawienie metod stosowanych w leczeniu niemowląt z wrodzonym kręczem szyi. Słowa kluczowe: kręcz szyi, wrodzony kręcz szyi, leczenie zachowawcze, fizjoterapia aBsTRaCT Torticollis is a congenital or acquired disorder that can affect a child's posture and global motor skills leading to delayed motor development. Early implementation of conservative treatment guarantees withdrawal of symptoms in most patients. In cases of severe clinical forms, with the presence of tumor in the sterno-cleido-mastoid muscle mass, the prognosis is less favorable and treatment outside the conservative treatment may involve invasive procedures. The aim of the study is to present the methods used in the treatment of infants with congenital torticollis. Key words: muscular torticollis, congenital muscular torticollis, conservative treatment, physical therapy Tzw. asymetria wieku niemowlęcego jest złożonym problemem klinicznym, którego objawy mogą dotyczyć struktur ciała (asymetria strukturalna) i/lub jego funkcji (asymetria funkcjonalna -motoryczna). Objawy mogą ujawniać się miejscowo, tzn. dotyczyć określonego obszaru ciała (asymetria miejscowa), bądź dotyczyć całego ciała (asymetria uogólniona) [1][2][3]. Kręcz szyi zarówno wrodzony, jak i nabyty jest zaburzeniem miejscowym, które wpływa na motorykę niemowlęcia, często powodując wtórne zaburzenia o charakterze strukturalnym (deformacje części biernej aparatu ruchu) i funkcjonalnym (wtórne zaburzenia motoryki małej i dużej, zaburzenia sensoryczne).Celem pracy jest przedstawienie metod stosowanych w leczeniu niemowląt z wrodzonym kręczem szyi.Kręcz szyi (torticollis) to zniekształcenie posturalne objawiające się wymuszoną pozycją ustawienia głowy i szyi tj. zgięciem bocznym, w płaszczyźnie czołowej oraz rotacją brody w płaszczyźnie poprzecznej w stronę przeciwną, z towarzyszącym ograniczeniem ruchomości (zazwyczaj nie występuje w kręczu ocznopochodnym) (ryc.1). Przymusowe ustawienie głowy może być powią-zane z jednostronnym uniesieniem ramienia po stronie kręczu [4][5][6][7][8]. Kręcz szyi może być zarówno zaburzeniem wrodzonym (zmiany w mięśniu mostkowo-obojczykowo--sutkowym (MOS), kręg klinowy, mnogie zaburzenia krę-gów, zespół Klippla-Feila), jak i nabytym, wynikającym z przyczyn zapalnych (ropnie pozagardłowe, zapalenie węzłów chłonnych szyi, zapalenie migdałków, zapalenie wyrostka sutkowatego, zapalenia szpiku kostnego), neurologicznych (dystonii szyjnej ̶ kurczowy kręcz szyi), zaburzeń narządów zmysłów (wzroku, słuchu), czy zmian o charakterze nowotworowym lub paranowotworowym (np. neurofibroma...

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“…Our previous studies [2122] demonstrated that in infants with congenital muscular torticollis, microcurrent therapy improves the range of motion of the neck since the therapeutic effect of microcurrent therapy is likely related to increase in the numbers of sarcomeres and adenosine triphosphate (ATP) production, thereby improving contractility as keeping a muscle in a shortened position is a disadvantage because of the decrease in the number of sarcomeres in the muscle cells [2324]. …”

Section: Introductionmentioning

confidence: 99%

Therapeutic Effect of Microcurrent Therapy in Children With In-toeing Gait Caused by Increased Femoral Anteversion: A Pilot Study

et al. 2017

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ObjectiveTo investigate the efficacy of portable microcurrent therapy device (PMTD) of the hip internal rotators in the treatment of in-toeing gait caused by increased femoral anteversion in children over 8 years of age.MethodsEleven children (22 legs; 4 boys and 7 girls; mean age, 10.4±1.6 years) with in-toeing gait caused by increased femoral anteversion were included in the present study. All children received 60 minutes of PMTD (intensity, 25 µA; frequency, 8 Hz) applied to the hip internal rotators daily for 4 weeks. Hip internal rotation (IR) angle, external rotation (ER) angle, and midmalleolar-second toe angle (MSTA) measurement during stance phase at transverse plane and Family Satisfaction Questionnaire, frequency of tripping and fatigue like pains about the PMTD were performed before treatment and at 4 weeks after initial PMTD treatment. Paired t-test and Fisher exact test were used for statistical analysis.ResultsHip IR/ER/MSTA was 70.3°±5.4°/20.1°±5.5°/–11.4°±2.7°, and 55.7°±7.8°/33.6°±8.2°/–2.6°±3.8° before treatment and at 4 weeks after initial PMTD treatment, respectively (p<0.01). Ten of 11 (91%) children's family stated that they were generally satisfied with the PMTD treatment. The frequency of tripping and fatigue like pains was significantly lower at 4 weeks after PMTD treatment (p<0.05). Excellent inter-rater and intra-rater reliability was observed for repeated MSTA measurements between the examiners (k=0.91–0.96 and k=0.93–0.99), respectively.ConclusionPMTD of the hip internal rotators can be effective in improving the gait pattern of children with in-toeing gait caused by increased femoral anteversion.

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Efficacy of microcurrent therapy in infants with congenital muscular torticollis involving the entire sternocleidomastoid muscle: a randomized placebo-controlled trial

Abstract: Microcurrent therapy may increase the efficacy of therapeutic exercise with ultrasound for the treatment of congenital muscular torticollis involving the entire sternocleidomastoid muscle.

Cited by 29 publications

References 25 publications

Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly

Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly

Congenital muscular torticollis – an over view of treatment methods

Therapeutic Effect of Microcurrent Therapy in Children With In-toeing Gait Caused by Increased Femoral Anteversion: A Pilot Study

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