The Effects of a Neuromuscular Electrical Stimulation Home Program on Impairments and Functional Skills of a Child with Spastic Diplegic Cerebral Palsy: A Case Report

Daichman, Joni; Johnston, Therese E.; Evans, Kelly; Tecklin, Jan Stephen

doi:10.1097/01.pep.0000083121.26982.1d

Cited by 22 publications

(29 citation statements)

References 21 publications

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“…Improvements in hamstring spasticity and lower limb function,5 and quadriceps–hamstring co-contraction,19 have been recorded through an extended period of quadriceps exercise stimulation. Khalili and Hajihassanie18 also found improvements in hamstring spasticity (and passive knee extension) when stimulation of the quadriceps was added to a passive stretching regime, however, they considered the change for the experimental group as a whole not to be clinically relevant.…”

Section: Methodsmentioning

confidence: 99%

“…While four lower limb reviews have been published to date in MEDLINE-cited journals on the use of NMES for CP, only Kerr et al 1 and Merrill3 have also reviewed concurrently the important topic of upper limb applications of NMES. The present review is timely because a number of studies relevant to the scope of this paper were not analysed in the reviews by Kerr et al 1 5–25 or Merrill 3 6 9 11 14 16–18 23 26–28. Moreover, the nature of this review as being a succinct clinically oriented analysis differs from Merrill's review, which was a preface to an extended discussion of potential future technological developments.…”

Section: Introductionmentioning

confidence: 94%

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Neuromuscular electrical stimulation for children with cerebral palsy: a review

Wright,

Durham,

Ewins

et al. 2012

Arch Dis Child

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The aim of this review paper is to consider the application of neuromuscular electrical stimulation (NMES) to improve gait or upper limb function in children with cerebral palsy (CP). Although most NMES research has been directed at adults with neurological conditions, there is a growing body of evidence supporting its use in children with CP. In line with a recent meta-analysis, the use of electrical stimulation to minimise impairment and activity limitations during gait is cautiously advocated. A detailed commentary on one of the most common lower limb NMES applications, tibialis anterior stimulation (either with or without gastrocnemius stimulation) is given. Although there is a lack of randomised controlled trials and a predominance of mainly small studies, this review further concludes that the balance of available evidence is in favour of upper limb exercise NMES offering benefits such as increased muscle strength, range of motion and function in children with CP. The use of dynamic splinting with NMES has been shown to be more effective than either treatment on its own in improving function and posture. There is at present little published work to support the application of botulinum toxin type A to temporarily reduce muscle tone as an adjunct intervention to NMES in this population, although the presence of parallel applications to manage similar symptoms in other muscular disorders is noted.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Neuromuscular electrical stimulation for children with cerebral palsy: a review

Wright,

Durham,

Ewins

et al. 2012

Arch Dis Child

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show abstract

“…And found that both groups were improved equally in strength. Daichman et al [11] did a study on the effect of NMES home program on impairments and functional skills of a child with spastic diplegic CP to examine the effects of neuromuscular electrical stimulation (NMES) on impairments and functional skills of a 13-yearold child with spastic diplegic cerebral palsy (CP). NMES was administered to the right quadriceps muscles every other day for six weeks.…”

Section: Discussionmentioning

confidence: 99%

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

Mohanty¹,

Pattnaik²,

Sarkar³

2016

J Neurol Disord

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Background: Cerebral palsy (CP) is a persistent disorder of movement and posture caused by non-progressive pathological processes of the immature brain. This is the natural history of the gait disorder in children with more severe diplegia and in the majority of children with spastic quadriplegia. One of the most common movement abnormalities among children with cerebral palsy is a crouched gait. Neuromuscular electrical stimulation (NMES) is the application of electrical current transcutaneously to innervated, superficial muscle to stimulate muscle fibers, augment muscle contraction, increase range of motion (ROM), and increase sensory awareness. The purpose of the study was to investigate the effects of NMES on Gluteus maximus and Quadriceps strength in cerebral palsy children with crouch gait, and the subsequent effect on their gross motor function.

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“…Preferred speed is often an outcome variable to determine the effectiveness of interventions [10][11][12]. Several gait parameters, however, are speed dependent [13] and analyzing gait parameters at a defined walking speed has been suggested [14,15].…”

Section: Introductionmentioning

confidence: 99%

Test–retest reliability of spatial and temporal gait parameters in children with cerebral palsy as measured by an electronic walkway

2008

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The Effects of a Neuromuscular Electrical Stimulation Home Program on Impairments and Functional Skills of a Child with Spastic Diplegic Cerebral Palsy: A Case Report

Abstract: These findings indicate that NMES was an effective therapeutic technique to improve strength and motor function of a child with spastic diplegic CP.

Cited by 22 publications

References 21 publications

Neuromuscular electrical stimulation for children with cerebral palsy: a review

Neuromuscular electrical stimulation for children with cerebral palsy: a review

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

Test–retest reliability of spatial and temporal gait parameters in children with cerebral palsy as measured by an electronic walkway

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