| The Effect of Functional Electrical Stimulation on Gait Function in Children with Cerebral Palsy. |
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Yang, Chung Yong , Kim, Tae Jin , Noh, Se Eung , Kim, Yong Yook , Kim, Dong Wook , Kim, Nam Gyun , Shin, Yong Il |
1Department of Physical Medicine & Rehabilitation, Wonkwang University College of Medicine, Institute of Wonkwang Medical Science, Korea. rehab@wonkwang.ac.kr
2Center for Healthcare Technology Development, College of Engineering, Chonbuk National University, Korea.
3Division of Biomedical Engineering, College of Engineering, Chonbuk National University, Korea. |
| 기능적 전기자극 치료가 뇌성마비 아동의 보행기능에 미치는 영향 |
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양충용, 김태진, 노세응, 김용욱1, 김동욱2, 김남균2, 신용일 |
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원광대학교 의과대학 재활의학교실, 원광의과학연구소, 1전북대학교 헬스케어기술개발사업단, 2전북대학교 공과대학 바이오메디컬공학부 |
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| Abstract |
Objective
To evaluate the effect of functional electrical stimulation (FES) on the motor function and gait in children with cerebral palsy.
Method
Sixteen ambulant children (8 females, 8 males) with diplegic (n=12) or hemiplegic (n=4) cerebral palsy participated in this study. All were randomly assigned to either the FES (n=8) or control (n=8) group. Both groups received physical therapy based on neurodevelopmental technique for 20 minutes a day, 5 days a week for a period of 6 weeks. The FES group was treated with additional neuromuscular electrical therapy over quadriceps, hamstring, and ankle dorsiflexor on affected legs. Modified Ashworth scale, active range of motion of affected ankle and knee joints, motricity index for strength, gross motor function measure (GMFM), and gait analysis were performed before and after treatments.
Results
The strength of lower limbs, section of D (standing), E (walking-running-jumping) and total of GMFM, and maximal range of motion of knee from sagittal kinematic data improved significantly in FES group (p＜0.05). In FES group, change values of before and after treatments to the strength of lower limbs, and section of D and total of GMFM were significantly improved compared to control group (p＜0.05). There was no serious side effect.
Conclusion
This study suggests that FES in children with cerebral palsy may be a safe and beneficial therapeutic technique in improving the leg strength and gross motor function. However, we could not find any superior changes then control in gait kinematics of FES group. (J Korean Acad Rehab Med 2008; 32: 624-631) |
| Key Words:
Cerebral palsy, Functional electrical stimulation, Gait analysis, Randomized controlled study, Kinematics |
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