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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):260-265.
The Effect of Biofeedback Treatment in Children with Spastic-Diplegic Cerebral Palsy.
Cheon, Seung Wook , Lee, So Young , Choi, In Sung , Kim, Jae Hyung , Lee, Sam Gyu
1Department of Physical Medicine & Rehabilitation, Chonnam National University Medical School & Hospital, Korea. sam91@jnu.ac.kr
2Department of Physical Medicine & Rehabilitation, Chonnam National University Hwasun Hospital, Korea.
경직성 양지마비형 뇌성마비 환아에서 생체되먹이기 치료
천승욱, 이소영1, 최인성, 김재형1, 이삼규
전남대학교 의과대학 재활의학교실, 1화순전남대학교병원 재활의학과
To investigate the effect of electromyography (EMG)-biofeedback treatment in children with spastic-diplegic cerebral palsy.
Twenty patients with spastic diplegia, who could recognize the auditory and visual stimulation, were recruited. Ten patients underwent EMG-biofeedback treatment with neurodevelopmental treatment (NDT) for 12 weeks, 3 times a week, total 1 hour a day, but age-, sex- and functional-matched ten controls underwent only NDT. Before and after the treatment, active range of motion, spasticity, muscle strength and Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Measure(GMFM) were measured.
In experimental group, there was a significant increase in active range of motion of hip and ankle joints (p<0.05). Spasticity of ankle joint was decreased, but it was not statistically significant (p>0.05). Muscle strength of ankle dorsiflexor and hip extensor muscles was significantly improved (p<0.05). WeeFIM and GMFM scores significantly increased in an experimental group (p<0.05).
EMG-biofeedback treatment in children with spastic-diplegic cerebral palsy might be an effective adjuvant to NDT through the muscle reeducation. (J Korean Acad Rehab Med 2005; 29: 260-265)
Key Words: Biofeedback, Spastic diplegia, Cerebral palsy, Muscle reeducation


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