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Journal of the Korean Academy of Rehabilitation Medicine 1996;20(4):4.
Effect of Electrical Stimulation on Ankle Plantar Flexor Spasticity in Cerebral Palsy
Chang Il Park, M.D., Ji Cheol Shin, M.D., You Chul Kim, M.D., Seong Woo Kim, M.D., Deog Young Kim, M.D. , Hye Jung Seo, M.D.
Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine
뇌성마비 환아에서 전기자극이 족저굴곡근 경직에 미치는 영향
박창일, 신지철, 김유철, 김성우, 김덕용, 서혜정
연세대학교 의과대학 재활의학교실 및 재활의학 연구소
Abstract

Spasticity is one of the most troublesome problems in the management in cerebral palsy. This study was conducted to observe the effects of the electrical stimulation therapy to spasticity. 16 cerebral palsy children were treated with reciprocal electrical stimulation on tibialis anterior and gastrocnemius for 6 weeks. Three times of assessments of spasticity, before, immediately after and 24 hours after treatment were made for modified Ashworth scale, passive range of motion, reflex excitability test, ankle T-reflex and gross motor function measure.

The results were as follows:

1) After 6 weeks of electrical stimulation therapy, modified Ashworth scale, gain of the reflex excitability test, amplitude of the ankle T-reflex were significantly reduced and the passive range of motion and ankle dexterity were significantly increased(p<0.05). 2) The reductions of spasticity were maintained for 24 hours 3) The functional improvement measured by gross motor function measure could not be found. The reciprocal electrical stimulation therapy was effective in the management of the spasticity in cerebral palsy children. However we could not find any functional improvement because the duration of treatment was relatively short.

Key Words: Electrical stimulation, Spasticity, Cerebral palsy


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