PMID: 18721122Aug 30, 2008Paper

Electrical simulation in addition to passive stretch has a small effect on spasticity and contracture in children with cerebral palsy: a randomised within-participant controlled trial

The Australian Journal of Physiotherapy
Mohammad A Khalili, Abdulhamid Hajihassanie

Abstract

Does electrical stimulation in addition to passive stretching reduce spasticity and contracture more than passive stretching alone in children with cerebral palsy? Randomised within-participant controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Eleven (one dropout) children with cerebral palsy and bilateral knee flexor spasticity aged 13 years (SD 1). One leg in each participant received the experimental intervention for four weeks which consisted of 30 min of electrical stimulation of the quadriceps 3 times per week and passive stretching of the hamstrings 5 times per week. The other leg received the control intervention for four weeks which consisted of passive stretching of the hamstrings 5 times per week. Spasticity of the hamstrings was measured using the modified Ashworth scale. Contracture was measured as maximum passive knee extension using goniometry. The mean difference in decrease in the modified Ashworth score due to the addition of electrical stimulation to the stretching regimen was 0.8 points (95% CI 0.1 to 1.5). The mean difference in increase in passive knee extension due to the addition of electrical stimulation to the stretching regimen was 4 degrees (95% CI 0 to 7...Continue Reading

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Citations

Mar 10, 2016·Journal of Physical Therapy Science·Sota Nakano, Chikamune Wada
Jun 9, 2009·Seminars in Pediatric Neurology·Ann Tilton
Jun 18, 2016·Journal of Physical Therapy Science·Sota Nakano, Chikamune Wada
Aug 6, 2010·Clinical Rehabilitation·James H CauraughKenneth G Holt
Nov 16, 2013·Physical Therapy·Mary E GannottiThubi H A Kolobe

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