Electrical stimulation and joint mobilization in children with cerebral palsy and equinus deformity
DOI:
https://doi.org/10.4181/RNC.2010.18.328Keywords:
Cerebral Palsy, Transcutaneous Electric Nerve Stimulation, GaitAbstract
Introduction. Cerebral palsy (CP) leads to motor changes and postural adjustments that cause deformations in the children, among them the equinus deformity. One of the most used therapeutic procedures in CP children is the transcutaneous electric nerve stimulation whose benefits are well known. Another technique, also very used in clinical practice and with proven orthopedical effects is the joint mobilization. Objective. To verify the therapeutic effects of the association between electrical stimulation on dorsiflexor muscle and joint mobilization of the ankle in children with spastic diparetic cerebral palsy with equinus deformity. Method. The participants of this study were three CP children, (with ages) between 3 and 9 years of age that have the equinus deformity. They were evalued in terms of gross motor function, gait, energy expenditure, joint movement and spasticity. The protocol of treatment was 16 sessions of 30 minutes each, twice a week. Results. All children showed improvements in gross motor function, gait and joint movement after the treatment. Conclusion. Association of those two therapeutic techniques was beneficial to improve gross motor function, gait and joint movement for this limited group of patients.
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References
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