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Research Article Open access CC BY 4.0

Comparison of the Immediate Effect between Functional Electrical Stimulation and Ankle Foot Orthoses on Gait Parameters in Cerebral Palsy

Waleed Salah El-Din Mahmoud, Ragab Kamal Elnaggar

Journal of Advances in Medicine and Medical Research · pp. 1–10 · Published 5 Apr 2016

10.9734/BJMMR/2016/25353

Abstract

Aim: To compare the immediate effect of functional electrical stimulation (FES) to solid ankle foot orthosis (SAFO) concerning spatiotemporal parameters and ankle kinematics during gait in hemiplegic cerebral palsy (CP). Methodology: Thirty spastic hemiplegic cerebral palsied children were randomly distributed into two equal groups; group A, who used the functional electrical stimulation (FES) and group B, who worn the solid ankle foot orthosis (SAFO).  Vicon 3D motion analysis system was used to measure the spatiotemporal parameters of gait and ankle dorsiflexion angle at initial contact and mid-swing before intervention and with application of either FES or SAFO. Spasticity was ranged between 2 and 1+ and determined by Modified Ashworth Scale score. Results: Following the application of  solid AFO, stride length and walking speed significantly increased than next to FES (p=0.0001, p=0.001) respectively. Whereas, number of steps/minute significantly decreased (p=0.001). Further, Solid AFO increased ankle dorsiflexion at initial contact (6.2±4.7º) and mid-swing (3.4±0.6º) more than FES at initial contact (1.86±3.9º) and mid-swing (-4.6± 5º). Conclusion: FES, unlikely found to evoke an immediate effect of spatiotemporal parameters while solid AFO improved the gait efficiency by enhancing spatiotemporal parameters. Both treatment interventions increased ankle dorsiflexion at initial contact and mid-swing but solid AFO was more effective immediately than FES.

Cerebral palsy functional electrical stimulation ankle foot orthoses spatiotemporal parameters of gait, ankle kinematics.

References (27)

  1. 1 Reliability of Ashworth and Modified Ashworth Scales in Children with Spastic Cerebral Palsy [DOI]
  2. 2 Effect of ankle-foot orthoses on walking efficiency and gait in children with cerebral palsy [DOI]
  3. 3 Lower‐extremity selective voluntary motor control in patients with spastic cerebral palsy: increased distal motor impairment [DOI]
  4. 4 Clinical Use of Neuromuscular Electrical Stimulation for Children With Cerebral Palsy, Part 1: Lower Extremity [DOI]
  5. 5 Stepping before standing: hip muscle function in stepping and standing balance after stroke [DOI]
  6. 6 A Comparison of Gait With Solid, Dynamic, and No Ankle-Foot Orthoses in Children With Spastic Cerebral Palsy [DOI]
  7. 7 Management of spasticity in stroke [DOI]
  8. 8 Changes in muscle activity in children with hemiplegic cerebral palsy while walking with and without ankle–foot orthoses [DOI]
  9. 9 Efficacy of Ankle-Foot Orthoses on Gait of Children with Cerebral Palsy: Systematic Review of Literature [DOI]
  10. 10 A longitudinal MRI study of muscle atrophy during lower leg immobilization following ankle fracture [DOI]
  11. 11 Muscle Plasticity and Ankle Control After Repetitive Use of a Functional Electrical Stimulation Device for Foot Drop in Cerebral Palsy [DOI]
  12. 12 Gait in Individuals with Chronic Hemiparesis: One-Year Follow-up of the Effects of a Neuroprosthesis That Ameliorates Foot Drop [DOI]
  13. 13 Effect of functional electrical stimulation, applied during walking, on gait in spastic cerebral palsy [DOI]
  14. 14 Voluntary (Normal) Versus Obligatory (Cerebral Palsy) Toe-Walking in Children: A Kinematic, Kinetic, and Electromyographic Analysis [DOI]
  15. 15 Effect of Functional Electrical Stimulation on asymmetries in gait of children with hemiplegic cerebral palsy [DOI]
  16. 16 The effects of ankle foot orthoses on energy recovery and work during gait in children with cerebral palsy [DOI]
  17. 17 Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy [DOI]
  18. 18 A functional electrical stimulation system improves knee control in crouch gait [DOI]
  19. 19 MANAGING EQUINUS IN CHILDREN WITH CEREBRAL PALSY: ELECTRICAL STIMULATION TO STRENGTHEN THE TRICEPS SURAE MUSCLE [DOI]
  20. 20 Comparison of Percutaneous and Surface Functional Electrical Stimulation During Gait in a Child with Hemiplegic Cerebral Palsy [DOI]
  21. 21 The Effect of Lower Limb Functional Electrical Stimulation on Gait of Children with Cerebral Palsy [DOI]
  22. 22 Immediate effect of percutaneous intramuscular stimulation during gait in children with cerebral palsy: a feasibility study [DOI]
  23. 23 The efficacy of neuroprosthesis in young hemiplegic patients, measured by three different gait indices: Early results [DOI]
  24. 24 Role of three side support ankle–foot orthosis in improving the balance in children with spastic diplegic cerebral palsy [DOI]
  25. 25 Immediate effect of percutaneous intramuscular stimulation during gait in children with cerebral palsy: a feasibility study [DOI]
  26. 26 Cerebral palsy - lower limbs: rehabilitation [DOI]
  27. 27 Peripheral Nerve Stimulation [DOI]

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