| Author: | Chan, Nar-chi Nerita |
| Title: | The efficacy of neuromuscular electrical stimulation (NMES) to gastro-soleus muscle for children with cerebral palsy |
| Degree: | M.Sc. |
| Year: | 2002 |
| Subject: | Hong Kong Polytechnic University -- Dissertations Cerebral palsied children -- Rehabilitation Neuromuscular diseases -- Treatment Electrotherapeutics Electric stimulation |
| Department: | Multi-disciplinary Studies Department of Rehabilitation Sciences |
| Pages: | vi, 139 leaves : ill. (some col.) ; 30 cm |
| Language: | English |
| Abstract: | This study was a two groups ABA experimental design. The main aim of the study was to find out the effect of functional neuromuscular electrical stimulation (NMES) on gastro-soleus complex in improving the deviated gait pattern in children with cerebral palsy(CP). Specific objectives of the study were: 1) to find the effectiveness of both the combined effect of NMES plus treadmill walking and treadmill walking only; 2) to find out the effect of NMES only in affecting the gait in children with CP; and 3) to investigate the carryover effect on each group. A total of twelve children with spastic diplegia or hemiplegia were recruited and randomly assigned to the two experimental groups. The total period of the study was eight weeks. Eight repeated measures on the gait analysis were performed with clinical measurement also carried out. The effect on the control period, immediate effect, cumulative effect and the carryover effect were illustrated by different repeated measure ANOVA performed. Results showed that some kinematics changes on the maximum ankle dorsiflexion during stance was detected with a significant difference of p = 0.035 on 'time' comparison. No difference between 'treatment' and 'treatment and time' interaction could be detected. Both groups had improvement in the range of dorsiiflexion after intervention and no difference could be proved between the two groups. The kinematic changes mainly occurred for the cumulative effect but not in immediate effect. Maintenance of the effect to the carryover period was achieved. Kinetics changes in ankle moment quotient (AMQ) and ankle power quotient (APQ) were not significant for bath the immediate and cumulative effect on both groups. Improvement in trend was observed on both groups in the immediate effect but not for cumulative effect. Functional changes were detected with GMFM in standing (GMST) and in walking (GMWK), with a significant level of p < 0.001 and p = 0.003 respectively on 'time' comparison for the cumulative effect. Significant interaction was also detected on GMWK with 'treatment by time' (p = 0.035). Difference between the two groups was not significant on 'treatment' comparison on both GMST and GMWK. The results illustrated that both groups showed improvement in GMST and GMWK for the cumulative effects but no difference could be shown between the two groups. The effects on both groups could be carried over to two weeks after interventions stopped. Both NMES plus treadmill walking and the treadmill walldng group showing positive improvements in the kinematics and fimctional outcomes that we measured. No statistical significance could be proved between the two groups. However, the trend in the kinematics changes and the score of Gross Motor Function Measures suggested that group A improved more than group B. No significant improvement and no significant differences between the two groups were shown in the kinetic variables. Also, it is only the trend showing some improvement of immediate effect on AMQ and APQ. Further study is recommended in specific mechanism of the effect and therefore, more idea on the treatment protocol could be suggested for our daily practice. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| b16589865.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 10.58 MB | Adobe PDF | View/Open |
Copyright Undertaking
As a bona fide Library user, I declare that:
- I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
- I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
- I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.
Please use this identifier to cite or link to this item:
https://theses.lib.polyu.edu.hk/handle/200/3302