EFFECTIVENESS OF NEUROMUSCULAR ELECTRICAL STIMULATION ON SURFACE ELECTROMYOGRAPHY OF LOWER EXTREMITIES IN CHILDREN WITH SPASTIC DIPLEGIC CEREBRAL PALSY
Objective To evaluate the effectiveness of neuromuscular electrical stimulation (NMES) on the surface electromyography (sEMG) of lower extremities in children with spastic diplegic cerebral palsy.Methods Forty children with spastic diplegic cerebral palsy palsy,who were admitted to the rehabilitation department Department of Neurological Rehabilitation in our hospital from January 2015 to December 2016,were enrolled in the study,and NMES wasere treated with NMES applied to spasmodic muscles and antagonistic muscles of lower extremities alternately by for 20 minutes,spasmodic muscles and antagonistic muscles of lower extremities alternately.The sEMG was measured They were evaluated with the sEMG before and right immediately after treatment.Results After treatment,the integrated electromyography (iEMG) of the spasmodic muscles were decreased significantly when the muscles were stretched (t =4.350,P <0.05),and the iEMG of the antagonistic muscles were increased significantly when the muscles were contracted (t =3.368,P<0.05).Conclusion NMES may have immediate effects of reducing the spasmodic musclesspasticity and increasing the increasenhance ofing the strength of antagonistic muscles in children with spastic diplegic cerebral palsy.The sEMG can be used as an objective assessment tool for evaluating the effectiveness of NMES forin children with spastic diplegic cerebral palsy.
electric stimulation therapycerebral palsyelectromyographytreatment outcome