Is functional electrical stimulation an alternative for orthotics in patients with cerebral palsy? A literature review

Khamis, Sam; Herman, Talia; Krimus, Sima; Danino, Barry

doi:10.1016/j.ejpn.2017.10.004

Cited by 13 publications

(11 citation statements)

References 18 publications

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“…Neuromuscular or functional electrical stimulation (FES) is an example of the appropriate usage of temporal characteristics of sEMG recordings for determining the application of multichannel electrical stimuli to superficial skeletal muscles in order to control, compensate and/or correct their contractions (80)(81)(82)(83)(84)(85). In addition to a physiotherapy programme, it emphasizes task specificity, motor learning, and positive effects (86).…”

Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Clinical Relevance of State-of-the-Art Analysis of Surface Electromyography in Cerebral Palsy

et al. 2020

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Surface electromyography (sEMG) can be used to assess the integrity of the neuromuscular system and its impairment in neurological disorders. Here we will consider several issues related to the current clinical applications, difficulties and limited usage of sEMG for the assessment and rehabilitation of children with cerebral palsy. The uniqueness of this methodology is that it can determine hyperactivity or inactivity of selected muscles, which cannot be assessed by other methods. In addition, it can assist for intervention or muscle/tendon surgery acts, and it can evaluate integrated functioning of the nervous system based on multi-muscle sEMG recordings and assess motor pool activation. The latter aspect is especially important for understanding impairments of the mechanisms of neural controllers rather than malfunction of individual muscles. Although sEMG study is an important tool in both clinical research and neurorehabilitation, the results of a survey on the clinical relevance of sEMG in a typical department of pediatric rehabilitation highlighted its limited clinical usage. We believe that this is due to limited knowledge of the sEMG and its neuromuscular underpinnings by many physiotherapists, as a result of lack of emphasis on this important methodology in the courses taught in physical therapy schools. The lack of reference databases or benchmarking software for sEMG analysis may also contribute to the limited clinical usage. Despite the existence of educational and technical barriers to a widespread use of, sEMG does provide important tools for planning and assessment of rehabilitation treatments for children with cerebral palsy.

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Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Clinical Relevance of State-of-the-Art Analysis of Surface Electromyography in Cerebral Palsy

et al. 2020

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“…Se encontró un efecto positivo más pequeño para la estimulación de los extensores de rodilla que facilitaba la extensión de la rodilla durante la fase de apoyo y para la estimulación de los abductores de la cadera que mejoraba la alineación de la rodilla en el plano frontal. No se encontraron pruebas que apoyaran el uso de la estimulación de los flexores plantares para corregir las desviaciones de la marcha (Khamis, et al 2017).…”

Section: Estimulación Eléctrica Funcional (Eef) En Pacientes Pediátricos Según La Evidenciaunclassified

Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

Jaime-Estrada

Sasia-Zayas

2020

JNT

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Physical agents are a form of energy that have the ability to interfere with matter, and are used in the process of rehabilitation, among them we can find the use of water, heat, cold, sound, electrical currents, and electromagnetic radiation. The main objective of this study is to analyze if is beneficial the use of physical agents in the intervention and interaction with pediatric patients (0 to 17 years). Material and methods: An extensive search of bibliographic material in Google Academic, Medigraphic, Physiotherapy Evidence Database (PEDro), Pubmed, was conducted between July 6 and October 30, 2020, with the limits: studies in pediatric patients, written in Spanish and English, which were of the type: systematic reviews, controlled and randomized studies, and practice guidelines. Results: Of the 1860 studies analyzed, only 45 could be added for this research since they met the inclusion criteria. The initial hypothesis could be tested: physical agents are effective in the treatment of pediatric patients, however it is considered that more research is needed in this area.

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“…While not in all cases of FES a neural reflex may be modulated, due to its significance we briefly discuss it here. FES may be delivered via implanted electrodes [32], percutaneously [33] or transcutaneous [34] in various places. FES have been used in a variety of applications such as improving activity after stroke [35], chronic heart failure [36] or control and rehabilitation of extremities following spinal cord injury [37] or other forms of neural disease.…”

Section: Example Applications Of Neuromodulationmentioning

confidence: 99%

Wearable Neuromodulators

Shiraz¹,

Leaker²,

Demosthenous³

2018

Wearable Technologies

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In neuromodulation, by delivering a form of stimulus to neural tissue the response of an associated neural circuit may be changed, enhanced or inhibited (i.e., modulated) as desired. This powerful technique may be used to treat various medical conditions as outlined in this chapter. After a brief introduction to the human nervous system, key example applications of electrical neuromodulation such as cardiac pacemakers, devices for pain relief, deep brain stimulation, cochlear implant and visual prosthesis and their respective methods of deployment are discussed. Furthermore, key features of wearable neuromodulators with reference to some existing devices are briefly reviewed. This chapter is concluded by a case study on design and development of a wearable device with non-invasive electrodes for treating lower urinary tract dysfunctions after spinal cord injury.

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Is functional electrical stimulation an alternative for orthotics in patients with cerebral palsy? A literature review

Cited by 13 publications

References 18 publications

Clinical Relevance of State-of-the-Art Analysis of Surface Electromyography in Cerebral Palsy

Clinical Relevance of State-of-the-Art Analysis of Surface Electromyography in Cerebral Palsy

Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

Wearable Neuromodulators

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