Comparison of electrical stimulation and conventional physiotherapy in functional rehabilitation in Erb's Palsy

Okafor, Udoka; Akinbo, S R A; Sokunbi, Oluwaleke; Okanlawon, A O; Noronha, CC

doi:10.4314/nqjhm.v18i4.45029

Cited by 12 publications

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“…The authors of a number of studies (10,19,(25)(26)(27)(28) concerned themselves with gain in muscle strength, but made no attempts to assess how much load could be administered with these patients, making such studies subjective. A different load was adapted to each patient, with no parameters for assessing the ideal load and we do not know whether the increase in strength was due to the load or electrostimulation (29,30).…”

Section: Discussionmentioning

confidence: 99%

Determination of muscle fatigue index for strength training in patients with Duchenne dystrophy

et al. 2010

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INTRODUCTION: Muscle weakness is the most prominent impairment in Duchenne muscular dystrophy (DMD) and often involves the loss of functional ability as well as other limitations related to daily living. Thus, there is a need to maintain muscle strength in large muscle groups, such as the femoral quadriceps, which is responsible for diverse functional abilities. However, the load and duration of training for such rehabilitation has proven to be a great unknown, mainly due to the undesired appearance of muscle fatigue, which is a severe factor for the injury of muscle fibers. OBJECTIVES: The aim of the present study was to determine a fatigue index by means of surface electromyography (EMG) for the parameterization of muscle strengthening physiotherapy training. METHODS: A cross-sectional study (case series) was carried out involving four patients with DMD. Three pairs of surface electrodes were placed on the motor point of the Rectus femoris, Vastus lateralis and Vastus medialis of the dominant limb, maintaining the knee at 60º of flexion. The participants were instructed to perform the extension movement of this joint at four strength levels (100%, 80%, 60% and 40% of maximal voluntary isometric contraction). RESULTS: The slope of the linear regression line was used for the determination of the fatigue index, performed by Pearson's test on the median frequency of each strength level. CONCLUSION: Electromyographic measurements of the strength index for muscle training proved to be a simple accessible assessment method, as well as an extremely valuable tool, allowing the design of a muscle strength training program with an individualized load threshold.

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Section: Discussionmentioning

confidence: 99%

Determination of muscle fatigue index for strength training in patients with Duchenne dystrophy

et al. 2010

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“…Similar to the MRC scores, the marginal improvement reported in the Okafor et al (2008) study attenuated the overall measurements. The three individual case reports included more striking AROM results (Adedeji & Oyelese, 2009;Berggren & Baker, 2015;Srilakshmi & Chaganti, 2013).…”

Section: Discussionmentioning

confidence: 53%

“…Shoulder flexion showed improved scores from 1 to 4, but this change is likely an artifact in magnitude, given that the reported initial AROM was much greater than would be expected to correspond to an MRC score of 1. As for the apparent lack of improvement in MRC scores overall, it should be noted that the study by Okafor, Akinbo, Sokunbi, Okanlawon, and Noronha (2008), which includes eight patients, likely skewed the overall pattern, as the three other individual cases all reported improvements of 1-2 MRC levels (Okafor, Akinbo, Okanlawon, & Noronha, 2008). The discrepancy between the Okafor et al (2008) results and the other cases is possibly explained by three factors.…”

Section: Discussionmentioning

confidence: 93%

“…As for the apparent lack of improvement in MRC scores overall, it should be noted that the study by Okafor, Akinbo, Sokunbi, Okanlawon, and Noronha (2008), which includes eight patients, likely skewed the overall pattern, as the three other individual cases all reported improvements of 1-2 MRC levels (Okafor, Akinbo, Okanlawon, & Noronha, 2008). The discrepancy between the Okafor et al (2008) results and the other cases is possibly explained by three factors. First, the average age at intervention was 22 days, several days past the recommended upper limit of 2 weeks.…”

Section: Discussionmentioning

confidence: 93%

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Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review

Justice¹,

Awori²,

Carlson³

et al. 2018

The Open Journal of Occupational Therapy

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“…Furthermore, it is thought that electrical stimulation associated with active movement might be helping the recovery process, at least partially. Unfortunately, there are no previous studies with definitive results on this matter [12].…”

Section: Discussionmentioning

confidence: 99%

Método Chordata combinado com eletroterapia na recuperação funcional após lesão do plexo braquial: relato de três casos clínicos

Mestriner

Oliveira

Melo

et al. 2016

Sci Med

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Aims:To report three clinical cases of complex brachial plexus injury treated with an innovative physical therapy program, the Chordata Method, combined with electrotherapy. Case description: Three patients suffered a complex brachial plexus injury. They were submitted to surgery and to long-term rehabilitation with the Chordata method (including suspension and tilting exercises) combined with electrotherapy. All patients exhibited significant signs of recovery in post-treatment electroneuromyography. Moreover, improvements in muscle strength and in the range of motion of the injured upper limb were also observed, leading to better posture and gains in activities of daily living (e.g., driving a modified car, holding objects, performing household chores, and doing leisure activities). Conclusions: There was great functional recovery after the physical therapy program with the Chordata Method combined with electrotherapy, with an impact on patients' daily lives as well as on electroneuromyography findings. Randomized clinical trials are needed to confirm or refute this new non-pharmacological strategy for the treatment of brachial plexus injuries.KEY WORDS: brachial plexus neuropathies; physical therapy modalities; peripheral nerve injuries. RESUMOObjetivos: Descrever três casos clínicos em que os indivíduos tiveram lesão de plexo braquial complexa, tratada com um programa inovador de fisioterapia, o Método Chordata, associado à eletroterapia. Descrição dos casos: Três pacientes sofreram lesões complexas do plexo braquial. Os três sujeitos foram submetidos à intervenção cirúrgica e a um longo período de reabilitação com o emprego do método Chordata (envolvendo exercícios de suspensão e pendulação corporal), combinada com a eletroterapia. Todos os pacientes apresentaram sinais significativos de recuperação na eletroneuromiografia pós-tratamento. Além disso, os três também apresentaram melhora na força muscular e nas amplitudes de movimento do membro superior acometido. Observou-se melhor postura e ganhos importantes nas atividades de vida diária (tais como dirigir um carro modificado, segurar objetos, realizar tarefas domésticas e atividades de lazer). Conclusões: Os resultados revelaram uma importante recuperação funcional após o programa de fisioterapia com o Método Chordata associado à eletroterapia, com impacto na vida diária dos pacientes, bem como nos achados eletroneuromiográficos. Ensaios clínicos randomizados são necessários para confirmar ou refutar esta nova estratégia terapêutica não farmacológica nas lesões de plexo braquial. DESCRITORES: neuropatias do plexo braquial; modalidades de fisioterapia; traumatismos dos nervos periféricos.

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Comparison of electrical stimulation and conventional physiotherapy in functional rehabilitation in Erb's Palsy

Cited by 12 publications

References 0 publications

Determination of muscle fatigue index for strength training in patients with Duchenne dystrophy

Determination of muscle fatigue index for strength training in patients with Duchenne dystrophy

Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review

Método Chordata combinado com eletroterapia na recuperação funcional após lesão do plexo braquial: relato de três casos clínicos

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