Effect of Neuromuscular Electrical Stimulation during Gait in Children with Cerebral Palsy

A Dynamic Systems: constraints approach to rehabilitation

“…The second finding supports the notion that stiffness is an adaptive, rather than primary response to upper motor neuron disease. The findings in the clinical literature [78][79][80][81] that show a more normal pattern of locomotion using FES in this way support the notion that treatments should be aimed at 1) identifying the underlying neuro-mechanical mechanisms during activities such as locomotion, and 2) focusing treatment Step Figure 9. Hemiplegic gait; 'the pendulum and the pogo stick' (Fonseca et al72).…”

“…Another promising approach is that being pioneered by Judy Carmickusing Functional Electrical Stimulation (FES) of the G-S during the stance phase of gait 78,79,81 . If the G-S group is stimulated during the propulsive phase of gait greater dorsi-flexion of the foot, including a relatively normal heel strike, is observed.…”

Reply to the Letter to the Editor

“…It is useful to have further evidence highlighting similar results to those reported in our paper [4] in a clinical population [1][2][3].…”

The Effects of a Neuromuscular Electrical Stimulation Home Program on Impairments and Functional Skills of a Child with Spastic Diplegic Cerebral Palsy: A Case Report

“…Improvements in functional ambulation were seen. Comeaux et al 11 applied NMES to either the gastrocnemius or to the gastrocnemius and tibialis anterior muscles of children with diplegic or hemiplegic CP during gait to improve dorsiflexion at heel strike. Ankle dorsiflexion at heel strike was improved after both gastrocnemius muscle stimulation and gastrocnemius and tibialis anterior muscle stimulation during gait.…”