學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Mesh-glove
electrical stimulation on upper extremity function in children with spastic
hemiplegic cerebral palsy: a pilot study. |
作者 |
Peng, C‐W. †, Chen, C‐L. †*, Lin, K‐L., Lin,
K‐C., Wu, C‐Y., Liu, W‐Y.,
Chen, H‐C. |
期刊名稱 |
Taiwan Journal of Physical Medicine and
Rehabilitatio |
發表日期 |
2016 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
mesh-glove electrical stimulation, cerebral palsy,
somatosensory electrical stimulation, upper extremity, motor function |
摘要 |
Introduction: Neuromuscular electrical
stimulation is one of the non-invasive treatments for improving spasticity of
upper extremity (UE) and motor function in children with cerebral palsy (CP).
However, some children felt uncomfortable in receiving the neuromuscular
electrical stimulation. The mesh-glove electrical stimulation (MGES) is one
kind of somatosensory electrical stimulation. Recently, there were few
researches indicating that MGES causes positive effectiveness for the
spasticity control of UE in children with CP. This study aims to investigate
the treatment effects of MGES on UE function and daily function in children
with CP. Methods: This controlled trial is based on a pre- and post-treatment
study design. Eight children with CP, aged 3-12 years, were classified into
the experimental (MGES) and control (traditional rehabilitation, TR) groups.
Outcome measures, including the Modified Ashworth Scale (MAS), the Quality of
Upper Extremity Skills Test (QUEST), the Box and Block Test (BBT), and the
Functional Independence Measure for Children (WeeFIM), were assessed before
and after the treatments. The MGES group received electrical stimulation on
their affected UE and motor training for 90 minutes, twice a week for 12
weeks. A general estimation equation (GEE) model was used to measure the
outcome changes between two groups. The significance level was set at p< .05. Results: GEE showed MGES group had greater decrease in the
spasticity, measured by MAS, than TR group (p< .01).
The MGES group had greater improvement in UE quality and manual dexterity,
measured by QUEST and BBT, than the TR group (p< .01).
The MGES group also induced greater gains in self-care, measured by WeeFIM,
than the TR group (p< .03). Conclusion: The results show that MGES may
induce greater gains in UE function and daily function in children with
spastic hemiplegic CP. Therefore, MGES may be used as an adjunct therapy in
the treatment of UE dysfunctions in these children. Due to the limitation of
the small sample size, further studies should recruit larger sample size to
validate the findings. |