The Effect of Task-oriented EMG-triggered ES on Upper Limb Motor Function in Hemiplegic Cerebral Palsy

NCT ID: NCT04394819

Last Updated: 2024-03-08

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 20 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-01-01
• Study Completion Date: 2024-03-01

Brief Summary

The purpose of our study; to investigate the effects of EMG-induced ES treatment on hand functions, muscle strength, and quality of life in patients with hemiplegic CP.

Detailed Description

Upper limb spasticity greatly affects the hand functions of patients with cerebral palsy (CP) and impairs quality of life. The most important goal in rehabilitation; despite the existing deficiencies, the highest level of functional independence of the patient is to increase the quality of life. EMG-triggered biofeedback electrical stimulation (EMG-triggered-BF-ES) increases the patient's active participation and motivation in rehabilitation, creates visual or auditory BF, provides muscle reeducation, decreases spasticity, prevents atrophies and increases joint mobility and increases muscle functionality by increasing the patient's functionality. There are areas of use the EMG-triggered-BF-ES such as cerebrovascular disease (CVO), spinal cord injury, and CP. When the literature is examined; studies were found to be few, and no study evaluating the upper extremity was found in children with CP. The purpose of our study is the investigation of the effects of EMG-triggered-BF-ES treatment applied on hand functions, muscle strength, and quality of life in patients with CP.

Conditions

Cerebral Palsy, Spastic

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

experimental and control groups

Task-oriented EMG-triggered ES treatment will be applied to the experimental group 2 days a week for 5 weeks and will continue with conventional physiotherapy.

The control group will only continue conventional physiotherapy treatment.

electromyography-triggered electrical stimulation

Intervention Type: OTHER

All treatments were planned as 2 sessions per week, for a total of 10 sessions for 5 weeks. For EMG-trigger-ES application, dual-channel Nu-Tek® brand, Maxi plus 2 Model EMG-trigger-BF-ES Device in our clinic was planned to be used. With EMG-triggered-ES application, while the patient is in a sitting position, shoulder adduction, and the elbow is 90 degrees of flexion and pronation, the patient will extend to the ball of 5 cm in diameter, which is placed as far as the distance between the acromion and the 3rd toe, and then the finger-wrist active extension will be stimulated and then It was planned to apply the ball to be grasped. One of the two 5x5 cm superficial square electrodes of the device was planned to be placed on the extensor carpi radialis and extensor digitorum Communis and the other 2 cm distal.

Interventions

electromyography-triggered electrical stimulation

All treatments were planned as 2 sessions per week, for a total of 10 sessions for 5 weeks. For EMG-trigger-ES application, dual-channel Nu-Tek® brand, Maxi plus 2 Model EMG-trigger-BF-ES Device in our clinic was planned to be used. With EMG-triggered-ES application, while the patient is in a sitting position, shoulder adduction, and the elbow is 90 degrees of flexion and pronation, the patient will extend to the ball of 5 cm in diameter, which is placed as far as the distance between the acromion and the 3rd toe, and then the finger-wrist active extension will be stimulated and then It was planned to apply the ball to be grasped. One of the two 5x5 cm superficial square electrodes of the device was planned to be placed on the extensor carpi radialis and extensor digitorum Communis and the other 2 cm distal.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• having a diagnosis of CP
• age between 4 and 18 year
• at least 10° of the active wrist and finger extension in the affected limb but less than normal
• upper limb spasticity (shoulder, elbow, wrist, and fingers) less than or equal to grade 2 according to the modified Ashworth scale (MAS)
• should be able to receive command

Exclusion Criteria

• Mental retardation
• Passive range of motion (ROM) limitation in the upper extremity
• Sensory impairment in the upper extremity
• The visual and auditory deficit in the upper extremity
• MAS is more than 3.
• Botulinum toxin application to the upper limb in the last 6 months
• Any surgical application to the upper limb in the last 6 months

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

nihal tezel

OTHER_GOV

Sponsor Role: lead

Responsible Party

nihal tezel

medical doctor

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

DiskapiYBERH

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Related Links

https://journals.lww.com/pedpt/Abstract/1991/00340/Electromyography_Triggered_Electrical_Muscle.4.aspx

Electromyography-Triggered Electrical Muscle Stimulation for Children with Cerebral Palsy: A Pilot Study

https://pubmed.ncbi.nlm.nih.gov/14995090

Electrical stimulation in cerebral palsy: a review of effects on strength and motor function

https://www.ncbi.nlm.nih.gov/pubmed/11104342

Therapeutic effects of functional electrical stimulation of the upper limb of eight children with cerebral palsy

https://pubmed.ncbi.nlm.nih.gov/24185362

Therapeutic functional electrical stimulation in hemiplegic cerebral palsy

Other Identifiers

DiskapiYBERHPTR

Identifier Type: -

Identifier Source: org_study_id