van der Linden Mariëtta L, Hazlewood M Elizabeth, Hillman Susan J, Robb James E
School of Health Sciences, Queen Margaret University, Queen Margaret University Drive, Musselburgh EH21 6UU, Edinburgh, Scottland, UK.
Pediatr Phys Ther. 2008 Spring;20(1):23-9. doi: 10.1097/PEP.0b013e31815f39c9.
To assess the effects of functional electrical stimulation (FES) of the ankle dorsiflexors and quadriceps in children with cerebral palsy.
Fourteen children (mean age 8 years) were randomly allocated to a treatment or control group. The treatment group received 2 weeks of neuromuscular electrical stimulation followed by 8 weeks of FES used at home and school. The control group continued with its usual physiotherapy program. Assessment took place at baseline and before and after the treatment period. Both control and treatment groups were fitted with FES for gait analysis at the second and final assessments.
In both groups, FES of the ankle dorsiflexors resulted in a significant (p < 0.01) effect on gait kinematics. However, no long-term treatment effect of using FES for 8 weeks was found.
FES for selected children with cerebral palsy, receiving adequate support, can be a practical treatment option to improve gait kinematics.
评估功能性电刺激（FES）对脑瘫患儿踝背屈肌和股四头肌的影响。
14名儿童（平均年龄8岁）被随机分配到治疗组或对照组。治疗组接受2周的神经肌肉电刺激，随后在家中和学校使用8周的FES。对照组继续其常规物理治疗方案。在基线时以及治疗期前后进行评估。在第二次和最后一次评估时，对照组和治疗组均佩戴FES进行步态分析。
在两组中，踝背屈肌的FES对步态运动学产生了显著影响（p < 0.01）。然而，未发现使用FES 8周的长期治疗效果。
对于有适当支持的特定脑瘫患儿，FES可以是改善步态运动学的一种实用治疗选择。
