Seifart Anja, Unger Marianne, Burger Marlette
Department of Physiotherapy, University of Stellenbosch, Parow, South Africa.
Pediatr Phys Ther. 2009 Spring;21(1):23-30. doi: 10.1097/PEP.0b013e31818de3ea.
To examine the effect of lower limb functional electrical stimulation (FES) in children with cerebral palsy.
A comprehensive search yielded 37 citations. English articles included in the review applied either surface or percutaneous FES to the lower limb, if subjects were younger than 18 years old, and if the stimulator was removed or off at the time of testing.
Five articles were included in this review, including 3 case reports, 1 single subject, and 1 crossover design. Among the wide range of stimulation protocols, stimulation of the gastrocnemius with or without the tibialis anterior muscle may effect greater gait improvements than stimulating the tibialis anterior muscle alone.
Future research differentiating between optimal FES and neuromuscular electrical stimulation protocols as well as more rigorous research designs are needed to provide clinically relevant results.
研究下肢功能性电刺激（FES）对脑瘫患儿的影响。
全面检索得到37篇文献。纳入综述的英文文章需满足：受试者年龄小于18岁；对下肢采用表面或经皮FES；测试时刺激器已移除或关闭。
本综述纳入5篇文章，包括3篇病例报告、1篇单病例研究和1篇交叉设计研究。在众多刺激方案中，刺激腓肠肌（无论是否同时刺激胫前肌）可能比单独刺激胫前肌更能改善步态。
未来需要开展研究以区分最佳FES和神经肌肉电刺激方案，并采用更严谨的研究设计，从而得出具有临床相关性的结果。
