Rehabilitation Sciences Department, Faculty of Applied Medical Sciences, King Saud University, PO Box 10219, Riyadh 11433, Saudi Arabia.
NeuroRehabilitation. 2011;29(1):37-43. doi: 10.3233/NRE-2011-0675.
Electrical stimulation (ES) of proximal muscles during gait training has not previously been reported as a management option for improving muscle tone and gait in spastic diplegic children.
To investigate the effects of simultaneous continuous ES of both hip abductors and adductors during walking on muscle tone, knee alignment and gait characteristics in children with spastic diplegic cerebral palsy (CP).
Three groups of children participated in this project: the study group, consisting of 17 ambulant children with spastic diplegic CP; a control group of 15 ambulant children with spastic diplegic CP; and another control group, with 17 healthy children.
The study group underwent two different ES management programs. The first was a one-time trial management program that involved ongoing ES of bilateral hip adductor and abductor muscles at the sensory and motor levels, respectively, during walking for a predetermined distance. The second ES program lasted for one week and involved 15 minutes of ongoing ES of bilateral hip adductor and abductor muscles at the sensory and motor levels, respectively, during walking for three sessions a day for the week.
Marked improvement in gait performance (p < 0.001), muscle tone (p < 0.01) and knee position of the study group was observed.
ES to the hip adductor and abductor muscles simultaneously at the sensor and motor levels, respectively, improved gait in spastic diplegic CP children.
在步态训练期间对近端肌肉进行电刺激（ES）以前并未被报道为改善痉挛性双瘫儿童的肌肉张力和步态的管理选择。
研究在行走过程中同时连续 ES 双侧髋关节外展肌和内收肌对痉挛性双瘫脑瘫（CP）儿童的肌肉张力、膝关节对线和步态特征的影响。
三组儿童参与了本项目：研究组由 17 名痉挛性双瘫 CP 的可步行儿童组成；对照组由 15 名痉挛性双瘫 CP 的可步行儿童组成；另一个对照组由 17 名健康儿童组成。
研究组接受了两种不同的 ES 管理方案。第一个是一次性试验管理方案，涉及在预定距离内行走时，分别在感觉和运动水平上对双侧髋关节内收肌和外展肌进行持续 ES。第二个 ES 方案持续一周，涉及在行走时分别在感觉和运动水平上对双侧髋关节内收肌和外展肌进行 15 分钟的持续 ES，每天进行三次，持续一周。
研究组的步态表现（p<0.001）、肌肉张力（p<0.01）和膝关节位置明显改善。
分别在感觉和运动水平上对髋关节内收肌和外展肌进行 ES，可改善痉挛性双瘫 CP 儿童的步态。
