1. ELETROESTIMULAÇÃO PARA OS MEMBROS INFERIORES EM CRIANÇAS E ADOLESCENTES COM PARALISIA CEREBRAL: UMA REVISÃO DE LITERATURA.
- Author
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Barra Campos, Ana Luíza, do Val Rodrigues, Jéssica, de Souza Castilho, Júlia, Simões Fonseca, Diogo, Cesário Defilipo, Érica, and de Carvalho Chagas, Paula Silva
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ELECTRIC stimulation , *CHILDREN with cerebral palsy , *LITERATURE reviews , *PERFORMANCE in children , *REDUCING exercises - Abstract
The use of neuromuscular electrical stimulation (NMES) and/or functional electrical stimulation (FES) combined with functional activities may improve functional mobility in children and adolescents with cerebral palsy (CP). OBJECTIVE: The objective of this study was to review the literature on the use of electrical stimulation for the lower extremities in children and adolescents with CP. METHODS: This literature review included clinical trials published between January 2018 and December 2023 conducted with children with CP aged between 4 and 18 years. The titles and abstracts of the studies were evaluated, followed by full-text reading. Systematic reviews and studies that did not perform electrical stimulation were excluded. The PEDro scale was used to evaluate the methodological quality of the selected clinical trials. RESULTS: Seven studies with moderate methodological quality were included (PEDro = 6.75 [4 to 8]). NMES or FES combined with exercise reduced spasticity, improved muscular physiology, improved gait pattern and mobility of children and adolescents with CP, and presented statistically significant results in the GMFM (p < 0.05) and other outcomes. CONCLUSION: The moderate quality of evidence suggests that the application of NMES and FES on the lower extremities can be used as adjunct therapy to improve gross motor function, mobility, and goal achievement in children and adolescents with CP. Further research with better methodological quality, large sample sizes, and long-term follow-up are needed. [ABSTRACT FROM AUTHOR]
- Published
- 2024