PMID- 31453540 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2587-1250 (Electronic) IS - 2587-0823 (Print) IS - 2587-1250 (Linking) VI - 65 IP - 1 DP - 2019 Mar TI - Effectiveness of electrical stimulation after administration of botulinum toxin in children with spastic diplegic cerebral palsy: A prospective, randomized clinical study. PG - 16-23 LID - 10.5606/tftrd.2019.2236 [doi] AB - OBJECTIVES: The aim of the study was to investigate the effectiveness of electrical stimulation to agonist muscles after injection of Botulinum toxin A (BTX-A) in children with spastic diplegic cerebral palsy (SDCP). PATIENTS AND METHODS: Between October 2009 and October 2010, 38 patients with SDCP (19 males, 19 females; mean age 6.3 years; range, 4 to 10 years) were included. The patients were able to walk independently or with minimal assistance by foot equine and had spasticity in the calf muscles between Grades 1+ and 3 according to the Modified Ashworth Scale (MAS). The patients received either BTX-A injection + electrical stimulation (Group 1, n=19) or BTX-A injection alone (Group 2, n=19). All patients were evaluated using the MAS, Penn Spasm Frequency Scale (PSFS), Gross Motor Function Measure-88 (GMFM-88) (Dimensions D and E), and walking velocity. RESULTS: A decrease in spasticity was evident for the right, left, and bilateral lower extremities for both groups (p<0.05). There were no statistically significant differences in the MAS, PSFS, GMFM-88 (Dimensions D and E), and walking velocity between the groups. CONCLUSION: Our study results showed that both patient groups benefited from the treatment and the administration of electrical stimulation to the gastrocnemius motor points produced no additional benefit for patients with SDCP. FAU - Yigitoglu, Pembe AU - Yigitoglu P AD - Department of Physical Medicine and Rehabilitation, Near East University Faculty of Medicine, Lefkosa, KKTC. FAU - Kozanoglu, Erkan AU - Kozanoglu E AD - Department of Physical Medicine and Rehabilitation, Cukurova University Faculty of Medicine, Adana, Turkey. LA - eng PT - Journal Article DEP - 20190204 PL - Turkey TA - Turk J Phys Med Rehabil JT - Turkish journal of physical medicine and rehabilitation JID - 101719024 PMC - PMC6648179 OTO - NOTNLM OT - Botulinum toxin OT - cerebral palsy OT - electrical stimulation OT - spasticity COIS- Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article. EDAT- 2019/08/28 06:00 MHDA- 2019/08/28 06:01 PMCR- 2019/02/04 CRDT- 2019/08/28 06:00 PHST- 2018/01/31 00:00 [received] PHST- 2018/02/15 00:00 [accepted] PHST- 2019/08/28 06:00 [entrez] PHST- 2019/08/28 06:00 [pubmed] PHST- 2019/08/28 06:01 [medline] PHST- 2019/02/04 00:00 [pmc-release] AID - 10.5606/tftrd.2019.2236 [doi] PST - epublish SO - Turk J Phys Med Rehabil. 2019 Feb 4;65(1):16-23. doi: 10.5606/tftrd.2019.2236. eCollection 2019 Mar.