PMID- 35233271
OWN - NLM
STAT- MEDLINE
DCOM- 20220325
LR  - 20220502
IS  - 1995-7270 (Electronic)
IS  - 1995-7262 (Print)
IS  - 1995-7262 (Linking)
VI  - 33
IP  - 3
DP  - 2021 Sep
TI  - Effectiveness of Functional Electrical Stimulation - Cycling Treatment in 
      Children with Cerebral Palsy.
PG  - 144-152
LID - 10.4314/mmj.v33i3.1 [doi]
AB  - AIM: The purpose of this study was to evaluate the effects of functional 
      electrical stimulation (FES) bicycle therapy system on motor function, gait 
      pattern, spasticity, daily living activities, and aerobic capacity in children 
      with cerebral palsy (CP) and to compare the results with sham stimulation and 
      standard treatment. METHODS: Patients with cerebral palsy who received botulinum 
      toxin type-A injections to lower extremities and those with Gross Motor Function 
      Measure Classification System (GMFCS) levels I - III, were included in the study. 
      Twenty-five patients were randomly assigned into three treatment groups for 
      4-weeks: Group 1, FES-cycling and standard treatment; Group 2, Sham stimulus 
      FES-cycling and standard treatment; Group 3, Standard treatment. Clinical 
      assessment tools included the Modified Ashworth Scale (MAS), Modified Tardieu 
      Scale (MTS), Pediatric Functional Independence Measure (WeeFIM), GMFCS, Gross 
      Motor Function Measure-88 (GMFM-88), selective motor control tests, 6-minute walk 
      test, and Visual Gait Analysis (VGA). RESULTS: In all groups, there were 
      significant improvements in MAS, MTS, WeeFIM, GMFM-88, 6-minute walk test, and 
      VGA scores. No changes in GMFCS levels were observed in any group. At the end of 
      the study, there was no significant difference among the groups in terms of any 
      clinical assessment parameter. CONCLUSIONS: All groups showed statistically 
      significant improvements in motor function, walking pattern, spasticity, daily 
      living activities, and aerobic capacity in patients with CP following the 
      rehabilitation period. Although FES-cycling demonstrated no superiority over the 
      other approaches and provided no additional benefit to the results, FES appears 
      to be safe and well-tolerated in children with CP, at least as much as standard 
      exercise treatment.
CI  - (c) 2021 The College of Medicine and the Medical Association of Malawi.
FAU - Ozen, Natalya
AU  - Ozen N
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
FAU - Unlu, Ece
AU  - Unlu E
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
FAU - Karaahmet, Ozgur Zeliha
AU  - Karaahmet OZ
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
FAU - Gurcay, Eda
AU  - Gurcay E
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
FAU - Gundogdu, Ibrahim
AU  - Gundogdu I
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
FAU - Umay, Ebru
AU  - Umay E
AD  - Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit 
      Education and Research Hospital, Ankara Turkey.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Malawi
TA  - Malawi Med J
JT  - Malawi medical journal : the journal of Medical Association of Malawi
JID - 9500170
SB  - IM
MH  - Bicycling
MH  - *Cerebral Palsy/therapy
MH  - Child
MH  - Electric Stimulation
MH  - Humans
MH  - Muscle Spasticity/drug therapy
MH  - Walking
PMC - PMC8843188
OTO - NOTNLM
OT  - *Bicycle ergometry
OT  - *botulinum toxin
OT  - *cerebral palsy
OT  - *functional electrical stimulation
EDAT- 2022/03/03 06:00
MHDA- 2022/03/26 06:00
PMCR- 2021/09/01
CRDT- 2022/03/02 06:14
PHST- 2022/03/02 06:14 [entrez]
PHST- 2022/03/03 06:00 [pubmed]
PHST- 2022/03/26 06:00 [medline]
PHST- 2021/09/01 00:00 [pmc-release]
AID - 10.4314/mmj.v33i3.1 [doi]
PST - ppublish
SO  - Malawi Med J. 2021 Sep;33(3):144-152. doi: 10.4314/mmj.v33i3.1.