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Pediatr Phys Ther. 2010 Summer;22(2):199-206. doi: 10.1097/PEP.0b013e3181dbd806.

Functional electrical stimulation to lower limb muscles after botox in children with cerebral palsy.

Author information

1
Department of Physiotherapy, Faculty of Health Sciences, University of Stellenbosch, Cape Town, South Africa. anjaseifart@webmail.co.za

Abstract

PURPOSE:

This study examined the effect of lower limb functional electrical stimulation (FES) after botulinum toxin injection in children with cerebral palsy on self-selected walking speed, plantar flexor and dorsiflexor muscle strength, and an optimal time frame for initiating FES after the injection.

METHODS:

Five subjects participated in a single-subject design. All subjects received a single botulinum toxin injection into the calf muscle, followed by a 4-week FES home program. Three subjects followed the protocol as prescribed; 2 subjects received no FES.

RESULTS:

FES after botulinum toxin increased isometric plantar flexor muscle strength, but did not produce changes in self-selected walking speeds or isometric dorsiflexor strength. A 32-day interval between botulinum toxin and the start of FES was most effective.

CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE:

FES after botulinum toxin seems to be effective in improving some gait variables, although further research is needed for substantiation.

PMID:
20473105
DOI:
10.1097/PEP.0b013e3181dbd806
[Indexed for MEDLINE]

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