Article

The aim of this pilot study was to investigate the feasibility of applying the
combination of Dynamic splinting (DS) and Neuromuscular electrical stimulation
(NMES) in order to improve wrist and elbow function, and range of motion, in
children with upper limb contractures due to Cerebral palsy (CP). Six children
aged seven to 16, with contractures at the wrist or elbow, were recruited.
Following a 12-week baseline period all participants underwent a 12-week
treatment period where DS was used for one hour per day and combined with NMES
for the second half of the 1-h treatment. A 12-week follow-up period then ensued.
Upper limb function was assessed with the Melbourne assessment, physical
disability with the Paediatric Evaluation of Disability Index and the Activity
Scale for Kids, and quality of life with the Pediatric Quality of Life Scale.
Passive and active range of motion at the wrist and elbow were measured using
manual and electrical goniometers. The technique of using combined NMES and DS
was demonstrated to be feasible and compliance with the intervention was good.
There was an increase in passive elbow extension in two participants treated for
elbow contractures, although no accompanying change in upper limb function was
demonstrated. Wrist range of movement improved in one participant treated for
wrist contracture.

Langue : ANGLAIS