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KMID : 0191120010160030347
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Journal of Korean Medical Science
2001 Volume.16 No. 3 p.347 ~ p.350
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The Effect of Electrical Stimulation on the Trunk Control in Young Children with Spastic Diplegic Cerebral Palsy
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Eun Sook Park
Chang Il Park/Hong Jae Lee/Yoon Soo Cho
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Abstract
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This study was designed to determine the effectiveness of electrical stimulation over the
trunk in improving sitting balance in young children with spastic diplegic cerebral palsy
who displayed poor trunk control. The subjects ranged in age from 8 to 16 months and were
randomly assigned to two groups. Both group had physical therapy for 6 weeks. Electrical
stimulation (ES) group had additional electrical stimulation over the abdomen and posterior
back muscles. Radiographic studies were carried out on the whole spine while they were
sitting before and after treatment. Kyphotic angle, Cobb´s angle and lumbo-sacral angle
were measured. Additionally, sitting score-Gross Motor Function Measure (GMFM) was also
evaluated. There was no difference of these values at initial evaluation between the two
groups. Following 6 weeks of intensive therapy, the changes of kyphotic angle and sitting
score-GMFM were significantly higher in ES group statistically when compared with those of
the control group. The Cobb´s angle following treatment was improved in ES group, but not
statistically compared with that of control group. This study suggests that electrical
stimulation over the trunk become a beneficial therapeutic technique in improving the
sitting posture and trunk control in young children with spastic diplegic cerebral palsy.
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