Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study

This study sets out to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) in the management of calf muscle spasticity in children with cerebral palsy. The study follows a one group pre-test–post-test design involving fifteen children with spastic cerebral palsy, present...

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Autores principales:	Delali Logosu, Thomas A. Tagoe, Patrick Adjei
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Cerebral palsy H-reflex Modified Ashworth Scale Range of motion Spasticity Transcutaneous electrical nerve stimulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/922eebf9733247c88db4c9d0895daf2c
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spelling	oai:doaj.org-article:922eebf9733247c88db4c9d0895daf2c2021-11-04T04:44:25ZTranscutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study2667-242110.1016/j.ibneur.2021.09.006https://doaj.org/article/922eebf9733247c88db4c9d0895daf2c2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667242121000403https://doaj.org/toc/2667-2421This study sets out to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) in the management of calf muscle spasticity in children with cerebral palsy. The study follows a one group pre-test–post-test design involving fifteen children with spastic cerebral palsy, presenting with calf muscle spasticity. Spasticity was assessed before and after a 30 min application of TENS to the bilateral calf muscles. The H-reflex (electromyography) of the calf muscles and Modified Ashworth Scale (MAS) served as a measure of spasticity. A goniometer was used to measure the range of motion (ROM) angles for ankle dorsiflexion. We report here no significant difference (p > 0.05) between the left and right H-reflex responses, MAS scores, and ROM scores recorded at baseline (pre-test). Correlation analysis show no correlation (p > 0.05) between the pre-test HA Max (maximum H-reflex amplitude)/MA Max (maximum M-Wave Amplitude) ratio and MAS scores of both the left and right calf muscles. However, TENS significantly reduced (p < 0.05) the HA of the left calf muscle and MAS scores of the left and right calf muscles. Additionally, TENS significantly increased the ROM scores of the left and right calf muscles. Our findings lend support to existing evidence that TENS is effective in reducing spasticity. The potential mechanism underlying this effect is a reduction in neuron excitability.Delali LogosuThomas A. TagoePatrick AdjeiElsevierarticleCerebral palsyH-reflexModified Ashworth ScaleRange of motionSpasticityTranscutaneous electrical nerve stimulationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENIBRO Neuroscience Reports, Vol 11, Iss , Pp 194-199 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cerebral palsy H-reflex Modified Ashworth Scale Range of motion Spasticity Transcutaneous electrical nerve stimulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Cerebral palsy H-reflex Modified Ashworth Scale Range of motion Spasticity Transcutaneous electrical nerve stimulation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Delali Logosu Thomas A. Tagoe Patrick Adjei Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
description	This study sets out to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) in the management of calf muscle spasticity in children with cerebral palsy. The study follows a one group pre-test–post-test design involving fifteen children with spastic cerebral palsy, presenting with calf muscle spasticity. Spasticity was assessed before and after a 30 min application of TENS to the bilateral calf muscles. The H-reflex (electromyography) of the calf muscles and Modified Ashworth Scale (MAS) served as a measure of spasticity. A goniometer was used to measure the range of motion (ROM) angles for ankle dorsiflexion. We report here no significant difference (p > 0.05) between the left and right H-reflex responses, MAS scores, and ROM scores recorded at baseline (pre-test). Correlation analysis show no correlation (p > 0.05) between the pre-test HA Max (maximum H-reflex amplitude)/MA Max (maximum M-Wave Amplitude) ratio and MAS scores of both the left and right calf muscles. However, TENS significantly reduced (p < 0.05) the HA of the left calf muscle and MAS scores of the left and right calf muscles. Additionally, TENS significantly increased the ROM scores of the left and right calf muscles. Our findings lend support to existing evidence that TENS is effective in reducing spasticity. The potential mechanism underlying this effect is a reduction in neuron excitability.
format	article
author	Delali Logosu Thomas A. Tagoe Patrick Adjei
author_facet	Delali Logosu Thomas A. Tagoe Patrick Adjei
author_sort	Delali Logosu
title	Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
title_short	Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
title_full	Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
title_fullStr	Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
title_full_unstemmed	Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study
title_sort	transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: a pilot study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/922eebf9733247c88db4c9d0895daf2c
work_keys_str_mv	AT delalilogosu transcutaneouselectricalnervestimulationinthemanagementofcalfmusclespasticityincerebralpalsyapilotstudy AT thomasatagoe transcutaneouselectricalnervestimulationinthemanagementofcalfmusclespasticityincerebralpalsyapilotstudy AT patrickadjei transcutaneouselectricalnervestimulationinthemanagementofcalfmusclespasticityincerebralpalsyapilotstudy
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Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study

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