Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series

Cerebral palsy (CP) is a non-progressive, neurological disorder often resulting in secondary musculoskeletal impairments affecting alignment and function which can result in orthopaedic surgery. Neuromuscular electrical stimulation (NMES) is a modality that can be used for rehabilitation; however, N...

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Autores principales:	Kelly Greve, Caroline Colvin
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	neuromuscular electrical stimulation cerebral palsy immobilization rehabilitation physical therapy Chemical technology TP1-1185
Acceso en línea:	https://doaj.org/article/972f013083334cc9b481eec6a6fce36a
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spelling	oai:doaj.org-article:972f013083334cc9b481eec6a6fce36a2021-11-25T18:58:17ZNeuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series10.3390/s212276611424-8220https://doaj.org/article/972f013083334cc9b481eec6a6fce36a2021-11-01T00:00:00Zhttps://www.mdpi.com/1424-8220/21/22/7661https://doaj.org/toc/1424-8220Cerebral palsy (CP) is a non-progressive, neurological disorder often resulting in secondary musculoskeletal impairments affecting alignment and function which can result in orthopaedic surgery. Neuromuscular electrical stimulation (NMES) is a modality that can be used for rehabilitation; however, NMES immediately following orthopaedic surgery in children with CP using surface electrodes has not been previously reported. The purpose of this case series is to describe the novel use of NMES in the acute rehabilitation phase directly after orthopaedic surgery. This case series included three children with spastic diplegia CP, Gross Motor Function Classification System level II who underwent Single Event Multi-Level orthopaedic Surgery. Each long leg cast contained window cast cut-outs to allow for surface electrode placement for daily NMES intervention to the quadriceps muscles while immobilized. Children were assessed pre- and post-operatively using the Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM-66), and 6-Minute Walk Test (6MWT). All children demonstrated no adverse effects using NMES intervention and had improvements in the 6MWT. Most children demonstrated gains in the FMS and GMFM-66. Use of NMES through window cast-cuts in a long leg cast is a novel practice approach for delivery of early rehabilitation following lower extremity orthopaedic surgery.Kelly GreveCaroline ColvinMDPI AGarticleneuromuscular electrical stimulationcerebral palsyimmobilizationrehabilitationphysical therapyChemical technologyTP1-1185ENSensors, Vol 21, Iss 7661, p 7661 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	neuromuscular electrical stimulation cerebral palsy immobilization rehabilitation physical therapy Chemical technology TP1-1185
spellingShingle	neuromuscular electrical stimulation cerebral palsy immobilization rehabilitation physical therapy Chemical technology TP1-1185 Kelly Greve Caroline Colvin Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
description	Cerebral palsy (CP) is a non-progressive, neurological disorder often resulting in secondary musculoskeletal impairments affecting alignment and function which can result in orthopaedic surgery. Neuromuscular electrical stimulation (NMES) is a modality that can be used for rehabilitation; however, NMES immediately following orthopaedic surgery in children with CP using surface electrodes has not been previously reported. The purpose of this case series is to describe the novel use of NMES in the acute rehabilitation phase directly after orthopaedic surgery. This case series included three children with spastic diplegia CP, Gross Motor Function Classification System level II who underwent Single Event Multi-Level orthopaedic Surgery. Each long leg cast contained window cast cut-outs to allow for surface electrode placement for daily NMES intervention to the quadriceps muscles while immobilized. Children were assessed pre- and post-operatively using the Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM-66), and 6-Minute Walk Test (6MWT). All children demonstrated no adverse effects using NMES intervention and had improvements in the 6MWT. Most children demonstrated gains in the FMS and GMFM-66. Use of NMES through window cast-cuts in a long leg cast is a novel practice approach for delivery of early rehabilitation following lower extremity orthopaedic surgery.
format	article
author	Kelly Greve Caroline Colvin
author_facet	Kelly Greve Caroline Colvin
author_sort	Kelly Greve
title	Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
title_short	Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
title_full	Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
title_fullStr	Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
title_full_unstemmed	Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series
title_sort	neuromuscular electrical stimulation to immobilized lower extremities directly following orthopaedic surgery in three children with cerebral palsy: a case series
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/972f013083334cc9b481eec6a6fce36a
work_keys_str_mv	AT kellygreve neuromuscularelectricalstimulationtoimmobilizedlowerextremitiesdirectlyfollowingorthopaedicsurgeryinthreechildrenwithcerebralpalsyacaseseries AT carolinecolvin neuromuscularelectricalstimulationtoimmobilizedlowerextremitiesdirectlyfollowingorthopaedicsurgeryinthreechildrenwithcerebralpalsyacaseseries
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Neuromuscular Electrical Stimulation to Immobilized Lower Extremities Directly Following Orthopaedic Surgery in Three Children with Cerebral Palsy: A Case Series

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