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Case Studies | Physiotherapy | India | Volume 12 Issue 1, January 2023 | Rating: 5 / 10
Effectiveness of Functional Electrical Stimulation (FES) on Gluteus Muscle to Improve Gait in Patient with Spastic Diplegic Cerebral Palsy - A Single Case Study
Raadhe Rajpara | Neha Chawla | Rashmikant Shah [3]
Abstract: Background: Cerebral palsy (CP) is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement, and motor skills, and is attributed to injury to the developing brain. Factors that contribute to early brain damage include premature birth, infections, and lack of oxygen in the brain. To make the patients more independent, rehabilitative interventions such as repetitive locomotor training followed by muscle activation and strengthening exercises of the lower limb. Gait training and other weight-bearing exercise improve joint perception, which allows individuals to focus on improving their ability and minimizing the chances of falling and making them more independent. Functional electrical stimulation (FES) involved in gait training on the gluteus muscle addresses these challenges and improves muscle function and movement in cerebral palsy patients. Aim: To determine the most effective intervention for gluteal muscle activation in children with CP. Method: This was a case study of an adult with CP with (Gross Motor Function Classification System [GMFCS] levels III, age 26 years). Over the course of three weeks of FES use, gait evaluations were conducted with FES and non-FES regimes and the results were noted. Results: Intense gait training along with conventional therapy was given for 5 hours per day for 6 days per week for 3 weeks. For the evaluation of walking ability, pre and post-intervention measures were found to be statistically significant using spatio-temporal variables. Improvement in gait speed was observed and documented. Conclusion: FES-based Gait training leads to gluteus muscle activation and improves strength with an increase in the walking speed in patients with Cerebral Palsy.
Keywords: Cerebral Palsy, FES, GAIT, 10 MWT, Gluteus muscle
Edition: Volume 12 Issue 1, January 2023,
Pages: 889 - 893