Title

Effects of electrical stimulation and transcutaneous electrical nerves stimulation in reducing spasticity and improving range of motion among children with spastic diplegic cerebral palsy - a case series study

Date of Completion

2013

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Cerebral Palsy, Children

Abstract

This paper is a case series design which is associated with a pre-test and post-test assessment conducted for nine (9) sessions for three (3) consecutive weeks having three (3) sessions a week. A total of six (6) respondents from different barangays in Dasmarinas, Cavite were qualified as participants in the study. They were all ambulatory children with spastic diplegic cerebral palsy ranging from 9-13 years old. The subjects were included through the use of purposive sampling based on the criteria. Research instruments used to determine the grade of muscle spasticity and range of motion measurement of the hip adductors, knee exstensors and ankle plantar flexors were the Modified Ashworth Scale (MAS) and Range of Motion Assessment Tool. All data obtained from the assessment of range of motion and grade of muscle spasticity for each participant was presented. Due to small number of participants in this study, the statistical significance as well as its statistical implication with its changes over time was not determined. Instead, all increases, decreases and no changes in values of the outcome measure have been reported. The results showed that range of motion did not have much effect in any of the three (3) groups. Although there are some monomial changes in between assessments, it was not that significant and can be attributed to the associated spasticity of the subjects. While in terms of spasticity, TENS and ES have shown observable positive effects in reduction of spasticity on post assessment compared with the control group. This was primarily due to the carry-over effect present with both TENS and ES.

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