Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Bioscience journal (Online) |
Texto Completo: | https://seer.ufu.br/index.php/biosciencejournal/article/view/53574 |
Resumo: | Spasticity is a motor condition present in 75 to 88% of children with Cerebral Palsy (CP). One form of treatment is called punctual mechanical oscillation (PO). The current study aimed to study different protocols for the application of PO and the magnitude of their effects. In total, 7children with medical diagnosis of CP and ICD (International Classification of Diseases) were included. The first intervention protocol (Int1) consisted of the application of PO to the spastic muscle tendon and the second intervention protocol (Int2) to the muscle belly ofthe spastic antagonist muscle. For evaluation, the Modified Ashworth Scale (MAS) was used, while simultaneously capturing the mechanomyography (MMG) signals. Data were collected pre-intervention and 1 (Post1), 15 (Post15), 30 (Post30), 45 (Post45), and60 (Post60) minutes after the interventions. The MAS values (median ± interquartile range) post intervention were statistically lower when compared to the pre values in the 2 protocols studied; in Int1between Pre (2 ± 0) andPost15 (0 ± 1.75), Post30 (0 ± 1), Post45 (1 ± 1),and Post60 (1 ± 1), and in Int2only between Pre (2 ± 1) and Post1 (0 ± 1).The values found in the MMG in both its temporal and spectral domains did not follow a pattern (p>0.05). The comparison between the protocols did not demonstrate statistical differences in any characteristics (MAS, MMGMF, and MMGRMS). However, PO was shown to be a therapeutic resource that modulated spasticity for up to 60 minutes after its application, and PO could contribute as a tool to aid the treatment of spasticity. |
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Punctual mechanical oscillation in modulation of muscular tonus in children with spasticityCerebral PalsMechanomyographyModified Ashworth ScaleMuscle bellyMuscle tendon.Health SciencesSpasticity is a motor condition present in 75 to 88% of children with Cerebral Palsy (CP). One form of treatment is called punctual mechanical oscillation (PO). The current study aimed to study different protocols for the application of PO and the magnitude of their effects. In total, 7children with medical diagnosis of CP and ICD (International Classification of Diseases) were included. The first intervention protocol (Int1) consisted of the application of PO to the spastic muscle tendon and the second intervention protocol (Int2) to the muscle belly ofthe spastic antagonist muscle. For evaluation, the Modified Ashworth Scale (MAS) was used, while simultaneously capturing the mechanomyography (MMG) signals. Data were collected pre-intervention and 1 (Post1), 15 (Post15), 30 (Post30), 45 (Post45), and60 (Post60) minutes after the interventions. The MAS values (median ± interquartile range) post intervention were statistically lower when compared to the pre values in the 2 protocols studied; in Int1between Pre (2 ± 0) andPost15 (0 ± 1.75), Post30 (0 ± 1), Post45 (1 ± 1),and Post60 (1 ± 1), and in Int2only between Pre (2 ± 1) and Post1 (0 ± 1).The values found in the MMG in both its temporal and spectral domains did not follow a pattern (p>0.05). The comparison between the protocols did not demonstrate statistical differences in any characteristics (MAS, MMGMF, and MMGRMS). However, PO was shown to be a therapeutic resource that modulated spasticity for up to 60 minutes after its application, and PO could contribute as a tool to aid the treatment of spasticity.Introdução: A espasticidade é uma condição motora presente em 75 a 88 % das crianças com Paralisia Cerebral (PC). Uma forma de tratamento é a chamada oscilação mecânica pontual (OP). Este trabalho teve por objetivo estudar diferentes protocolos de aplicação da OP e a magnitude de seus efeitos. Métodos: Foram incluídas 7 crianças com diagnóstico médico de PC e CID (Classificação Internacional de Doenças). O primeiro protocolo de intervenção (Int1) consistiu na aplicação de OP no tendão do músculo espástico e o segundo protocolo de intervenção (Int2) no ventre muscular do músculo antagonista espástico. Para avaliação, foi utilizada a Escala Modificada de Ashworth (EMA), capturando simultaneamente os sinais da mecanomiografia (MMG). Os dados foram coletados antes da intervenção e 1 (Pós1), 15 (Pós15), 30 (Pós30), 45 (Pós45) e 60 (Pós60) minutos após as intervenções. Resultados: Os valores do MAS (mediana ± intervalo interquartil) pós-intervenção foram estatisticamente menores quando comparados aos pré-valores nos 2 protocolos estudados; no Int1 entre Pré (2 ± 0) e Pós15 (0 ± 1,75), Pós30 (0 ± 1), Pós45 (1 ± 1) e Pós60 (1 ± 1) e no Int2 apenas entre Pré (2 ± 1) e Pós1 (0 ± 1). Os valores encontrados no MMG nos domínios temporal e espectral não seguiram um padrão (p> 0,05). Conclusão: A comparação entre os protocolos não demonstrou diferenças estatísticas em nenhuma característica (EMA, MMGMF, and MMGRMS). No entanto, a OP mostrou-se um recurso terapêutico que modulou a espasticidade por até 60 minutos após a sua aplicação, e a OP poderia contribuir como uma ferramenta para auxiliar o tratamento da espasticidade.EDUFU2021-10-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufu.br/index.php/biosciencejournal/article/view/5357410.14393/BJ-v37n0a2021-53574Bioscience Journal ; Vol. 37 (2021): Continuous Publication; e37069Bioscience Journal ; v. 37 (2021): Continuous Publication; e370691981-3163reponame:Bioscience journal (Online)instname:Universidade Federal de Uberlândia (UFU)instacron:UFUenghttps://seer.ufu.br/index.php/biosciencejournal/article/view/53574/32809Brazil; ContemporaryCopyright (c) 2021 Stéphani de Pol, Eduardo Borba Neves, André Eugenio Lazzaretti, Suhaila Mahmoud Smaili, Eddy Kruegerhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPol, Stéphani de Neves, Eduardo BorbaLazzaretti, André Eugenio Smaili, Suhaila Mahmoud Krueger, Eddy 2022-05-25T18:11:54Zoai:ojs.www.seer.ufu.br:article/53574Revistahttps://seer.ufu.br/index.php/biosciencejournalPUBhttps://seer.ufu.br/index.php/biosciencejournal/oaibiosciencej@ufu.br||1981-31631516-3725opendoar:2022-05-25T18:11:54Bioscience journal (Online) - Universidade Federal de Uberlândia (UFU)false |
dc.title.none.fl_str_mv |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
title |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
spellingShingle |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity Pol, Stéphani de Cerebral Pals Mechanomyography Modified Ashworth Scale Muscle belly Muscle tendon. Health Sciences |
title_short |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
title_full |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
title_fullStr |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
title_full_unstemmed |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
title_sort |
Punctual mechanical oscillation in modulation of muscular tonus in children with spasticity |
author |
Pol, Stéphani de |
author_facet |
Pol, Stéphani de Neves, Eduardo Borba Lazzaretti, André Eugenio Smaili, Suhaila Mahmoud Krueger, Eddy |
author_role |
author |
author2 |
Neves, Eduardo Borba Lazzaretti, André Eugenio Smaili, Suhaila Mahmoud Krueger, Eddy |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pol, Stéphani de Neves, Eduardo Borba Lazzaretti, André Eugenio Smaili, Suhaila Mahmoud Krueger, Eddy |
dc.subject.por.fl_str_mv |
Cerebral Pals Mechanomyography Modified Ashworth Scale Muscle belly Muscle tendon. Health Sciences |
topic |
Cerebral Pals Mechanomyography Modified Ashworth Scale Muscle belly Muscle tendon. Health Sciences |
description |
Spasticity is a motor condition present in 75 to 88% of children with Cerebral Palsy (CP). One form of treatment is called punctual mechanical oscillation (PO). The current study aimed to study different protocols for the application of PO and the magnitude of their effects. In total, 7children with medical diagnosis of CP and ICD (International Classification of Diseases) were included. The first intervention protocol (Int1) consisted of the application of PO to the spastic muscle tendon and the second intervention protocol (Int2) to the muscle belly ofthe spastic antagonist muscle. For evaluation, the Modified Ashworth Scale (MAS) was used, while simultaneously capturing the mechanomyography (MMG) signals. Data were collected pre-intervention and 1 (Post1), 15 (Post15), 30 (Post30), 45 (Post45), and60 (Post60) minutes after the interventions. The MAS values (median ± interquartile range) post intervention were statistically lower when compared to the pre values in the 2 protocols studied; in Int1between Pre (2 ± 0) andPost15 (0 ± 1.75), Post30 (0 ± 1), Post45 (1 ± 1),and Post60 (1 ± 1), and in Int2only between Pre (2 ± 1) and Post1 (0 ± 1).The values found in the MMG in both its temporal and spectral domains did not follow a pattern (p>0.05). The comparison between the protocols did not demonstrate statistical differences in any characteristics (MAS, MMGMF, and MMGRMS). However, PO was shown to be a therapeutic resource that modulated spasticity for up to 60 minutes after its application, and PO could contribute as a tool to aid the treatment of spasticity. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufu.br/index.php/biosciencejournal/article/view/53574 10.14393/BJ-v37n0a2021-53574 |
url |
https://seer.ufu.br/index.php/biosciencejournal/article/view/53574 |
identifier_str_mv |
10.14393/BJ-v37n0a2021-53574 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://seer.ufu.br/index.php/biosciencejournal/article/view/53574/32809 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.coverage.none.fl_str_mv |
Brazil; Contemporary |
dc.publisher.none.fl_str_mv |
EDUFU |
publisher.none.fl_str_mv |
EDUFU |
dc.source.none.fl_str_mv |
Bioscience Journal ; Vol. 37 (2021): Continuous Publication; e37069 Bioscience Journal ; v. 37 (2021): Continuous Publication; e37069 1981-3163 reponame:Bioscience journal (Online) instname:Universidade Federal de Uberlândia (UFU) instacron:UFU |
instname_str |
Universidade Federal de Uberlândia (UFU) |
instacron_str |
UFU |
institution |
UFU |
reponame_str |
Bioscience journal (Online) |
collection |
Bioscience journal (Online) |
repository.name.fl_str_mv |
Bioscience journal (Online) - Universidade Federal de Uberlândia (UFU) |
repository.mail.fl_str_mv |
biosciencej@ufu.br|| |
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1797069082390953984 |