Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1471-2431-12-53 http://hdl.handle.net/11449/42447 |
Resumo: | Background: The use of botulinum toxin A (BT-A) for the treatment of lower limb spasticity is common in children with cerebral palsy (CP). Following the administration of BT-A, physical therapy plays a fundamental role in potentiating the functionality of the child. The balance deficit found in children with CP is mainly caused by muscle imbalance (spastic agonist and weak antagonist). Neuromuscular electrical stimulation (NMES) is a promising therapeutic modality for muscle strengthening in this population. The aim of the present study is to describe a protocol for a study aimed at analyzing the effects of NMES on dorsiflexors combined with physical therapy on static and functional balance in children with CP submitted to BT-A.Methods/Design: Protocol for a prospective, randomized, controlled trial with a blinded evaluator. Eligible participants will be children with cerebral palsy (Levels I, II and III of the Gross Motor Function Classification System) between five and 12 years of age, with independent gait with or without a gait-assistance device. All participants will receive BT-A in the lower limbs (triceps surae). The children will then be randomly allocated for either treatment with motor physical therapy combined with NMES on the tibialis anterior or motor physical therapy alone. The participants will be evaluated on three occasions: 1) one week prior to the administration of BT-A; 2) one week after the administration of BT-A; and 3) four months after the administration of BT-A (end of intervention). Spasticity will be assessed by the Modified Ashworth Scale and Modified Tardieu Scale. Static balance will be assessed using the Medicapteurs Fusyo pressure platform and functional balance will be assessed using the Berg Balance Scale.Discussion: The aim of this protocol study is to describe the methodology of a randomized, controlled, clinical trial comparing the effect of motor physical therapy combined with NMES on the tibialis anterior muscle or motor physical therapy alone on static and functional balance in children with CP submitted to BT-A in the lower limbs. This study describes the background, hypotheses, methodology of the procedures and measurement of the results. |
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Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trialBackground: The use of botulinum toxin A (BT-A) for the treatment of lower limb spasticity is common in children with cerebral palsy (CP). Following the administration of BT-A, physical therapy plays a fundamental role in potentiating the functionality of the child. The balance deficit found in children with CP is mainly caused by muscle imbalance (spastic agonist and weak antagonist). Neuromuscular electrical stimulation (NMES) is a promising therapeutic modality for muscle strengthening in this population. The aim of the present study is to describe a protocol for a study aimed at analyzing the effects of NMES on dorsiflexors combined with physical therapy on static and functional balance in children with CP submitted to BT-A.Methods/Design: Protocol for a prospective, randomized, controlled trial with a blinded evaluator. Eligible participants will be children with cerebral palsy (Levels I, II and III of the Gross Motor Function Classification System) between five and 12 years of age, with independent gait with or without a gait-assistance device. All participants will receive BT-A in the lower limbs (triceps surae). The children will then be randomly allocated for either treatment with motor physical therapy combined with NMES on the tibialis anterior or motor physical therapy alone. The participants will be evaluated on three occasions: 1) one week prior to the administration of BT-A; 2) one week after the administration of BT-A; and 3) four months after the administration of BT-A (end of intervention). Spasticity will be assessed by the Modified Ashworth Scale and Modified Tardieu Scale. Static balance will be assessed using the Medicapteurs Fusyo pressure platform and functional balance will be assessed using the Berg Balance Scale.Discussion: The aim of this protocol study is to describe the methodology of a randomized, controlled, clinical trial comparing the effect of motor physical therapy combined with NMES on the tibialis anterior muscle or motor physical therapy alone on static and functional balance in children with CP submitted to BT-A in the lower limbs. This study describes the background, hypotheses, methodology of the procedures and measurement of the results.Nove de Julho University (Brazil)Nove de Julho Univ, UNINOVE, Post Grad Program Reabilitat Sci, São Paulo, BrazilUniv Estadual Paulista, Fac Dent, Oral Biopathol Postgrad Program, São Paulo, BrazilUniv Camilo Castelo Branco, Doctors Program Biomed Engn, São Paulo, BrazilNove de Julho Univ, UNINOVE, Post Grad Program Biophoton Appl Hlth Sci, São Paulo, BrazilUniv Estadual Paulista, Fac Dent, Oral Biopathol Postgrad Program, São Paulo, BrazilBiomed Central Ltd.Universidade Nove de Julho (UNINOVE)Universidade Estadual Paulista (Unesp)Univ Camilo Castelo BrancoKazon, SoraiaGrecco, Luanda A. C.Pasini, HugoCorrea, Joao C. F.Christovao, Thaluanna C. L.Camillo de Carvalho, Paulo de TarsoGiannasi, Lilian Chrystiane [UNESP]Lucareli, Paulo R. G.Franco de Oliveira, Luis VicenteInoue Salgado, Afonso ShiguemiSampaio, Luciana M. M.Oliveira, Claudia S.2014-05-20T15:34:11Z2014-05-20T15:34:11Z2012-05-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article6application/pdfhttp://dx.doi.org/10.1186/1471-2431-12-53Bmc Pediatrics. London: Biomed Central Ltd., v. 12, p. 6, 2012.1471-2431http://hdl.handle.net/11449/4244710.1186/1471-2431-12-53WOS:000306956800001WOS000306956800001.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Pediatrics2.0421,278info:eu-repo/semantics/openAccess2023-12-01T06:18:45Zoai:repositorio.unesp.br:11449/42447Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-01T06:18:45Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
title |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
spellingShingle |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial Kazon, Soraia |
title_short |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
title_full |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
title_fullStr |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
title_full_unstemmed |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
title_sort |
Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial |
author |
Kazon, Soraia |
author_facet |
Kazon, Soraia Grecco, Luanda A. C. Pasini, Hugo Correa, Joao C. F. Christovao, Thaluanna C. L. Camillo de Carvalho, Paulo de Tarso Giannasi, Lilian Chrystiane [UNESP] Lucareli, Paulo R. G. Franco de Oliveira, Luis Vicente Inoue Salgado, Afonso Shiguemi Sampaio, Luciana M. M. Oliveira, Claudia S. |
author_role |
author |
author2 |
Grecco, Luanda A. C. Pasini, Hugo Correa, Joao C. F. Christovao, Thaluanna C. L. Camillo de Carvalho, Paulo de Tarso Giannasi, Lilian Chrystiane [UNESP] Lucareli, Paulo R. G. Franco de Oliveira, Luis Vicente Inoue Salgado, Afonso Shiguemi Sampaio, Luciana M. M. Oliveira, Claudia S. |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Nove de Julho (UNINOVE) Universidade Estadual Paulista (Unesp) Univ Camilo Castelo Branco |
dc.contributor.author.fl_str_mv |
Kazon, Soraia Grecco, Luanda A. C. Pasini, Hugo Correa, Joao C. F. Christovao, Thaluanna C. L. Camillo de Carvalho, Paulo de Tarso Giannasi, Lilian Chrystiane [UNESP] Lucareli, Paulo R. G. Franco de Oliveira, Luis Vicente Inoue Salgado, Afonso Shiguemi Sampaio, Luciana M. M. Oliveira, Claudia S. |
description |
Background: The use of botulinum toxin A (BT-A) for the treatment of lower limb spasticity is common in children with cerebral palsy (CP). Following the administration of BT-A, physical therapy plays a fundamental role in potentiating the functionality of the child. The balance deficit found in children with CP is mainly caused by muscle imbalance (spastic agonist and weak antagonist). Neuromuscular electrical stimulation (NMES) is a promising therapeutic modality for muscle strengthening in this population. The aim of the present study is to describe a protocol for a study aimed at analyzing the effects of NMES on dorsiflexors combined with physical therapy on static and functional balance in children with CP submitted to BT-A.Methods/Design: Protocol for a prospective, randomized, controlled trial with a blinded evaluator. Eligible participants will be children with cerebral palsy (Levels I, II and III of the Gross Motor Function Classification System) between five and 12 years of age, with independent gait with or without a gait-assistance device. All participants will receive BT-A in the lower limbs (triceps surae). The children will then be randomly allocated for either treatment with motor physical therapy combined with NMES on the tibialis anterior or motor physical therapy alone. The participants will be evaluated on three occasions: 1) one week prior to the administration of BT-A; 2) one week after the administration of BT-A; and 3) four months after the administration of BT-A (end of intervention). Spasticity will be assessed by the Modified Ashworth Scale and Modified Tardieu Scale. Static balance will be assessed using the Medicapteurs Fusyo pressure platform and functional balance will be assessed using the Berg Balance Scale.Discussion: The aim of this protocol study is to describe the methodology of a randomized, controlled, clinical trial comparing the effect of motor physical therapy combined with NMES on the tibialis anterior muscle or motor physical therapy alone on static and functional balance in children with CP submitted to BT-A in the lower limbs. This study describes the background, hypotheses, methodology of the procedures and measurement of the results. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-05-16 2014-05-20T15:34:11Z 2014-05-20T15:34:11Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1471-2431-12-53 Bmc Pediatrics. London: Biomed Central Ltd., v. 12, p. 6, 2012. 1471-2431 http://hdl.handle.net/11449/42447 10.1186/1471-2431-12-53 WOS:000306956800001 WOS000306956800001.pdf |
url |
http://dx.doi.org/10.1186/1471-2431-12-53 http://hdl.handle.net/11449/42447 |
identifier_str_mv |
Bmc Pediatrics. London: Biomed Central Ltd., v. 12, p. 6, 2012. 1471-2431 10.1186/1471-2431-12-53 WOS:000306956800001 WOS000306956800001.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Pediatrics 2.042 1,278 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
6 application/pdf |
dc.publisher.none.fl_str_mv |
Biomed Central Ltd. |
publisher.none.fl_str_mv |
Biomed Central Ltd. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965137411506176 |