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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 14, Issue.: 11


Comparison of the Immediate Effect between Functional Electrical Stimulation and Ankle Foot Orthoses on Gait Parameters in Cerebral Palsy


Waleed Salah El-Din Mahmoud1* and Ragab Kamal Elnaggar2

1Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt.

2Department of Physical Therapy, Disturbances of Growth and Development in Children and It’s Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

Article Information
(1) Ashish Anand, Department of Orthopaedic Surgery, GV Montgomery Veteran Affairs Medical Center, Jackson,MS, USA.
(1) Silmar Teixeira, Federal University of Piaui, Brazil.
(2) Jesus Devesa, Medical Center Proyecto Foltra, Spain.
Complete Peer review History: http://sciencedomain.org/review-history/14000


Aim: To compare the immediate effect of functional electrical stimulation (FES) to solid ankle foot orthosis (SAFO) concerning spatiotemporal parameters and ankle kinematics during gait in hemiplegic cerebral palsy (CP).

Methodology: Thirty spastic hemiplegic cerebral palsied children were randomly distributed into two equal groups; group A, who used the functional electrical stimulation (FES) and group B, who worn the solid ankle foot orthosis (SAFO).  Vicon 3D motion analysis system was used to measure the spatiotemporal parameters of gait and ankle dorsiflexion angle at initial contact and mid-swing before intervention and with application of either FES or SAFO. Spasticity was ranged between 2 and 1+ and determined by Modified Ashworth Scale score.

Results: Following the application of  solid AFO, stride length and walking speed significantly increased than next to FES (p=0.0001, p=0.001) respectively. Whereas, number of steps/minute significantly decreased (p=0.001). Further, Solid AFO increased ankle dorsiflexion at initial contact (6.2±4.7º) and mid-swing (3.4±0.6º) more than FES at initial contact (1.86±3.9º) and mid-swing (-4.6± 5º).

Conclusion: FES, unlikely found to evoke an immediate effect of spatiotemporal parameters while solid AFO improved the gait efficiency by enhancing spatiotemporal parameters. Both treatment interventions increased ankle dorsiflexion at initial contact and mid-swing but solid AFO was more effective immediately than FES.

Keywords :

Cerebral palsy; functional electrical stimulation; ankle foot orthoses; spatiotemporal parameters of gait, ankle kinematics.

Full Article - PDF    Page 1-10

DOI : 10.9734/BJMMR/2016/25353

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