Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial


Autoria(s): 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; Lucareli, Paulo R. G.; Franco de Oliveira, Luis Vicente; Inoue Salgado, Afonso Shiguemi; Sampaio, Luciana M. M.; Oliveira, Claudia S.
Contribuinte(s)

Universidade Estadual Paulista (UNESP)

Data(s)

20/05/2014

20/05/2014

16/05/2012

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.

Formato

6

Identificador

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

Idioma(s)

eng

Publicador

Biomed Central Ltd.

Relação

BMC Pediatrics

Direitos

openAccess

Tipo

info:eu-repo/semantics/article