Neuromuscular Electrical Stimulation of Upper Limbs in Patients With Cerebral Palsy

Chih Hung Ou, Chian Chuan Shiue, Yi Chun Kuan, Tsan Hon Liou, Hung Chou Chen, Ting Ju Kuo

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objective: The aim of the study is to assess the effects of neuromuscular electrical stimulation on the upper limbs of patients with cerebral palsy. Design: We searched PubMed, Cochrane, Embase, and Scopus databases for randomized controlled trials examining the effects of neuromuscular electrical stimulation on the upper limbs of children with cerebral palsy. Results: Eight randomized controlled trials (N = 294) were included in the meta-analysis. Compared with traditional physical therapy, sensorimotor training and task-oriented training, constraint-induced movement therapy, dynamic bracing, and conventional robot-assisted therapy, neuromuscular electrical stimulation in combination with these therapies resulted in significantly greater functional scale scores (standardized mean difference = 0.80; 95% confidence interval = 0.54 to 1.06), muscle strength of upper limbs (standardized mean difference = 0.57; 95% confidence interval = 0.25 to 0.88), and spasticity of upper limbs (relative risk = 2.53; 95% confidence interval = 1.46 to 4.39; standardized mean difference = −0.18; 95% confidence interval = −0.29 to −0.06) but did not improve the wrist range of motion (standardized mean difference = 0.43; 95% confidence interval = −0.04 to 0.91). In addition, the effect of neuromuscular electrical stimulation on functional scale scores remained after 3-mo follow-up (standardized mean difference = 0.68; 95% confidence interval = 0.16 to 1.2). Conclusions: Neuromuscular electrical stimulation effectively improved hand function, muscle strength, and spasticity in patients with cerebral palsy.

Original languageEnglish
Pages (from-to)151-158
Number of pages8
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume102
Issue number2
DOIs
Publication statusPublished - Feb 1 2023

Keywords

  • Cerebral Palsy
  • Meta-analysis
  • Neuromuscular Electrical Stimulation
  • Upper limbs

ASJC Scopus subject areas

  • General Medicine

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