%0 Journal Article %1 Scheker1999 %A Scheker, L. R. %A Chesher, S. P. %A Ramirez, S. %D 1999 %J J Hand Surg Br %K Adolescent; Adult; Braces; Cerebral Palsy; Child; Child, Preschool; Electric Stimulation Therapy; Equipment Design; Female; Humans; Ma; Muscle Spasticity; Retrospective Studies; Treatment Outcome; le %N 2 %P 226--232 %R 10.1054/jhsb.1998.0002 %T Neuromuscular electrical stimulation and dynamic bracing as a treatment for upper-extremity spasticity in children with cerebral palsy. %U http://dx.doi.org/10.1054/jhsb.1998.0002 %V 24 %X We have investigated a therapeutic regimen using neuromuscular electrical stimulation (NMES) and dynamic bracing to assess their effectiveness in reducing upper-extremity spasticity in children with cerebral palsy. Nineteen patients between 4 and 21 years of age with documented diagnoses of spastic cerebral palsy were treated. The patients included in the study followed a regimen of two 30-minute sessions of NMES of the antagonist extensors combined with dynamic orthotic traction during the day. A static brace was used at night. Spasticity of the wrist and fingers was assessed periodically using the Zancolli classification. Treatment ranged from 3 to 43 months. After treatment with electrical stimulation and dynamic bracing, all the patients moved up 1 to 3 levels in the Zancolli classification and showed a marked improvement in upper-extremity function. These results show that combining NMES and dynamic orthotic traction dramatically decreases spasticity of the upper extremity in young patients with cerebral palsy.

@article{Scheker1999, abstract = {We have investigated a therapeutic regimen using neuromuscular electrical stimulation (NMES) and dynamic bracing to assess their effectiveness in reducing upper-extremity spasticity in children with cerebral palsy. Nineteen patients between 4 and 21 years of age with documented diagnoses of spastic cerebral palsy were treated. The patients included in the study followed a regimen of two 30-minute sessions of NMES of the antagonist extensors combined with dynamic orthotic traction during the day. A static brace was used at night. Spasticity of the wrist and fingers was assessed periodically using the Zancolli classification. Treatment ranged from 3 to 43 months. After treatment with electrical stimulation and dynamic bracing, all the patients moved up 1 to 3 levels in the Zancolli classification and showed a marked improvement in upper-extremity function. These results show that combining NMES and dynamic orthotic traction dramatically decreases spasticity of the upper extremity in young patients with cerebral palsy.}, added-at = {2014-07-19T21:14:33.000+0200}, author = {Scheker, L. R. and Chesher, S. P. and Ramirez, S.}, biburl = {https://www.bibsonomy.org/bibtex/27eeba6f22cbea4a1ed24cf6eecb10e0e/ar0berts}, doi = {10.1054/jhsb.1998.0002}, groups = {public}, interhash = {40d2cf443dc91050d60ebd01f13147e5}, intrahash = {7eeba6f22cbea4a1ed24cf6eecb10e0e}, journal = {J Hand Surg [Br]}, keywords = {Adolescent; Adult; Braces; Cerebral Palsy; Child; Child, Preschool; Electric Stimulation Therapy; Equipment Design; Female; Humans; Ma; Muscle Spasticity; Retrospective Studies; Treatment Outcome; le}, month = Apr, number = 2, pages = {226--232}, pii = {S0266-7681(98)90002-X}, pmid = {10372781}, timestamp = {2014-07-19T21:14:33.000+0200}, title = {Neuromuscular electrical stimulation and dynamic bracing as a treatment for upper-extremity spasticity in children with cerebral palsy.}, url = {http://dx.doi.org/10.1054/jhsb.1998.0002}, username = {ar0berts}, volume = 24, year = 1999 }