The Clinical Impact of Electrical Stimulation on Abnormal Tone During Gait for Individuals With Cerebral Palsy: A Case Report.

IF 1.9 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI:10.1097/PEP.0000000000001264

Christopher Joseph, Kelly Greve

引用次数: 0

Abstract

Purpose: Cerebral palsy (CP) is a condition that often presents with altered muscle tone affecting function. The purpose of this case report is to describe the clinical application of transcutaneous electrical nerve stimulation (TENS) to manage the impact of muscle tone during gait in 2 children with CP.

Summary of key points: Two children with CP, who are gait, received TENS to manage spasticity and dystonia. Gait was analyzed using a two-dimensional gait analysis with and without TENS. Results demonstrated medium and large minimally clinically important differences in velocity, cadence, and stride length with TENS.

Conclusion: Using TENS parameters may be a modality to manage tone and improve gait for children with CP. A larger study is needed to determine the effects of TENS.

Recommendations for clinical practice: Clinicians may use TENS on spastic or dystonic muscles as an intervention to improve gait for children with CP.

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电刺激对脑瘫患者步态异常张力的临床影响：1例报告。

目的：脑瘫（CP）是一种经常表现为肌肉张力改变影响功能的疾病。本病例报告的目的是描述经皮神经电刺激（TENS）在2例CP患儿步态中肌张力影响的临床应用。要点总结：2例CP患儿，均为步态，接受TENS治疗痉挛和肌张力障碍。步态分析采用二维步态分析与不使用TENS。结果显示，在速度、节奏和步幅方面，TENS具有中等和较大的最小临床意义上的重要差异。结论：使用TENS参数可能是控制CP患儿张力和改善步态的一种方式，需要更大规模的研究来确定TENS的效果。临床实践建议：临床医生可以使用TENS对痉挛或张力障碍肌肉进行干预，以改善CP患儿的步态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.