ERIC Number: ED433660
Record Type: Non-Journal
Publication Date: 1999-May
Reference Count: N/A
The Use of Neuromuscular Electrical Stimulation as Part of a Program of Supports To Improve Gait in a Child with Cerebral Palsy and Severe Mental Retardation--A Case Study.
Kornhaber, L.; Kathirithamby, R.; Cohen, H. J.
A case study of a 10-year-old boy with cerebral palsy and severe mental retardation investigated whether he would be able to: (1) benefit from a program of supports which includes neuromuscular electrical stimulation (NMES) with intensity sufficient to achieve a tetanic muscle contraction, (2) participate in a weekly program, using NMES, in a task-oriented model of motor learning, and (3) use NMES to achieve the functional outcome of ambulation with foot flat and knees fully extended while wearing floor reaction orthoses and using an assistive device. Reusable self-adhering electrodes were applied to the quadriceps muscles of both legs. The subject then participated in task-oriented motor activities. The treatment was continued for 45 minutes, 20-30 minutes of which included NMES. Results found the intensity of NMES necessary to produce tetanic muscle contraction was achieved after five treatments. The subject was able to participate in a weekly program using NMES in a task-oriented model of motor learning, however, he was not able to achieve foot flat with full knee extension in standing or gait. Treatment was terminated when an orthopedic consult resulted in a team decision to perform bilateral soft tissue releases on the subject's hamstrings. (CR)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: N/A