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Correction of Toe-Walking Gait in Children with Spastic Cerebral Palsy by using Electrical Stimulation Therapy

R Mukhopadhyay, M Mahadevappa, P K Lenka

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |November 17, 2018
    PubMed

    Insights

    Electrical Stimulation (ES) therapy improved toe-walking in children with Cerebral Palsy (CP). The intervention group showed better gait speed, balance, and foot contact, reducing the toe-walking gait abnormality.

    Area of Science:

    • Neurology
    • Rehabilitation Medicine
    • Pediatric Physical Therapy

    Background:

    • Toe-walking is a prevalent gait deviation in children diagnosed with Cerebral Palsy (CP).
    • Conventional physiotherapy offers some benefits but often requires adjunctive therapies for optimal outcomes.
    • Addressing tricep surae muscle function is crucial for correcting equinus gait patterns.

    Purpose of the Study:

    • To evaluate the efficacy of Electrical Stimulation (ES) therapy targeting the Tricep Surae (TS) muscles in ameliorating toe-walking gait in children with spastic CP.
    • To compare the outcomes of combined ES and conventional physiotherapy with conventional physiotherapy alone.

    Main Methods:

    • A randomized controlled trial was conducted with sixteen children diagnosed with spastic CP and unilateral toe-walking.
    • Participants were divided into an intervention group (ES + physiotherapy) and a control group (physiotherapy only).
    • Treatment duration was 60 minutes daily, 5 days a week, for 12 weeks, with comprehensive gait analysis.

    Main Results:

    • The intervention group demonstrated a significant increase in gait speed (17.67%) and improved body balance.
    • A notable reduction in toe-walking was observed, evidenced by increased initial foot contact (heel strike, 85.71%) and flat foot position (loading response, 49.2%).
    • Enhanced swing power (39.8%) and ground impact (19.5%) indicated positive changes in the foot contact pattern.

    Conclusions:

    • ES therapy applied to the Tricep Surae muscles, in conjunction with conventional physiotherapy, is an effective method for correcting toe-walking gait in children with spastic hemiplegic CP.
    • This combined approach offers a promising therapeutic strategy for improving gait parameters and functional mobility.
    • Further research can explore long-term effects and optimal ES parameters for pediatric CP populations.

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