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Feasibility of Using Pulsed Electromagnetic Field Therapy to Improve the Dynamic Postural Balance of Children with
Márk Ágoston Pulay1,2, Krisztina Kornis3, Gabriella Bednárikné Dörnyei3
1Pető András Faculty, Semmelweis University, 1125 Budapest, Hungary.
Insights
Pulsed electromagnetic field (PEMF) therapy shows promise for children with cerebral palsy (CP), improving fine balance coordination without side effects. This pilot study confirms PEMF therapy
Area of Science:
- Neurology
- Biomedical Engineering
- Pediatrics
Background:
- Cerebral palsy (CP) is characterized by abnormal posture and motor control deficits.
- Pulsed electromagnetic field (PEMF) therapy has demonstrated benefits in other conditions.
- The application of PEMF for CP requires further investigation.
Purpose of the Study:
- To assess the feasibility of a research design for PEMF therapy in children with CP.
- To examine the preliminary effects of PEMF treatment on balance in children with CP.
Main Methods:
- A randomized pilot study involving twelve children with spastic CP.
- The intervention group received PEMF therapy (20/200 Hz, 150 μT) three times weekly for four weeks.
- Dynamic postural balance was assessed using a force platform pre- and post-intervention.
Main Results:
- PEMF therapy was found to be safe, with no reported side effects in children with CP.
- A statistically significant positive trend in fine balance coordination was observed (p=0.049).
- Variability in control group performance and small sample size necessitate cautious interpretation.
Conclusions:
- PEMF therapy is a safe and feasible intervention for children with cerebral palsy.
- The study suggests potential efficacy of PEMF in improving fine balance coordination.
- Further research with larger sample sizes is warranted to confirm these findings.
Abstract:
Cerebral palsy (CP) manifests with abnormal posture and impaired selective motor control, notably affecting trunk control and dynamic balance coordination, leading to inadequate postural control. Previous research has indicated the benefits of pulsed electromagnetic field (PEMF) therapy for various musculoskeletal and neurological conditions. Therefore, we conducted a randomized pilot study to assess the feasibility of our preliminary research design and examine the effect of the PEMF treatment among children with CP. Methods: Twelve children with spastic CP participated, with the study group undergoing PEMF treatment three times a week for four weeks. The treatment involved sine signal form, 20/200 Hz frequencies at an amplitude of 150 μT, initially administered for 8, 12, and 16 min per session. The control group received a sham treatment. Dynamic postural balance was evaluated using a force platform at baseline and post-intervention, and the data were analyzed. Data were processed using IBM SPSS 27 by repeated factorial analysis of variance. The significance level was α = 0.05. Results: No side effects of PEMF therapy were detected; this is important, because this intervention has not yet been applied among CP patients. The treatment group demonstrated a positive trend in fine balance coordination tests (p = 0.049); however, the small sample size and variability in control group performance suggest caution in interpreting these findings. Other test domains did not show significant differences. Conclusions: Our pilot study reveals the safety, feasibility, and potential efficacy of pulsed electromagnetic field (PEMF) therapy for children with cerebral palsy. With no observed side effects, the significant improvement in fine balance coordination suggests a promising avenue.
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