Efficacy Of Transcutaneous Electrical Nerve Stimulation Combined With Therapeutic Exercise On Hand Function In Children With Cerebral Palsy | 27506
International Journal of Physical Medicine & Rehabilitation
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Background: TENS major function in physical therapy field is to reduce pain but recent studies reported that TENS can reduce
spasticity improve ADL and increase muscle strength. The purpose of this study is to investigate the effect of TENS on upper
limb hand function and grip strength in children with hemiplegic Cerebral palsy.
Subjects: 29 children with hemiparetic CP were recruited in randomized control trial for 8 weeks, age between 6-12 years.
Then, they were divided into two groups, TENS group (n=15) and control group (n=14).
Method: In TENS group the child received TENS on wrist extensor (once a day/3 day per week for eight weeks for 30 minute
with pulse duration of 250 ?s, 100 Hz ), in control group the child received placebo TENS both groups receive therapeutic
Outcome Measures: The primary outcome measurements include modified Jebsen Taylor Hand Function Test (JTHFT) and
hand grip strength via Jamar dynamometer, the secondary outcome measurement include ABILHAND-KID questionnaire.
Results: After using TENS for 8 weeks, the results show significant increase in HAND GRIP strength of TENS group (p=0.015)
p<0.05, also the estimate time to complete JTHFT task was decrease by 48%, in addition the manual ability of TENS group is
improved by 23%. However, there were no significant difference of JTHFT and ABILHAND-KID questionnaire between both
Conclusion: The finding of this study support that applying TENS in combination with therapeutic exercise give much better
improvement of strength and hand function.
Saber Fallatah is a 35 year old Saudi Citizen with Bachelor degree in Physical Therapy from King Saud University in 2002. Currently he is a Postgraduate student
in KSU. He is also working in Rehabilitation Medical Hospital as Physical Therapist in Madinah city since 2005. He also participated as Organizer with Madinah
Physical Therapy Club in 1st, 2nd and 3rd Madinah rehabilitation conference.
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals