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Static balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial

dc.contributor.authorKazon, Soraia
dc.contributor.authorGrecco, Luanda A. C.
dc.contributor.authorPasini, Hugo
dc.contributor.authorCorrea, Joao C. F.
dc.contributor.authorChristovao, Thaluanna C. L.
dc.contributor.authorCamillo de Carvalho, Paulo de Tarso
dc.contributor.authorGiannasi, Lilian Chrystiane [UNESP]
dc.contributor.authorLucareli, Paulo R. G.
dc.contributor.authorFranco de Oliveira, Luis Vicente
dc.contributor.authorInoue Salgado, Afonso Shiguemi
dc.contributor.authorSampaio, Luciana M. M.
dc.contributor.authorOliveira, Claudia S.
dc.contributor.institutionUniversidade Nove de Julho (UNINOVE)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniv Camilo Castelo Branco
dc.date.accessioned2014-05-20T15:34:11Z
dc.date.available2014-05-20T15:34:11Z
dc.date.issued2012-05-16
dc.description.abstractBackground: The use of botulinum toxin A (BT-A) for the treatment of lower limb spasticity is common in children with cerebral palsy (CP). Following the administration of BT-A, physical therapy plays a fundamental role in potentiating the functionality of the child. The balance deficit found in children with CP is mainly caused by muscle imbalance (spastic agonist and weak antagonist). Neuromuscular electrical stimulation (NMES) is a promising therapeutic modality for muscle strengthening in this population. The aim of the present study is to describe a protocol for a study aimed at analyzing the effects of NMES on dorsiflexors combined with physical therapy on static and functional balance in children with CP submitted to BT-A.Methods/Design: Protocol for a prospective, randomized, controlled trial with a blinded evaluator. Eligible participants will be children with cerebral palsy (Levels I, II and III of the Gross Motor Function Classification System) between five and 12 years of age, with independent gait with or without a gait-assistance device. All participants will receive BT-A in the lower limbs (triceps surae). The children will then be randomly allocated for either treatment with motor physical therapy combined with NMES on the tibialis anterior or motor physical therapy alone. The participants will be evaluated on three occasions: 1) one week prior to the administration of BT-A; 2) one week after the administration of BT-A; and 3) four months after the administration of BT-A (end of intervention). Spasticity will be assessed by the Modified Ashworth Scale and Modified Tardieu Scale. Static balance will be assessed using the Medicapteurs Fusyo pressure platform and functional balance will be assessed using the Berg Balance Scale.Discussion: The aim of this protocol study is to describe the methodology of a randomized, controlled, clinical trial comparing the effect of motor physical therapy combined with NMES on the tibialis anterior muscle or motor physical therapy alone on static and functional balance in children with CP submitted to BT-A in the lower limbs. This study describes the background, hypotheses, methodology of the procedures and measurement of the results.en
dc.description.affiliationNove de Julho Univ, UNINOVE, Post Grad Program Reabilitat Sci, São Paulo, Brazil
dc.description.affiliationUniv Estadual Paulista, Fac Dent, Oral Biopathol Postgrad Program, São Paulo, Brazil
dc.description.affiliationUniv Camilo Castelo Branco, Doctors Program Biomed Engn, São Paulo, Brazil
dc.description.affiliationNove de Julho Univ, UNINOVE, Post Grad Program Biophoton Appl Hlth Sci, São Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Dent, Oral Biopathol Postgrad Program, São Paulo, Brazil
dc.description.sponsorshipNove de Julho University (Brazil)
dc.format.extent6
dc.identifierhttp://dx.doi.org/10.1186/1471-2431-12-53
dc.identifier.citationBmc Pediatrics. London: Biomed Central Ltd., v. 12, p. 6, 2012.
dc.identifier.doi10.1186/1471-2431-12-53
dc.identifier.fileWOS000306956800001.pdf
dc.identifier.issn1471-2431
dc.identifier.urihttp://hdl.handle.net/11449/42447
dc.identifier.wosWOS:000306956800001
dc.language.isoeng
dc.publisherBiomed Central Ltd.
dc.relation.ispartofBMC Pediatrics
dc.relation.ispartofjcr2.042
dc.relation.ispartofsjr1,278
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.titleStatic balance and function in children with cerebral palsy submitted to neuromuscular block and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trialen
dc.typeArtigo
dcterms.licensehttp://www.biomedcentral.com/about/license
dcterms.rightsHolderBiomed Central Ltd.
dspace.entity.typePublication
unesp.author.orcid0000-0001-8509-4576[12]
unesp.author.orcid0000-0002-5219-2433[11]
unesp.author.orcid0000-0002-0110-7710[11]
unesp.author.orcid0000-0002-7148-575X[8]
unesp.author.orcid0000-0002-8642-9814[4]
unesp.author.orcid0000-0001-9624-4103[6]
unesp.author.orcid0000-0002-3852-9415[12]

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