1. Electromyographic study pre and post transcranial direct-current stimulation associated with upper limb functional training for children with functional training of upper limb for children with cerebral palsy spastic hemiparensis: controlled clinical trial randomized and double-blind
- Author
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Santos, Cibele Almeida, Oliveira, Claudia Santos, Collange, Nelci Zanon, and Politti, Fabiano
- Subjects
crian??a ,fisioterapia ,cerebral palsy ,child ,electromyography ,CIENCIAS DA SAUDE ,eletromiografia ,paralisia cerebral ,physical therapy ,estimula????o el??trica ,electrical stimulation - Abstract
Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-06-18T22:18:50Z No. of bitstreams: 1 Cibele Almeida Santos.pdf: 2309128 bytes, checksum: d533e9a352f69299c01b549506b8bc82 (MD5) Made available in DSpace on 2018-06-18T22:18:50Z (GMT). No. of bitstreams: 1 Cibele Almeida Santos.pdf: 2309128 bytes, checksum: d533e9a352f69299c01b549506b8bc82 (MD5) Previous issue date: 2015-11-12 Objective: To analyze the effect of transcranial direct-current stimulation of the primary motor cortex associated with functional training of paretic upper limb of children with cerebral palsy type spastic hemiparesis, levels I to III of MACS on the synergistic muscle activity of the biceps and triceps brachial by electromyography. Materials and Methods: Study I: A search was conducted in five Medline, PEDro, Lilacs, SciELO and PubMed, according to the following criteria: randomized controlled trial; outcome: functional evaluation of the upper limbs of individuals with cerebral palsy; published between 2006 and 2014. Methodological quality was assessed according to the PEDro scale. Study II: The sample comprised 21 children with hemiparetic spastic cerebral palsy were randomly allocated into two groups: experimental - 11 children (the functional training of the paretic upper limb with transcranial stimulation anode) and control - 10 children (functional training of the upper limb paretic with transcranial stimulation Sham), between 6 and 15 years old. The evaluation was performed by electromyography of the biceps and triceps brachial bilaterally. 10 training sessions were conducted for two consecutive weeks, five sessions per week (20 minutes each). Results: Study I: Six controlled trials addressing functional evaluation of the upper limbs of individuals with cerebral palsy were found. Presented methodological quality of six points or more on the PEDro scale. Study II: The experimental group showed a significant result (p
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- 2015