Effect of Biofeedback and Functional Electrical Stimulation in Children

Combined Effect of Biofeedback and Functional Electrical Stimulation on Upper Limb Functions in Children With Hemiplegia

40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years

40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function

Inclusion Criteria:

• Their age will range from 5 to 10 years.
• Spasticity grade range from 1+ to 2, according to Modified Ashworth Scale (MAS) (Bohannon and Smith, 2011).
• Their UL ability function will be at level II according to Manual Ability Classification System (MACS) (Penta et al., 2001).
• They will be able to follow instructions.

Exclusion Criteria:

• Loss of sensation
• The presence of visual or auditory impairments.
• Musculoskeletal problems or fixed deformities in the upper extremities.
• Seizures.
• Surgical interference in upper limbs.
• Botulinum toxin injections in the last 6 months.