Effect of Reciprocal Electrical Stimulation on Balance and Quality of Life in Hemiparetic CP

Effect of Reciprocal Neuromuscular Electrical Stimulation on Balance and Quality of Life in Children With Hemiparesis

to investigate the effect of the reciprocal neuromuscular electrical stimulation on balance and quality of life in hemiparetic children

Neuromuscular Electrical Stimulation is widely used to reduce spasticity and strengthen weak muscles.

Reciprocal electrical stimulation ( RES),which mimic natural agonist-antagonist muscle activation , is a promising too for neuromuscular re-education.

RES has been studied for knee stability in diplegic CP and ankle control in adults but its effect on static and dynamic balance in hemiparetic CP remain unexplored . so this study may be a guide in management of balance problems in children with hemiparesis

Inclusion Criteria:

• age range from 6 to10 years .
• spasticity level 1 , 1+ in lower limb muscles according to Modified Ashworth Scale.
• Gross Motor Function Classification System (GMFCS) level 1.
• Able to follow instructions.

Exclusion Criteria:

• Affections of musculoskeletal system including fixed contractures.
• Visual , auditory , vestibular ,sensory disorders or cerebellar disease .
• Botox injection in the last 6 months in gastrocnemius