Effect of Neuromus
Effect of Neuromuscular Electrical Stimulation on Foot Pressure Distribution in Congenital Clubfoot
Shamekh Mohamed El-Shamy1, Ehab Mohamed Abd El-Kafy2, Mohamed Mohamed Ibrahim3
1 , 2 Department of Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
2 , 3Associate professor , Physical Therapy Department , Faculty of Applied Medical Sciences, Um Al Qura University, KSA.
3 Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
Abstract: Conservative treatment of clubfoot is well accepted and has been reported to result in better correction ranging from as low as 50 % to as high as 90%. This study was an attempt to evaluate the effect ofneuromuscular electrical stimulation on foot pressure distribution in congenital clubfoot. Methods: Thirty children with congenital clubfoot were participated in this study, their age ranged from 2.5 to 3.5 years matched with 20 healthy pediatric subjects. They were randomized divided into two equal groups; Study group received electrical stimulation for 12 weeks (frequency of 40 Hz, pulse width 330 ms and intensity was set where a visible movement of the foot was achieved and the sensation did not cause any distress to the infant), and control group didn’t receive any stimulation. Foot pressure distribution was measured using foot scan for all children pre and post treatment. Results: There was a statistically significant difference in maximum foot pressure between study and control group after electrical stimulation application (p< 0.001). By contrast maximum foot pressures were not completely recovered in the study group compared with their matched healthy controls after 12 weeks.Conclusion: Neuromuscular electrical stimulation may have the potential to maintain or improve evertor muscle activity and foot pressure distribution in children with clubfoot.
[El-Shamy SM, Abd El-Kafy EM, Ibrahim MM. Effect of Neuromuscular Electrical Stimulation on Foot Pressure Distribution in Congenital Clubfoot. J Am Sci 2013;9(6):178-183]. (ISSN: 1545-1003).http://www.jofamericanscience.org. 21
Key Words: Neuromuscular Electrical Stimulation, Congenital Cubfoot, Foot Pressure Distribution. Full Text 21