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
