The Effect of Task-oriented EMG-triggered ES on Upper Limb Motor Function in Hemiplegic Cerebral Palsy

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Updated on 11 February 2021
cerebral palsy
diplegic cerebral palsy


The purpose of our study; to investigate the effects of EMG-induced ES treatment on hand functions, muscle strength, and quality of life in patients with hemiplegic CP.


Upper limb spasticity greatly affects the hand functions of patients with cerebral palsy (CP) and impairs quality of life. The most important goal in rehabilitation; despite the existing deficiencies, the highest level of functional independence of the patient is to increase the quality of life. EMG-triggered biofeedback electrical stimulation (EMG-triggered-BF-ES) increases the patient's active participation and motivation in rehabilitation, creates visual or auditory BF, provides muscle reeducation, decreases spasticity, prevents atrophies and increases joint mobility and increases muscle functionality by increasing the patient's functionality. There are areas of use the EMG-triggered-BF-ES such as cerebrovascular disease (CVO), spinal cord injury, and CP. When the literature is examined; studies were found to be few, and no study evaluating the upper extremity was found in children with CP. The purpose of our study is the investigation of the effects of EMG-triggered-BF-ES treatment applied on hand functions, muscle strength, and quality of life in patients with CP.

Condition Cerebral Palsy, Cerebral Palsy (Pediatric), spastic cerebral palsy
Treatment electromyography-triggered electrical stimulation
Clinical Study IdentifierNCT04394819
Sponsornihal tezel
Last Modified on11 February 2021


Yes No Not Sure

Inclusion Criteria

having a diagnosis of CP
age between 4 and 18 year
at least 10 of the active wrist and finger extension in the affected limb but less than normal
upper limb spasticity (shoulder, elbow, wrist, and fingers) less than or equal to grade 2 according to the modified Ashworth scale (MAS)
should be able to receive command

Exclusion Criteria

Mental retardation
Passive range of motion (ROM) limitation in the upper extremity
Sensory impairment in the upper extremity
The visual and auditory deficit in the upper extremity
MAS is more than 3
Botulinum toxin application to the upper limb in the last 6 months
Any surgical application to the upper limb in the last 6 months
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