Author/Authors :
Morales-Osorio، Guadalupe نويسنده Pediatric Rehabilitation Department, National Institute of
Rehabilitation, Mexico City, Mexico , , Lomeli-Gonzalez، Joel نويسنده Research Department, Medicine School, National Polytechnic
Institute, Mexico City, Mexico , , Hernandez-Valadez، Noemi Isela نويسنده Electro diagnostic Department, National Institute of
Rehabilitation, Mexico City, Mexico , , Saldana، Elena Arellano نويسنده Pediatric Rehabilitation Department, National Institute of
Rehabilitation, Mexico City, Mexico , , Arenas-Sordo، Maria Luz نويسنده Genetics Department, National Institute of Rehabilitation,
Mexico City, Mexico ,
Abstract :
Background: Idiopathic congenital clubfoot is a deformity with
various components. Its treatment can be conservative and or surgical in
order to eliminate the deformity and to obtain a pain-free foot allowing
for adequate mobility. Objectives: Our objective was to evaluate whether
neuromuscular electrostimulation is useful for improving peroneal muscle
strength in post-operative congenital clubfoot in children. Patients and
Methods: An experimental, prospective, longitudinal, and comparative
study was carried out on 10 patients with congenital clubfoot in the
experimental group, and on 10 for historical controls. Initial and
post-treatment clinical evaluations were conducted on patients in both
groups. Surface electromyography (SEMG) was used for the experimental
group; each patient received 30 sessions of treatment with neuromuscular
electrostimulation in order to obtain muscular contraction. Results: In
both groups, there were more males with the average age or 5.5 years
(ranging from 3 to 8 years of age). Peroneal muscular strength evaluated
through the Daniels and Worthingham’s test increased post-treatment only
in the experimental group, and comparing these results to those of the
historical group, a significance level of P = 0.001 was obtained. The
motor unit potential amplitude in the SEMG increased in the experimental
group with a significance level of P < 0.05. Conclusions:
Neuromuscular electrostimulation can be used to increase muscle
strength, and it is a safe and painless treatment.
