Pediatric Physical Therapy

Skip Navigation LinksHome > Summer 2010 - Volume 22 - Issue 2 > Functional Electrical Stimulation to Lower Limb Muscles Afte...
Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3181dbd806
Research Article

Functional Electrical Stimulation to Lower Limb Muscles After Botox in Children With Cerebral Palsy

Seifart, Anja MSc; Unger, Marianne MSc; Burger, Marlett MSc

Collapse Box


Purpose: This study examined the effect of lower limb functional electrical stimulation (FES) after botulinum toxin injection in children with cerebral palsy on self-selected walking speed, plantar flexor and dorsiflexor muscle strength, and an optimal time frame for initiating FES after the injection.

Methods: Five subjects participated in a single-subject design. All subjects received a single botulinum toxin injection into the calf muscle, followed by a 4-week FES home program. Three subjects followed the protocol as prescribed; 2 subjects received no FES.

Results: FES after botulinum toxin increased isometric plantar flexor muscle strength, but did not produce changes in self-selected walking speeds or isometric dorsiflexor strength. A 32-day interval between botulinum toxin and the start of FES was most effective.

Conclusions and Recommendations for Clinical Practice: FES after botulinum toxin seems to be effective in improving some gait variables, although further research is needed for substantiation.

© 2010 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.

 Follow PED-PT on Twitteriphone-podcast-icon.png