Systematic Review of Electromyography for Assessing Physiotherapy Outcomes in Children with Cerebral Palsy
DOI:
https://doi.org/10.26911/theijmed.2024.09.03.07Abstract
Background: Cerebral palsy is a disorder that affects the movement and posture of the brain of a developing fetus or baby. The prevalence is around 1-4 per 1000 live births globally, with 9 birth cases in Indonesia. CP children experience various sensory and motor disorders. Various interventions require a tool that can reliably detect the success of therapy. Electromyography (EMG) is an objective method for understanding muscle activity, helps in determining the muscles involved in movement, and provides related information about muscle activity in response to therapy. This study aimed to determine EMG in evaluating the results of therapy.
Subjects and Method: A literature search was carried out using 2 databases, namely PubMed and Google Scholar regarding the use of EMG to assess or analyze physiotherapy interventions given to children with CP from the period 2018 - 2023. Using PRISMA as a writing rule.
Results: 8 studies described the use of EMG in physiotherapy, 3 articles looked at muscle activity, 3 articles assessed muscle activation, 1 article assessed spastic responses, and 1 article looked at motor neuron excitatory pools.
Conclusion: EMG helps physiotherapy in seeing muscle activity, muscle activation, seeing the spastic response of a muscle, and measuring the collection of excitatory motor neurons.
Keywords:
Cerebral palsy, electromyography, spasticity, hemiplegia, diplegiaReferences
Akbaş AN, Günel MK (2019). Effects of individually structured trunk training on body function and structures in children with spastic cerebral palsy: A stratified randomized controlled trial. Turk J Physiother Rehabil. 11–22. DOI: 10.21653/tfrd.382366.
Analauw I, Gessal J (2018). Gangguan gait pada cerebral palsy. Jurnal Medik dan Rehabilitasi. 1(2). https://ejournal.un-srat.ac.id/v3/index.php/jmr/article/view/20781
Bekius A, Zandvoort CS, Kerkman JN, van de Pol LA, Vermeulen RJ, Harlaar J, Daffertshofer A, et al. (2021). Neuro-muscular control before and after independent walking onset in children with cerebral palsy. Sensors. 21(8): 2714. DOI: 10.3390/s21082714.
Daly C, Lafferty E, Joyce M, Malone A (2019). Determining the most effective exercise for gluteal muscle activation in children with cerebral palsy using surface electromyography. Gait Posture. 70: 270–274. DOI: 10.1016/j.gait-post.2019.03.013.
González L, Argüelle J, González V, Winge K, Iscar M, Olmedillas H, Blanco M, et al (2020). Slackline training in children with spastic cerebral palsy: A randomized clinical trial. International Int J Environ Res Public Health. 17(22): 1–10. DOI: 10.3390/ijerph17228649.
Hegazy FA, Aboelnasr EA, Salem YT (2020). Effect of lidocaine iontophoresis combined with exercise intervention on gait and spasticity in children with spastic hemiplegic cerebral palsy: A randomized controlled trial. Neuro Rehabilitation. 47(2): 133–141. DOI: 10.3233/NRE-203152.
Hutton B, Salanti G, Caldwell DM, Chaimani A, Schmid CH, Cameron C, Ioannidis JPA, et al (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: Checklist and explanations. Ann Intern Med. 162(11): 777–784. DOI: 10.7326/M14-2385.
Kalkman BM, Holmes G, Bar-On L, Maganaris CN, Barton GJ, Bass A, Wright DM, et al (2019). Resistance training combined with stretching increases tendon stiffness and is more effective than stretching alone in children with cerebral palsy: A randomized controlled trial. Front Pediatr. 13(7): 333. DOI: 10.3389/fp-ed.2019.00333.
Keller M, Pfusterschmied J, Buchecker M, Müller E, Taube W (2012). Improved postural control after slackline training is accompanied by reduced H-reflexes. Scand J Med Sci Sports. 22(4): 471–477. DOI: 10.1111/j.1600-0838.2010.01268.x.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M (2022) Acute effects of static and proprioceptive neuromuscular faci-litation stretching of the plantar flexors on ankle range of motion and muscle-tendon behavior in children with spastic cerebral palsy—A randomized clinical trial. Int J Environ Res Public Health. 19(18): 11599. DOI: 10.3390/-ijerph191811599.
Massó N, Rey F, Romero D, Gual G, Costa L, Germán A, Clave P (2010) Surface electromyography applications in the sport. Apunts Med Esport. 45(165): 121-130. https://www.researchgate.-net/publication/45378542_S/-urfac-e_electromyography_applications.
Novak I, Morgan C, Adde L, Blackman J, Boyd RN, Brunstrom-Hernandez J, Cioni G, et al (2017). Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment. JAMA Pediatr. 171(9): 897–907. DOI: 10.1001/jamapedia-trics.2017.1689.
Park C, Yoon S, Yoon H, Kim K, Cha Y, Park I (2021). Effects of core stabilization exercise on muscle activity during horizontal shoulder adduction with loads in healthy adults: A randomized controlled study. J Mech Med Biol. 21(9): 2140049. DOI: 10.1142/S02195-19421400492.
Santos L, Ferna´ndez J, Ferna´ndez-Ri´o F., Ri´o R, Benjami´ B, Ferna´ndez B, Ferna´ndez-Garci´a F, et al (2019) Effects of slackline training on postural control, jump performance, and myoelectrical activity in female basketball players. J Hum Kinet. 67: 235-245. DOI: 10.2478/hukin-2018-0078
Schmidt BG, Gerzson LR, de Almeida CS (2020). The use of surface electro-miography as a measure of physio-therapy outcomes in children with Cerebral Palsy: A systematic review. J Hum Growth Dev. 30(2): 216–226. DOI: 10.7322/JHGD.V30.10368.
Sopandi MA, Nesi (2021). Fisioterapi pada kasus cerebral palsy. Indones J Health Sci. 1(2). DOI: 10.54957/ijhs.v1i2.70
Szyszka-Sommerfeld L, Lipski M, Woźniak K (2020). Surface electromyography as a method for diagnosing muscle function in patients with congenital maxillofacial abnormalities. J Healthc Eng. DOI: 10.1155/2020/8846920.
Wang, Jing (2023). Effect of hospital-family rehabilitation intervention on walking function and lower limb surface electromyography in children with cerebral palsy. Computational and Mathematical Methods in Medicine. 1–1. DOI: 10.1155/2023/9786314.
