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Effects of the Inerventions method on gross motor function in children with spastic cerebral palsy
- Department of Children’s Rehabilitation, Lithuanian University of Health Sciences, Lopselio 10, Kaunas, Lithuania
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Abstract
To investigate the effect of the Inerventions method on gross motor function in children with spastic cerebral palsy (CP).
Clinical rationale for the studyThe Inerventions method is the type of transcutaneous electrical nerve stimulation (TENS) delivered through a full-body garment (Mollii suit) that aims to prompt reciprocal inhibition via the antagonist to reduce spasticity in selected muscle groups. Although Mollii is approved by the European Union as a medical device, independent clinical tests have not yet been performed.
Materials and methods16 children with spastic CP, aged 4.7 ± 1.3 were recruited and then willingly assigned to the Inerventions method (n = 8) and control groups (n = 8). In the Inerventions method group, TENS was applied 1 h per session, 3 days weekly for 3 weeks. Children of the control group received functional exercises program for the same duration, frequency and length. Outcome measures included the Gross Motor Function Measure, passive range of motion (PROM), the Modified Tardieu Scale, and the Timed Up and Go test.
ResultsWhile both groups experienced improvements in gross motor function and mobility, the difference in improvement between children treated with the TENS and physiotherapy did not reach statistical significance. No change occurred in PROM and spasticity in either group following the interventions.
ConclusionsThere is no superior efficacy of the Inerventions method compared to conventional physiotherapy.
Abstract
To investigate the effect of the Inerventions method on gross motor function in children with spastic cerebral palsy (CP).
Clinical rationale for the studyThe Inerventions method is the type of transcutaneous electrical nerve stimulation (TENS) delivered through a full-body garment (Mollii suit) that aims to prompt reciprocal inhibition via the antagonist to reduce spasticity in selected muscle groups. Although Mollii is approved by the European Union as a medical device, independent clinical tests have not yet been performed.
Materials and methods16 children with spastic CP, aged 4.7 ± 1.3 were recruited and then willingly assigned to the Inerventions method (n = 8) and control groups (n = 8). In the Inerventions method group, TENS was applied 1 h per session, 3 days weekly for 3 weeks. Children of the control group received functional exercises program for the same duration, frequency and length. Outcome measures included the Gross Motor Function Measure, passive range of motion (PROM), the Modified Tardieu Scale, and the Timed Up and Go test.
ResultsWhile both groups experienced improvements in gross motor function and mobility, the difference in improvement between children treated with the TENS and physiotherapy did not reach statistical significance. No change occurred in PROM and spasticity in either group following the interventions.
ConclusionsThere is no superior efficacy of the Inerventions method compared to conventional physiotherapy.
Keywords
Children, Cerebral palsy, Electrical stimulation, Inerventions
Title
Effects of the Inerventions method on gross motor function in children with spastic cerebral palsy
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
581-586
Published online
2018-07-20
Page views
729
Article views/downloads
1151
DOI
10.1016/j.pjnns.2018.07.003
Bibliographic record
Neurol Neurochir Pol 2018;52(5):581-586.
Keywords
Children
Cerebral palsy
Electrical stimulation
Inerventions
Authors
Indre Bakaniene
Gintare Urbonaviciene
Kristina Janaviciute
Audrone Prasauskiene