Reducing spasticity to control muscle contracture of children with cerebral palsy.
A biofeedback training technique to control spasticity, previously successful with adults with cerebral palsy, was adapted for three children with spastic diplegia at risk for contractures. Visual feedback of muscle stretch reflex sensitivity is provided by video games, which are played by reducing reflex sensitivity. After a 10-week training period two of the three children had significantly reduced spasticity in the gastrocnemius muscle. The technique can be used with children as young as four years, is inexpensive, and can be carried out by parents with supervision by a physiotherapist.
Nash
J
J
Spastic Centre of New South Wales, Australia.
Neilson
P D
PD
O'Dwyer
N J
NJ
D001676:Biofeedback, Psychology; D002547:Cerebral Palsy / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D009128:Muscle Spasticity / Q000628:therapy*