Functional Electrical Stimulation On Functional Rehabilitation In Children With Erb's Palsy

NCT05334511 | Completed

• 1 other identifier: REC/RCR &AHS/21/0701
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Erb's palsy is a type of brachial plexus injury occurs in infants due to injury of nerves during childbirth. Injury causes weakness or paralysis of different muscles. Different type of approaches are made for the treatment of erb;s palsy such passive range of motion, stretching ,splinting ,electrotherapy etc. In erb's palsy the most affected ranges are shoulder abduction and shoulder external rotation. Quasi experimental study will be done on the patient with erb's palsy intervention applied will be functional electrical stimulation (a low frequency current) applied 5 day a weeks for 2 weeks than on alternate days for the rest of the treatment. Setting for functional electrical stimulation will be Frequency 20 pps with Pulse width of 300 msec. 18 patient will be recruited . "Assumed population standard deviation"4.24" "Confidence level""0.95" "Acceptable error""2". Pre-intervention reading will be taken on modified mallet scale and universal goniometer and post intervention measurement will be taken after 02, 04 ,06 months.

Conditions

Erb's Palsy

Outcome Measures

Primary Outcomes (2)

• Change in Modified mallet scale Score

  Modified Mallet scale evaluation of function and arm appearance. In addition to assessing the classical shoulder functions of the classical Modified Mallet system, supination and the resting position are evaluated. In the resting position, medial rotation at the shoulder is scored on a scale of 1 to 5. 1 is the lowest score and 5 is the highest score

  Baseline, 2nd, 4th and 6th Months

• Change in range of motion

  A goniometer is an instrument that measures the available range of motion at a joint. The art and science of measuring the joint ranges in each plane of the joint are called goniometry. To measure the range of motion physical therapists most commonly use a goniometer.

  Baseline, 2nd, 4th and 6th months

Study Arms (1)

Functional Electrical Stimulation

EXPERIMENTAL

functional electrical stimulation with Frequency 20 pps with Pulse width of 300 msec.

Other: Functional Electrical Stimulation

Interventions

Functional Electrical Stimulation OTHER

functional electrical stimulation with Frequency 20 pps with Pulse width of 300 msec.

Functional Electrical Stimulation

Eligibility Criteria

• Age: 15 Months - 3 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Diagnosed with Erb's Palsy
• Children of age 15 months to 3 years

You may not qualify if:

• hemiplegic cerebral palsy
• children with upper limb fractures
• obstetrical brachial plexus injury
• upper limb contracture

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Children Complex Hospital

Faisalābad, Punjab Province, 38000, Pakistan

Location

Related Publications (4)

• Okafor UA, Akinbo SR, Sokunbi OG, Okanlawon AO, Noronha CC. Comparison of electrical stimulation and conventional physiotherapy in functional rehabilitation in Erb's palsy. Nig Q J Hosp Med. 2008 Oct-Dec;18(4):202-5. doi: 10.4314/nqjhm.v18i4.45029.

  PMID: 19391320 BACKGROUND

• Nath RK, Somasundaram C. Significant improvement in nerve conduction, arm length, and upper extremity function after intraoperative electrical stimulation, neurolysis, and biceps tendon lengthening in obstetric brachial plexus patients. J Orthop Surg Res. 2015 Apr 19;10:51. doi: 10.1186/s13018-015-0191-y.

  PMID: 25895832 BACKGROUND

• Huang X, Jiang Z, Sun H, Xie B, Lu F, Huang W, Wang T, Xiong H. The effect of a high-quality nursing model employing low-frequency pulse electrical stimulation combined with early systemic functional exercises on the function of the affected limb in brachial plexus injury patients. Am J Transl Res. 2021 May 15;13(5):4939-4948. eCollection 2021.

  PMID: 34150078 BACKGROUND

• Elnaggar RK. Shoulder Function and Bone Mineralization in Children with Obstetric Brachial Plexus Injury After Neuromuscular Electrical Stimulation During Weight-Bearing Exercises. Am J Phys Med Rehabil. 2016 Apr;95(4):239-47. doi: 10.1097/PHM.0000000000000449.

  PMID: 26829088 BACKGROUND

MeSH Terms

Conditions

Brachial Plexus Neuropathies

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Fareeha Kausar, PP-DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 2, 2022
• First Posted: April 19, 2022
• Study Start: November 30, 2021
• Primary Completion: June 30, 2022
• Study Completion: July 31, 2022
• Last Updated: February 21, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)