Biomechanical and Functional Effects of Adding Sensory-Threshold Electrical Stimulation to Neurodevelopmental Therapy in Children With Spastic Cerebral Palsy: A Single-Arm Repeated-Measures Study
The Effect of Subthreshold Electrical Stimulation on Spasticity and Functionality in Patients With Spastic Cerebral Palsy
2 other identifiers
interventional
11
1 country
1
Brief Summary
This study investigates whether adding sensory-level electrical stimulation to an ongoing neurodevelopmental treatment program is associated with changes in ankle mobility, spasticity-related measures, muscle mechanical properties, and functional performance in children with spastic cerebral palsy. Children complete a 12-week rehabilitation program and are assessed at baseline, after 6 weeks of neurodevelopmental treatment alone, and after an additional 6 weeks during which sensory-level electrical stimulation is added to the ongoing treatment. The study aims to determine the feasibility of this combined approach and to explore whether favorable changes occur over time in range of motion and functional outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2020
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 9, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 12, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
May 28, 2021
CompletedFirst Submitted
Initial submission to the registry
March 18, 2026
CompletedFirst Posted
Study publicly available on registry
March 24, 2026
CompletedMarch 24, 2026
January 1, 2026
3 months
March 18, 2026
March 18, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ankle Dorsiflexion Range of Motion
Ankle dorsiflexion range of motion will be measured to evaluate change across the study intervention phases in children with spastic cerebral palsy.
Baseline, Week 6, and Week 12
Study Arms (1)
Sensory Electrical Stimulation Plus Neurodevelopmental Treatment
EXPERIMENTALAll participants received neurodevelopmental treatment during the first phase of the study and then continued with neurodevelopmental treatment combined with sensory-level electrical stimulation during the second phase. Outcomes were assessed at baseline, after 6 weeks of neurodevelopmental treatment, and after 6 additional weeks of combined treatment.
Interventions
Sensory-level electrical stimulation was applied as an adjunct to ongoing neurodevelopmental treatment during the second phase of the study. Stimulation was delivered 3 times per week for 30 minutes per session without producing visible muscle contraction. The intervention was intended to increase sensory afferent input in children with spastic cerebral palsy.
Eligibility Criteria
You may qualify if:
- Children aged 5 to 15 years
- Diagnosis of spastic cerebral palsy
- Gross Motor Function Classification System (GMFCS) level I or II
- Ability to understand simple verbal instructions
- Parent or legal guardian able and willing to provide informed consent
You may not qualify if:
- Clinically relevant sensory deficits that could affect stimulation perception or outcome assessments
- Uncontrolled epileptic seizures
- Severe perceptual or cognitive problems preventing cooperation
- Significant visual or hearing impairment
- GMFCS level III or higher
- Botulinum toxin injection or orthopedic surgery within the previous 6 months
- Fixed ankle contracture or severe musculoskeletal deformity limiting range of motion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Marmara University, Faculty of Health Sciences
Istanbul, 34864, Turkey (Türkiye)
Related Publications (6)
Satheeskumar D, Dhaneshkumar K, Rajasenthil K. Comparative study to identify the effects of transcutaneous electrical nerve stimulation combined with sensorimotor task oriented training to improve the hand function in hemiplegic cerebral palsy children. J Clin Diagnostic Res. (2018) 12(1):YC17-21. 10.7860/JCDR/2018/27015.11092
RESULTOzer, K., Chesher, S. P., & Scheker, L. R. (2006). Neuromuscular electrical stimulation and dynamic bracing for the management of upper-extremity spasticity in children with cerebral palsy. Developmental Medicine & Child Neurology, 48(7), 559-563.
RESULTAlhusaini, A. A., Fallatah, S., Melam, G. R., & Buragadda, S. (2019). Efficacy of transcutaneous electrical nerve stimulation combined with therapeutic exercise on hand function in children with hemiplegic cerebral palsy. Somatosensory & motor research, 36(1), 49-55.
RESULTí Dali, C., Hansen, F. J., Pedersen, S. A., Skov, L., Hilden, J., Bjørnskov, I., ... & Lyskjær, U. (2002). Threshold electrical stimulation (TES) in ambulant children with CP: a randomized double-blind placebo-controlled clinical trial. Developmental medicine and child neurology, 44(6), 364-369.
RESULTde Araujo C, Gschaidmeier A, von Gunten M, Grunt S. Sensory-level electrical stimulation in children with cerebral palsy: a scoping review of current applications and outcomes. Front Pediatr. 2025 Nov 24;13:1644547. doi: 10.3389/fped.2025.1644547. PMID: 41367605; PMCID: PMC12682778.
RESULTSah AK, Balaji GK, Agrahara S. Effects of Task-oriented Activities Based on Neurodevelopmental Therapy Principles on Trunk Control, Balance, and Gross Motor Function in Children with Spastic Diplegic Cerebral Palsy: A Single-blinded Randomized Clinical Trial. J Pediatr Neurosci. 2019 Jul-Sep;14(3):120-126. doi: 10.4103/jpn.JPN_35_19. Epub 2019 Sep 27. PMID: 31649770; PMCID: PMC6798271.
RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
VEYSEL MRV VEYSEL, PhD
Harran University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Masking Details
- No masking is used in this study. Because of the nature of the rehabilitation intervention, participants, care providers, and investigators are aware of the treatment being delivered.
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Assistant
Study Record Dates
First Submitted
March 18, 2026
First Posted
March 24, 2026
Study Start
November 9, 2020
Primary Completion
February 12, 2021
Study Completion
May 28, 2021
Last Updated
March 24, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share
Individual participant data collected during the study will not be shared with other researchers because the study did not include a prespecified data-sharing plan and participant-level data are subject to privacy and confidentiality protections.