NMES/Cerbral Palsy

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Physical Education, Recreation and Leisure Studies
Joanna Clair

NMES Neuromuscular Electrical Stimulation: •Generate muscle contractions for ppl who’ve lost voluntary muscle control •External electrical current applied to skin, produce muscle contraction •Stimulates many motor neurons simultaneously to contract many motor units Pros: •Non-invasive •Easy to use •Health benefits similar to benefits of exercise, “Use it or lose it” principle •Maintain Muscle Quality Cons: •Not everyone can use (Ppl with injuries below T12-L1 can’t use, nerve branches/motor neuron cell body will die off) •Lack of recruitment specificity •High energy •Shave surfaces Risks: •Burns •Bone Fractures •Incr. Spasticity •Infection •May trigger autonomic dysreflexia -Grasping, Walking, Standing, Cycling, Rowing (Best exercise), Cerebral Palsy (Cerebral ‘of the brain’, Palsy ‘lack of muscle control’) -Cerebral Palsy: Chronic(lifelong) neurological disorder of movement and posture caused by lesion in immature brain (early pregnancy up to 3 years old) •non-progressive •severities can range •2-2.5/1000 births Risk Factors for CP: Prenatal: (70-80% of CP) •Abnormal placenta •Malformations of brain •Toxemia (high blood pressure) •Stroke •Infections •Exposure to chemical toxins •Low birth weight •Prematurity •Twins/Multiple births Perinatal: (during birth, 5-10%) •Cord prolapse •Intracranial hemorrhage •Premature separation of placenta or severe bleeding Postnatal: (up to ~3 years, 10-20%) •Asphyxia (similar to choking or near drow
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