Interferential current therapy improved constipation and pelvic floor muscle activity in cerebral palsy children

A case series

https://doi.org/10.53730/ijhs.v6nS5.11491

Authors

  • Karina Yudithia Ayuningrum Department of Physical Medicine and Rehabilitation, Faculty of Medicine Airlangga University Dr. Soetomo Academic General Hospital, Surabaya, Indonesia
  • Sri Mardjiati Mei Wulan Department of Physical Medicine and Rehabilitation, Faculty of Medicine Airlangga University Dr. Soetomo Academic General Hospital, Surabaya, Indonesia
  • I Putu Alit Pawana Department of Physical Medicine and Rehabilitation, Faculty of Medicine Airlangga University Dr. Soetomo Academic General Hospital, Surabaya, Indonesia
  • Nurul Kusuma Wardani Department of Physical Medicine and Rehabilitation, Faculty of Medicine Airlangga University Dr. Soetomo Academic General Hospital, Surabaya, Indonesia
  • Martha Kurnia Kusumawardani Department of Physical Medicine and Rehabilitation, Faculty of Medicine Airlangga University Dr. Soetomo Academic General Hospital, Surabaya, Indonesia
  • Andy Darma Departement of Pediatrics, Faculty of Medicine Airlangga University, Dr. Soetomo Academic General Hospital, Surabaya, Indonesia

Keywords:

Interferential Current, Constipation, Pelvic Floor Muscle, PICS, PedsQL

Abstract

Background: Objective: The aim of this case report was to evaluate interferential current (IFC) therapy as adjuvant in treating constipation and abnormal pelvic floor muscle activity in cerebral palsy (CP) children. Study design: Nine CP children aged between 4,5 to 13 years old who had constipation according to ROME IV criteria received pre post test examination. At the baseline we collected data regarding the Pediatric Incontinence and Constipation Score (PICS), Pediatric Quality of Life (PedsQL), and pelvic floor muscle activity at rest and during contraction. They received standard lactulose therapy and IFC therapy with a frequency of 4000-4100 Hz, duration 20 minutes, 3 times a week for 4 weeks. A week after the last IFC series, the parameters were re-evaluated to assess outcomes. Data were analyzed with SPSS v20.0. Results: PICS for constipation improved (P= 0,005), PedsQL improved at pain parameter (p = 0,008), and the pelvic floor muscle activity reduced significantly at rest (P= 0,036) in CP with constipation after received additional IFC therapy.

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References

Reyes T dan Luna-Reyes O. 1978. Electrotherapy and electrodiagnosis Chapter 16: Transcutaneus Nerve Stimulation, Interferential Current Therapy. p197-204.

Belanger A. 2001. Evidence-Based Guide to Therapeutic Physical Agent, 1st ed, Lippincott Williams & Wilkins, Philadelphia. 66-90.

Hosker G, Norton C, Brazzelli M. 2000. Electrical stimulation for fecal incontinence in adults. Cochrane Database Sys Rev. (2): CD001310.

Emmerson C. 1987. A preliminary study of the effect of interferential therapy on detrusor instability in patients with multiple sclerosis. Aust. J. Physiother. 33(1): 64–65.

Veugelers R, Benninga MA, Calis EAC, et al. 2010. Prevalence and clinical presentation of constipation in children with severe generalized cerebral palsy. Dev Med Child Neurol. 52: e216-222.

Elawad MA dan Sullivan PB. 2001. Management of constipation in children with disabilities. Dev Med Child Neurol. 43:829-32

Araujo L, Silva L, Mendes A. 2012. Digestive tract neural control and gastrointestinal disorders in cerebral palsy. J. Pediatr. (Rio J.) vol.88 no.6 Porto Alegre Nov./Dec. 2012

Tarsuslu T, Bol H, Simsek IE, et al. 2009. The effects of osteopathic treatment on constipation in children with cerebral palsy: A pilot study. Journal of Manipulative and Physiological Therapeutics. 32(8): 648-653.

Shaheen, F. and Awan, W.A. 2012. The role of stretching exercises in relieving constipation in the spastic cerebral palsy. International Journal of Rehabilitation Sciences (IJRS), 1(01), pp.35-40.

Cao Y, Liu S. 2018. Lactulose for the treatment of chinese children with chronic contipation: a randomized controlled trial. Medicine. 97: 52(e13794).

Ng RT, Lai NM, Lee WS, et al. 2013. Transcutaneous electrical nerve stimulation (TENS) for treatment of constipation in children. Cochrane Database of Systematic Reviews, Issue 12. Art. No. CD010873.

Chase J, Robertson VJ, Southwell B, Hutson J, Gibb S. 2005. Pilot study using transcutaneous electrical stimulation (interferential current) to treat chronic treatment-resistant constipation and soiling in children. J. Gastroenterol. Hepatol. 20(7): 1054–1061

Sharifi-Rad, L., Ladi-Seyedian, S. S., Manouchehri, N., Alimadadi, H., Allahverdi, B., Motamed, F., & Fallahi, G. H. (2018). Effects of interferential electrical stimulation plus pelvic floor muscles exercises on functional constipation in children: a randomized clinical trial. Official journal of the American College of Gastroenterology| ACG, 113(2), 295-302.

Martinelli M dan Staiano A. 2017. Motility problems in developmental disorders: Cerebral palsy, down syndrome, williams syndrome, autism, turner’s syndrome, noonan’s syndrome, rett syndrome, and prader-willi syndrome, in C. Faure et al. (eds.), Pediatric Neurogastroenterology. Switzerland: Springer. 303-304.

Prosser, L. A., Lauer, R. T., VanSant, A. F., Barbe, M. F., & Lee, S. C. (2010). Variability and symmetry of gait in early walkers with and without bilateral cerebral palsy. Gait & posture, 31(4), 522-526.Bell, K.J., Õunpuu, S., DeLuca, P.A. and Romness, M.J. 2002. Natural progression of gait in children with cerebral palsy. Journal of Pediatric Orthopaedics, 22(5), pp.677-682.

Benninga MA, Nurko S, Faure C, Hyman PE, St James Roberts I dan Schechter NL. 2016. Childhood functional gastrointestinal disorders: Neonate/toddler. Gastroenterology. 150: 1443-1455.

Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A dan Van Tilburg M. 2016. Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology. 150: 1456-1468e2.

Fichtner-Feigl, S., Sailer, M., Höcht, B., & Thiede, A. (2003). Development of a new scoring system for the evaluation of incontinence and constipation in children. coloproctology, 25(1), 10-15.

Varni, J.W., Burwinkle, T.M., Berrin, S.J., Sherman, S.A., Artavia, K., Malcarne, V.L., & Chambers, H.G. (2006). The PedsQL™ in pediatric cerebral palsy: Reliability, validity, and sensitivity of the Generic Core Scales and Cerebral Palsy Module. Developmental Medicine and Child Neurology, 48, 442-449.

Kajbafzadeh AM, Sharifi,R L, Nejat F. 2012. Transcutaneous interferential electrical stimulation for management of neurogenic bowel dysfunction in children with myelomeningocele. Int J Colorectal Dis. 27(4): 453-458.

Varma JS. 1992. Autonomic influences on colorectal motility and pelvic surgery. World J. Surg. 16(5): 811–819

Dubrovsky B, Filipini D. 1990. Neurobiological aspects of the pelvic floor muscles involved in defecation. Neurosci Biobehav Rev. 14(2): 157-168.

Andrews CN dan Storr M. 2011. The pathophysiology of chronic constipation. Can J Gastroenterol. 25:16B-21B.

King SK, Sutcliffe JR, Ong SY et al. 2010. Substance P and vasoactive intestinal peptide are reduced in right transverse colon in pediatric slow-transit constipation. Neurogastroenterol. Motil. 22(8): 883–892, e234.

Frattini JC dan Nogueras JJ. 2008. Slow transit constipation: A review of a colonic functional disorder. Clin Colon Rectal Surg. 21: 146–152.

Yik YI, Tan A, Hutson JM, Southwell BR. 2013. Transcutaneous electrical stimulation for constipation. Constipation: Current & Emerging Treatment. 168-179.

Clarke MC, Chase JW, Gibb S et al. 2009. Decreased colonic transit time after transcutaneous interferential electrical stimulation in children with slow-transit constipation. J. Pediatr. Surg. 44(2): 408–412.

Konrad, P. 2005. The ABC of EMG: A practical introduction to kinesiological electromyography.

Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D. and Jacobsson, B. 2007, ‘A report: The definition and classification of cerebral palsy April 2006’, Developmental Medicine & Child Neurology (Suppl.) 109, 8–14.

Logosu, D., Tagoe, T. A., & Adjei, P. (2021). Transcutaneous electrical nerve stimulation in the management of calf muscle spasticity in cerebral palsy: A pilot study. IBRO Neuroscience Reports, 11, 194-199.

Mooney, J. A., & Rose, J. (2019). A scoping review of neuromuscular electrical stimulation to improve gait in cerebral palsy: the arc of progress and future strategies. Frontiers in Neurology, 887.

Adjenti, S.K., Louw, G., Jelsma, J. and Unger, M. 2017. An electromyographic study of abdominal muscle activity in children with spastic cerebral palsy. The South African journal of physiotherapy, 73(1).

Park, S.J., Cho, K.H. and Kim, S.H. 2019. The immediate effect of interferential current therapy on muscle tone and stiffness in chronic stroke patients. Korean Society of Physical Medicine, 14(1), pp.1-5.

Leung, R. W. C., Fung, B. K. Y., Fung, L. C. W., Meng, W. C. S., Lau, P. Y. Y., & Yip, A. W. C. (2008). The efficacy of a multidisciplinary approach to the management of constipation: a case series. Journal-Association of Chartered Physiotherapists in Womens Health, 102, 36.

Suh, H.R., Han, H.C. and Cho, H.Y. 2014. Immediate therapeutic effect of interferential current therapy on spasticity, balance, and gait function in chronic stroke patients: a randomized control trial. Clinical rehabilitation, 28(9), pp.885-891.

Milanov IG. 1992. Mechanisms of baclofen action on spasticity. Acta Neurol Scand. 85: 305–310.

Maeda Y, Lisi TL, Vance CG and Sluka KA. 2007. Release of GABA and activation of GABA(A) in the spinal cord medi- ates the effects of TENS in rats. Brain Res. 1136: 43–50

Forster A, Clayton EB, dan Palastanga N. 1985. Clayton’s Electrotherapy: Theory and Practice. Bailliere Tndall, 9th ed, WB Saunders, East Sussex, England. 107-111.

Park, M. I. (2013). Can electrical stimulation therapy be helpful for patients with chronic constipation refractory to biofeedback therapy?. Journal of Neurogastroenterology and Motility, 19(3), 279.

Robertson V, Low J, Ward A. 2008. Electrotherapy Explained. Edinburgh: Butterworth-Heinemann Elsevier.

Amir, . F., Suhron, M., & Sulaihah, S. (2021). Family care model development in treating schizophrenia patients that have self-deficit nursing based system: Structural equation modeling analysis. International Journal of Health & Medical Sciences, 5(1), 7-14. https://doi.org/10.21744/ijhms.v5n1.1808

Kubiak RJ, Whitman KM, Johnston RM. 1987. Changes in quadriceps femoris muscle strength using isometric exercise versus electrical stimulation. J Orthop Sports Phys Ther. 8(11): 537-41.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Williams RA, Morrissey MC, Brewster CE. 1986. The effect of electrical stimulation on quadriceps strength and thigh circumference in menisectomy patients. J Orthop Sports Phys Ther. 8(3): 143-6.

Floch MH. 2009. Defecation, in Rosenthal R, Kowdley K V, Pitchumoni CS, Scolapio J (ed). Netter’s Gastroenterology, 2nd ed. Philadelphia: Saunders. 354–356.

Published

02-08-2022

How to Cite

Ayuningrum, K. Y., Wulan, S. M. M., Pawana, I. P. A., Wardani, N. K., Kusumawardani, M. K., & Darma, A. (2022). Interferential current therapy improved constipation and pelvic floor muscle activity in cerebral palsy children: A case series. International Journal of Health Sciences, 6(S5), 6452–6463. https://doi.org/10.53730/ijhs.v6nS5.11491

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