Effect of Occupational Therapy on Multi-Scale Entropy of sEMG in Cerebral palsy Children

• Published in: Pakistan Journal of Engineering & Technology Vol. 3; no. 2
• Main Authors: Mashal Fatima, Awais Shoukat, Moiz Ishtiaq, Usman Khan, Muhammad Shafique
• Format: Journal Article
• Language: English
• Published: The University of Lahore 01.09.2020
• Subjects: Cerebral paralysis (CP), surface electromyography (sEMG), multi-scale entropy (MSE)
• ISSN: 2664-2042; 2664-2050

Cerebral paralysis (CP) is the most widely recognized motor disability in adolescence. Populace based investigations from around the globe report CP going from 2 to 2.5 per 1000 live births. It occurs when there is some damage to the part of the brain that controls motor function. CP is classified according to the degree of motor disability. Types of CP include monoplegia, diplegia, triplegia, hemiplegia and quadriplegia. There is no cure for this disease; however, management of symptoms is possible by using different interventions like physical or occupational therapy. Surface EMG detected at various muscles simultaneously can be used as a tool for the analysis of gait in CP children. Gait analysis is the most crucial method for treatment of the cerebral palsy patient, providing the most vital information about the abnormality of the rate of the cerebral palsy patient. Surface EMG allows assessing the activity of different muscles during walking to show coordination. Multi-scale entropy helps to extend expected single scale entropy into multi time scale by using the coarse grained technique, has demonstrated the analytical ability to examine the sEMG changes on multiple time scale during the functioning of the muscle.  The objective of this study was to investigate the effects of occupational therapy on the multi-scale entropy of surface electromyography (sEMG) in children with CP. The selected group of CP subjects were given OT for consecutive six sessions, and improvement in their lower limb muscles was quantified in terms of MSE. The designed study revealed that OT was sufficient for the rehabilitation of CP patient with a significant difference (p<0.05) observed in gastrocnemius muscle.  Therefore one can conclude that occupational therapy helps the children who have spastic cerebral palsy to improve in muscles and help children to perform their daily activity in which walking independently is the most important one. The objective of this study was to investigate the effects of occupational therapy on the multi-scale entropy of surface electromyography (sEMG) in children with CP. Selected group of CP subjects were given OT for consecutive six session and improvement in their lower limb muscles were quantified in terms of MSE. The designed study revealed that OT was effective for the rehabilitation of CP patient with a significant difference (p<0.05) observed in gastrocnemius muscle. Therefore one can conclude that occupational therapy helps the children suffering from spastic cerebral palsy to make improvement in muscles, and help children to perform their daily activity in which walking independently is the most important one.