The Effect of Electromyographic Biofeedback Treatment in Improving Upper Extremity Functioning of Patients with Hemiplegic Stroke
The Effect of Electromyographic Biofeedback Treatment in Improving Upper Extremity Functioning of Patients with Hemiplegic Stroke
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DOI：
10.1016/j.jstrokecerebrovasdis.2010.06.006
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发表时间：
2012-04-01
影响因子：
2.5
通讯作者：
Ozgirgin, Nese
中科院分区：
文献类型：
--
作者：
Dogan-Aslan, Meryem;Nakipoglu-Yuzer, Guldal Funda;Ozgirgin, Nese
本研究评估了肌电图生物反馈（EMG-BF）治疗对中风偏瘫患者腕屈肌痉挛、上肢运动功能和日常生活活动能力的影响。共有 40 名患者入组，并被随机分为两组：接受 EMG-BF 治疗的组（研究组）和未治疗组（对照组）。两组都参加了偏瘫康复计划，该计划包括神经发育和常规方法以及口头鼓励以“放松”痉挛的腕屈肌。此外，研究组还接受了为期3周的EMG-BF治疗，每周5次，每次20分钟，偏瘫侧腕屈肌。使用 Ashworth 量表 (AS)、偏瘫手臂和手的 Brunnstrom 恢复阶段 (BS)、上肢功能测试 (UEFT)、Fugl-Meyer 量表 (FMS) 的手腕和手部部分、手腕伸展的测角测量、表面肌电图电位和 Barthel 指数 (BI) 来评估康复前后的临床结果。两组患者年龄、性别、全身疾病、偏瘫病因、部位、持续时间等方面差异无统计学意义。两组之间的治疗前值也没有统计学上的显着差异。我们发现研究组的 AS、BS、UEFT、腕部伸展测角测量和表面肌电图电位在治疗后有统计学上的显着改善。我们还注意到两组中腕部和手部的 FMS 和 BI 存在统计学上的显着差异，但研究组的改善显着更大。我们的研究结果表明 EMG-BF 治疗与神经发育和传统方法相结合对偏瘫康复具有积极作用。
This study evaluated the effect of electromyographic biofeedback (EMG-BF) treatment on wrist flexor muscle spasticity, upper extremity motor function, and ability to perform activities of daily living in patients with hemiplegia following stroke. A total of 40 patients were enrolled and were randomly assigned to two groups: a group treated with EMG-BF (study group) and a untreated (control) group. Both groups participated in a hemiplegia rehabilitation program consisting of neurodevelopmental and conventional methods and verbal encouragement to "relax" spastic wrist flexor muscles. In addition, the study group received 3 weeks of EMG-BF treatment, 5 times a week, for 20 minutes per session at hemiplegic side wrist flexors. Clinical findings were assessed before and after rehabilitation using the Ashworth scale (AS), Brunnstrom's stage (BS) of recovery for hemiplegic arm and hand, the upper extremity function test (UEFT), the wrist and hand portion of the Fugl-Meyer scale (FMS), goniometric measurements of wrist extension, surface EMG potentials, and the Barthel Index (BI). There was no statistically significant difference between the two groups in terms of age, sex, systemic disease, and the etiology, side, and duration of hemiplegia. There also was no statistically significant difference in the pretreatment values between two groups. We found statistically significant improvements posttreatment in the AS, BS, UEFT, goniometric measurements of wrist extension, and surface EMG potentials in the study group. We also noted statistically significant differences in the wrist and hand portion of the FMS and the BI in both groups, but with significantly greater improvements in the study group. Our findings indicate a positive effect of EMG-BF treatment in conjunction with neurodevelopmental and conventional methods in hemiplegia rehabilitation.