Feasibility of Isokinetic Training to Modify Coupling of Upper Limb Muscle Synergy Activation in Stroke-affected Upper Limb

Feasibility of Isokinetic Training to Modify Coupling of Upper Limb Muscle Synergy Activation in Stroke-affected Upper Limb
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等速训练修改中风上肢上肢肌肉协同激活耦合的可行性

DOI:
10.1109/embc40787.2023.10339985
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发表时间:
2023
期刊:
IEEE
影响因子:
--
通讯作者:
Park, Hyung-Soon
Park, Hyung-Soon
中科院分区:
--
文献类型:
--
作者:
Park, Jeong-Ho;Lee, Hangil;Kwon, Hyeok-Jun;Shin, Joon-Ho;Roh, Jinsook;Park, Hyung-Soon

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中风后上肢肌间协调异常导致运动障碍。特别是,中风后上肢肌肉协同作用的激活异常被证明是等速运动过程中的终点力控制。本研究旨在探讨等速训练改变这些异常协同激活和改善运动控制的可行性。比较三周肌电图训练前后肌肉协同作用和Wolf运动功能测试功能能力量表(WMFT-FAS)评分。建议的培训改变了协同激活和改善WMFT-FAS评分在慢性中风幸存者,同时保留肌肉重量的synergicity.Clinical Relevance-这项研究提出了可行性的神经肌肉训练,修改激活上肢肌肉协同作用对中风的具体模式的肌间协调和改善WMFT-FAS评分。
Abnormal intermuscular coordination in stroke-affected upper limbs contributes to motor deficits after stroke. In particular, abnormalities in the activation of upper limb muscle synergies after stroke were demonstrated for endpoint force control during isokinetic exercises. This study aimed to investigate the feasibility of isokinetic training to alter these abnormal synergy activations and improve motor control. Muscle synergies and Wolf Motor Function Test Functional Ability Scale (WMFT-FAS) score were compared before and after three weeks of electromyography-based training. The proposed training changed the synergy activation and improved the WMFT-FAS score in a chronic stroke survivor while preserving the muscle weights of the synergies.Clinical Relevance— This study presents the feasibility of neuromuscular training to modify the activation of upper limb muscle synergies against stroke-specific patterns of intermuscular coordination and improve WMFT-FAS score.
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