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CURRENT ISSUETHE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

A Journal on Applied Physiology, Biomechanics, Preventive Medicine,
Sports Medicine and Traumatology, Sports Psychology

Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111

Frequency: Monthly

ISSN 0022-4707

Online ISSN 1827-1928

 

The Journal of Sports Medicine and Physical Fitness 2015 November;55(11):1343-7

SPORT INJURIES, REHABILITATION 

    ORIGINAL ARTICLES

Effect of EMG-triggered stimulation combined with comprehensive rehabilitation training on muscle tension in poststroke hemiparetic patients

Xu H., Jie J., Hailiang Z., Ma C.

Department of Neurosurgery, Xuzhou Central Hospital, Xuzhou, China

AIM: The aim of this study was to investigate the effect of electromyography stimulation (EMGS) combined with comprehensive rehabilitation training on muscle tension of paretic limb in poststroke hemiparetic patients.
METHODS: Forty poststroke hemiparetic patients were randomly divided into 2 groups (N.=20 each): control group that received conventional therapy and experimental group that underwent EMGS combined with comprehensive rehabilitation training in addition to conventional therapy. The outcome was assessed by Fugl-Meyer Score, functional ambulation category (FAC) Scale and integrated electromyography (iEMG) for both pretreatment and post-treatment. The results were analyzed using paired t-test and group t-test.
RESULTS: No statistical significance was observed for Fugl-Meyer Score, FAC Score and iEMG values between control and experimental groups prior to the treatment (P>0.05). However, Fugl-Meyer and FAC scores were improved and iEMG values of gastrocnemius muscle were significantly decreased (P<0.05) in experimental group post-treatment. Thus, EMGS combined with comprehensive rehabilitation training show statistically significant interaction effect on Fugl-Meyer Score, FAC score and iEMG values (P<0.05), suggesting a positive effect of this combined therapy on functional recovery of post-stroke hemiparetic patients. The iEMG values in both groups were also consistent with the Fugl-Meyer and FAC scores.
CONCLUSION: EMGS combined with comprehensive rehabilitation training can synergistically reduce muscle tension and relieve muscular spasticity of paretic limb in post-stroke patients. The iEMG proved to be a potential candidate for the evaluation of motor function in these patients.

language: English


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