Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Effect of repetitive wrist extension with electromyography-triggered stimulation after stroke: a preliminary randomized controlled study

  • Lee, Yoseb (Department of Physical Therapy, Health and Welfare Graduate School, Sahmyook University) ;
  • Cha, Yuri (Department of Physical Therapy, Sunlin University) ;
  • Kim, Young (Department of ICT Convergence Rehabilitation Engineering, Soon Chun Hyang University) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Chung, Yijung (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
  • Received : 2017.09.01
  • Accepted : 2017.09.22
  • Published : 2017.09.30
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Abstract

Objective: The purpose of this study was to explore the effect of repetitive wrist extension task training with electromyography (EMG)-triggered neuromuscular electrical stimulation (NMES) for wrist extensor muscle recovery in patients with stroke. Design: Randomized controlled trial. Methods: Fifteen subjects who had suffered a stroke were randomly assigned to an EMG-triggered NMES group (n=8) or control group (n=7); subjects in both groups received conventional therapy as usual. Subjects in the experimental group received application of EMG-triggered NMES to the wrist extensor muscles for 20 minutes, twice per day, five days per week, for a period of four weeks, and were given a task to make a touch alarm go off by activity involving extension of their wrist. In the control group, subjects performed wrist self-exercises for the same duration and frequency as those in the experimental group. Outcome measures included muscle reaction time and spectrum analysis. Assessments were performed during the pre- and post-treatment periods. Results: In the EMG-triggered NMES group, faster muscle reaction time was observed, and median frequency also showed improvement, from 68.2 to 75.3 Hz, after training (p<0.05). Muscle reaction time was significantly faster, and median frequency was significantly higher in the experimental group than in the experimental group after training. Conclusions: EMG-triggered NMES is beneficial for patients with hemiparetic stroke in recovery of upper extremity function.

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References

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