Browse > Article
http://dx.doi.org/10.14400/JDC.2019.17.12.319

The Effects of Biofeedback Fusion Postural Control Training using Functional Electrical Stimulation on the Muscle Activity and Balance Ability of the Stroke Patient  

Kim, Je-Ho (Dept. of physical therapy, Sehan University)
Uhm, Yo-Han (Dept. of physical therapy, Kunjang University)
Publication Information
Journal of Digital Convergence / v.17, no.12, 2019 , pp. 319-327 More about this Journal
Abstract
The muscle activity and balance ability of the acute stroke patient has been checked by the functional electrical stimulation using biofeedback fusion postural control training in this study. Functional electrical stimulation using biofeedback fusion postural control training have been implemented on 15 trainees and general biofeedback fusion postural control training have been implemented on another 15 trainees for 30 minutes at 5 times per week during 8 weeks, and vastus lateralis, vastus medialis, rectus femoris and biceps femoris have been measured using the biceps femoris to evaluate the muscle activity of the lower extremity. The moving surface area, whole path length and limited of stability have been measured using biorecue to measure the balance ability. There was statistically meaningful difference on the vastus lateralis, vastus medialis, rectus femoris and biceps femoris in the muscle activity of the lower extremity and there was statistically meaningful difference on surface area, whole path length and limited of stability in the balancing ability. Based on above, it is realized that the functional electrical stimulation using biofeedback fusion postural control training is more effective than the general biofeedback fusion postural control training on the improvement of the muscle activity of the lower extremity and the balance ability.
Keywords
Functional electrical stimulation; biofeedback; stroke; muscle activity; balance;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 G. Y. Ng, A. Q., Zhang & C. K. Li. (2008). Biofeedback exercise improved the emg activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. J Electromyogr Kinesiol, 18(1), 128-133. DOI :10.1016/j.jelekin.2006.08.010   DOI
2 O. M. Bazanova, E. M. Mernaya & M. B. Shtark. (2009). Biofeedback in psychomotor training: electrophy siological basis. Neurosci Behav Physiol, 39(5), 437-447. DOI :10.1007/s11055-009-9157-z   DOI
3 D. Rosenberg et al. (2010). Exergames for subsyndromal depression in older adults : a pilot study of a novel intervention. Am J Geriatr Psychiatry, 18(3), 221-226. DOI :10.1097/jgp.0b013e3181c534b5   DOI
4 A. S. Merians, H. Poizner & R. Boian. (2006). Sensorimotor training in a virtual reality environment: does it improve functional recovery poststroke?. Neurorehabil Neural Repair, 20, 252-267. DOI :10.1177/1545968306286914   DOI
5 B. Lange, B. Physio & S. Flynn. (2010). Development of interactive game based rehabilitation tool for dynamic balance training. Top Stroke Rehabil, 17(5), 345-352. DOI :10.3138/physio.62.2.114   DOI
6 B. M. Doucet. (2012). Neurorehabilitation: are we doing all that we can?. AJOT, 66(4), 488-493. DOI :10.5014/ajot.2012.002790.
7 J. A. Robertson, J. J. Eng & C. Hung. (2010). The effect of functional electrical stimulation on balance function and balance confidence in community-dwelling individuals with stroke. Physiother Can, 62(2), 114-119. DOI :10.5014/ajot.2012.002790   DOI
8 Y. H. Uhm, D. J. Yang & S. K. Park. (2012). Effect of Computerized Feedback Postural Training on Balance and Muscle Activity in Stroke Patients. J Kor Soc Phys Ther, 24(5), 348-354. DOI :G704-SER000001656.2012.24.5.008
9 G. B. Song & E. C. Park. (2016). The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. Korea Soc Phys Med, 11(1), 45-52. DOI : 10.13066/kspm.2016.11.1.45   DOI
10 A. Forster & K. Szabo. (2008). Mechanisms of Disease: Pathophysiological Concepts of stroke in hemodynamic risk zones do hypoperfusion and embolism interact?. nature clinical practice neurolog, 4(4), 216-225. DOI :10.1038/ncpneuro0752   DOI
11 D. Anaby, T. Jarus & C. L. Backman. (2010). The role of occupational characteristics and occupational imbalance in explaining wellbeing. Applied Research in Quality of Life, 5(2), 81-104. DOI :10.1007/s11482-010-9094-6   DOI
12 E. De Vlugt, J. de Groot & K. Schenkeveld. (2010). The relation between neuromechanical parameters and Ashworth score in stroke patients. Journal of Neuroengineering and Rehabilitation, 7(1), 35. DOI :10.1186/1743-0003-7-35   DOI
13 J. Hendrickson, K. K. Patterson & E. L. Inness. (2014). Relationship between asymmetry of quiet standing balance control and walking post-stroke. Gait & Posture, 39(1), 177-181. DOI :10.1016/j.gaitpost.2013.06.022   DOI
14 S. Combs, E. W. Miller & E. Forsyth. (2007). Motor and functional outcomes of a patient post-stroke following combined activity and impairment level training. Physiother Theory Pract, 23(4), 219-229. DOI :10.1080/09593980701209261   DOI
15 R. W. Bohannon. (2007). Muscle stength and muscle training after stroke. J Rehabil Med, 39(1), 14-20. DOI :10.2340/16501977-0018   DOI
16 A. R. Lindquist, C. L. Prado & R. M. Barros. (2007). Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation : effects on post stroke gait. Phys Ther, 87(9), 1144-1154. DOI : https://doi.org/10.2522/ptj.20050384   DOI
17 D. Kunkel et al. (2013). Functional electrical stimulation with exercises for standing balance and weight transfer in acute stroke patients: a feasibility randomized controlled trial. Neuromodulation : Technology at the Neural Interface, 16(2), 168-177. DOI :10.1111/j.1525-1403.2012.00488.x   DOI
18 C. A. O. Bethel, W. Leslie & F. Mathew. (2016). Rehabiliation of hand in subacute tetraplegic patients based on brain computer interface and functional electrical stimulation: a randomised pilot study. Journal of Neural Engineering, 13(6). DOI :10.5220/0005650500150023
19 D. A. Winter. (2009). Biomechanics and motor control of human movement , 4th ed, New jersey : John Wiley & Sons Inc.
20 S. Lin. (2005). Motor function and joint position sensein relation to gait performance in chronic stroke patients. Arch Phys Med Rehabil, 86(2), 197-202. DOI :10.1016/j.apmr.2004.05.009   DOI
21 S. F. Tyson, M. Hanley & J. Chillala. (2006). Balance disability after stroke. Phys Ther, 86, 30-38. DOI :10.1093/ptj/86.1.30   DOI
22 N. M. Salbach, N. E. Mayo & S. Wood-Dauphinee. (2004). A task orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil, 18(5), 509-519. DOI :10.1191/0269215504cr763oa   DOI
23 J. J. Eng & K. S. Chu. (2002). Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil, 83, 1138-1144. DOI :10.1053/apmr.2002.33644   DOI
24 D. H. Kim & K. H. Kim. (2018). A convergence study on the effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients. Journal of the Korea Convergence Society, 9(10), 109-120. DOI :10.15207/JKCS.2018.9.10.109   DOI
25 K. H. Kim & S. H. Jang. (2018). A convergence study on effects of progressive proprioceptive motor program training on proprioception and balance ability in chronic stroke patients. Journal of the Korea Convergence Society, 9(10), 81-91. DOI :10.15207/JKCS.2018.9.10.081   DOI
26 A. Boyaci, O. Topuz & H. Alkan. (2013). Comparison of the effectiveness of active and passive neuromuscular electrical stimulation of hemiplegic upper extremities: a randomized, controlled trial. Int J Rehabil Res, 36(4), 315-322. DOI :10.1097/mrr.0b013e328360e541   DOI
27 A. I. F. Spooren, Y. J. M. Janssen-Potten & E. Kerckhofs. (2011). A task-oriented client -centered training module to improve upper extremity skilled performance in cervical spinal cord-injured persons. Spinal Cord, 49(10), 1042-1048. DOI :10.1038/sc.2011.52   DOI
28 C. Bustamante, F. Brevis & S. Canales. (2016). Effect of functional electrical stimulation on the proprioception, motor function of paretic upper limb, and patient quality of life: a case report. Journal of hand therapy, 29(4), 507-514. DOI :10.1016/j.jht.2016.06.012   DOI
29 R. B. Stein et al. (2002). Electrical stimulation for therapy and mobility spinal cord injury. Prog Brain Res, 137, 27-34. DOI :10.1016/j.pmr.2014.05.001   DOI
30 J. H. Cauraugh, & S. B. Kim. (2003). Stroke motor recovery : active neuromuscular stimulation and repetitive practice schedules. J Neurol Neurosurg Psychiatry, 74(11), 1562-1566. DOI :10.1136/jnnp.74.11.1562   DOI
31 F. L. Alan, G. Alon & P. A. McCARTHY. (2007). Functional electrical stimulation enhancement of upper extermity functional recovery during stroke rehabilitation: A pilot study. Neuro rehabilitation and Neural Repair, 21(3), 207-215. DOI :https://doi.org/10.1177/1545968306297871   DOI
32 S. A. Hosseini, M. Fallahpour & M. Sayadi. (2012). The impact of mentalpractice on stroke patients' postural balance. J Neurol Sci, 322(1-2), 263-267. DOI :10.1016/j.jns.2012.07.030   DOI
33 M. K. Cho, J. H. Kim & Y. CHung. (2015). Treadmill gait training combined with functional electrical stimulation on hip abductor and ankle dorsiflexor muscles for chronic hemiparesis. Gait Posture, 42(1), 73-78. DOI : doi: 10.1016/j.gaitpost.2015.04.009   DOI
34 W. Rong, K. Y. Tong & X. L. Hu. (2015). Effects of electromyography-driven robot -aided hand training with neuromuscular electrical stimulation on hand control performance after chronic stroke. Disabil Rehabil Assist Technol, 10(2), 149-159. DOI :10.3109/17483107.2013.873491   DOI
35 S. F. Tyson. (2004). Reliability and vadidity of functional balance tests post stroke. Clin Rehabil, 18, 916-923. DOI :10.1191/0269215504cr821oa   DOI
36 S. K. Sabut, C. Sikdar & R. Kumar. (2011). Functional electrical stimulation of dorsiflexor muscle : effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation, 29(4), 393-400. DOI :10.3233/NRE-2011-0717.   DOI
37 D. Soetanto, C. Kuo & D. Babic. (2001). Stabilization of human standing posture using functional neuromuscular stimulation. J Biomech, 34(12), 1590-1597. DOI :10.1016/s0021-9290(01)00144-0
38 N. M. Kapadia et al. (2014). Functional electrical stimulation therapy for recovery of reaching and grasping in severe chronic pediatric stroke patients. J Child Neurol, 29(4), 493-499. DOI :10.1177/0883073813484088   DOI
39 L. R. Sheffler, M. T. Hennessey & G. G. Naples. (2006). Peroneal nerve stimulation versus an ankle foot orthosis for correction of foot drop in stroke : impact on functional ambulation. Neurorehabil Neural Repair, 20(3), 355-360. DOI :10.1097/00002060-200603000-00090   DOI
40 R. K. Tong, M. F. Ng & L. S Li (2006). Effectiveness of gait training using an electromechanical gait trainer, with and without functional electric stimulation, in subacute stroke : a randomized controlled trial. Arch Phys Med Rehabil, 8710), 1298-304. DOI :10.1016/j.apmr.2006.06.016   DOI
41 A. I. Kottink et al. (2007). A randomized controled trial of an implantable 2-channel peroneal nerve stimulatory on walking speed and activity in post stroke hemiplegia. Arch Phys Med Rehabil, 88(8), 452-479. DOI :10.3990/1.9789036529594
42 L. Lundy-Ekman. (2012). Neuroscience: Fundmentals for rehabilitation , 4th ed, Amsterdam : ELSEVIER Saunder.
43 C. Y. Yang, T. J. Kim & J. H. Lee. (2009). The Effect of Functional Electrical Stimulation on the Motor Function of Lower Limb in Hemiplegic Patients. Journal of the Korean Academy of Rehabilitation Medicine, 33(1), 29-35. DOI :G704-000430.2009.33.1.012
44 J. Y. Hong. (2019). The Effect of FES with Adominal Muscle Contraction before Virtual Reality Training on Balance and Gait of Stroke Patient dissertation. Masteral dissertation. Korea national university of transportation. Chungju-si. DOI :I804:43010-200000172138
45 J. E. Harris, J. J. Eng & D. S. Marigold. (2005). Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther, 85(2), 150-158. DOI :https://doi.org/10.1093/ptj/85.2.150   DOI
46 S. C. O. Martins et al. (2011). Thrombolytic therapy for acute stroke in the elderly: an emergent condition in developing countries. J Stroke Cerebrovas Dis, 20(5), 459-464. DOI :10.1016/j.jstrokecerebrovasdis.2010.02.019   DOI
47 S. B. O'Sullivan & T. J. Schmitz. (2006). Physical rehabilitation, 5th ed, Philadelphia : F. A. Davis COMPANY.
48 J. M. Gracies. (2005). Pathophysiology of spastic paresis. I : Paresis and soft tissue changes. MUS, 31(5), 535-551. DOI :doi.org/10.1002/mus.20284
49 L. M. Snow, W. C. Low & L. V. Thompson. (2012). Skeletal muscle plasticity after hemorrhagic stroke in rats : influence of spontaneous physical activity. Am J Phys Med Rehabil, 91(11), 965-976. DOI :10.1097/phm.0b013e31825f18e1   DOI