Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation parad...
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| Format: | Article |
| Language: | English |
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Universidad Nacional de Colombia
2016-07-01
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| Series: | Revista de la Facultad de Medicina |
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| Online Access: | https://revistas.unal.edu.co/index.php/revfacmed/article/view/56213 |
| _version_ | 1818023595165614080 |
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| author | Maricel Garrido-Montenegro Evelyn Álvarez-Espinoza Sebastián Vergara-Ruiz |
| author_facet | Maricel Garrido-Montenegro Evelyn Álvarez-Espinoza Sebastián Vergara-Ruiz |
| author_sort | Maricel Garrido-Montenegro |
| collection | DOAJ |
| description | Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation paradigms.
Objective: To assess whether the application of EMG biofeedback in upper limbs during BADL training improves motor, occupational and satisfaction performances compared to BADL training without this feedback.
Materials and methods: A pilot randomized clinical trial was conducted with stroke patients of more than six months of evolution, who showed hemiparesis and no cognitive deterioration. These patients were randomly classified into two groups: control group, who underwent conventional occupational therapy (COT), and experimental group, who underwent COT+EMG-BF. Patients were given 10 therapy sessions. Entry, evaluation and data analysis were masked.
Results: Seven patients were included in each group, showing the same initial clinical and demographic characteristics (p>0.05). The group that underwent COT+EMG-BF showed a significantly better performance in all assessments. For example, the Barthel scale obtained a median of 100 points [85-100] for the COT+EMG-BF group versus 85 [80-90] for the control group (p<0.05), whereas ARAT score was 42 [40-47] points versus 20 [15-38] (p=0.03), respectively.
Conclusion: The combination of COT+EMG-BF for BADL may be considered as an alternative for treatment of stroke patients. |
| first_indexed | 2024-12-10T03:46:49Z |
| format | Article |
| id | doaj.art-85fdbbff6905429f8ec1235c69bfcc58 |
| institution | Directory Open Access Journal |
| issn | 0120-0011 2357-3848 |
| language | English |
| last_indexed | 2024-12-10T03:46:49Z |
| publishDate | 2016-07-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Revista de la Facultad de Medicina |
| spelling | doaj.art-85fdbbff6905429f8ec1235c69bfcc582022-12-22T02:03:23ZengUniversidad Nacional de ColombiaRevista de la Facultad de Medicina0120-00112357-38482016-07-0164347748310.15446/revfacmed.v64n3.5621344517Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trialMaricel Garrido-Montenegro0Evelyn Álvarez-Espinoza1Sebastián Vergara-Ruiz2Hospital Clínico Universidad de Chile - Physical Medicine and Rehabilitation Service - Santiago - Chile.Hospital Clínico Universidad de Chile - Physical Medicine and Rehabilitation Service - Santiago - Chile. Universidad Central de Chile - Faculty of Health Sciences - Occupational Therapy School - Santiago - Chile.Hospital Clínico Universidad de Chile - Physical Medicine and Rehabilitation Service - Santiago - Chile.Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation paradigms. Objective: To assess whether the application of EMG biofeedback in upper limbs during BADL training improves motor, occupational and satisfaction performances compared to BADL training without this feedback. Materials and methods: A pilot randomized clinical trial was conducted with stroke patients of more than six months of evolution, who showed hemiparesis and no cognitive deterioration. These patients were randomly classified into two groups: control group, who underwent conventional occupational therapy (COT), and experimental group, who underwent COT+EMG-BF. Patients were given 10 therapy sessions. Entry, evaluation and data analysis were masked. Results: Seven patients were included in each group, showing the same initial clinical and demographic characteristics (p>0.05). The group that underwent COT+EMG-BF showed a significantly better performance in all assessments. For example, the Barthel scale obtained a median of 100 points [85-100] for the COT+EMG-BF group versus 85 [80-90] for the control group (p<0.05), whereas ARAT score was 42 [40-47] points versus 20 [15-38] (p=0.03), respectively. Conclusion: The combination of COT+EMG-BF for BADL may be considered as an alternative for treatment of stroke patients.https://revistas.unal.edu.co/index.php/revfacmed/article/view/56213NeurorretroalimentaciónRehabilitaciónActividades cotidianasAccidente cerebrovascularTerapia Ocupacional |
| spellingShingle | Maricel Garrido-Montenegro Evelyn Álvarez-Espinoza Sebastián Vergara-Ruiz Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial Revista de la Facultad de Medicina Neurorretroalimentación Rehabilitación Actividades cotidianas Accidente cerebrovascular Terapia Ocupacional |
| title | Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial |
| title_full | Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial |
| title_fullStr | Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial |
| title_full_unstemmed | Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial |
| title_short | Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial |
| title_sort | use of emg biofeedback for basic activities of daily living training in stroke patients pilot randomized clinical trial |
| topic | Neurorretroalimentación Rehabilitación Actividades cotidianas Accidente cerebrovascular Terapia Ocupacional |
| url | https://revistas.unal.edu.co/index.php/revfacmed/article/view/56213 |
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