Effects of movement imagery and electromyography-triggered feedback on arm hand function in stroke patients in the subacute phase.

Abstract:

OBJECTIVE:To investigate the effects of movement imagery-assisted electromyography (EMG)-triggered feedback (focused on paretic wrist dorsiflexors) on the arm-hand function of stroke patients. DESIGN:Single-blinded, longitudinal, multicentre randomized controlled trial. Measurements were performed (on average) 54 days post stroke (baseline), three months later (post training) and at 12 months post baseline. SETTING:Two rehabilitation centres. SUBJECTS:Twenty-seven patients with a first-ever, ischaemic, subacute stroke. INTERVENTIONS:A reference group received conventional electrostimulation, while the experimental group received arm-hand function training based on EMG-triggered feedback combined with movement imagery. Both groups were trained for three months, 5 days/week, 30 minutes/day, in addition to their therapy as usual. MAIN MEASURES:Arm-hand function was evaluated using the upper extremity-related part of the Brunnstrom Fugl-Meyer test and the Action Research Arm test. RESULTS:During training, Brunnstrom Fugl-Meyer scores improved 8.7 points and Action Research Arm scores by 19.4 points (P < 0.0001) in both groups relative to baseline results, rising to 13.3 and 28.4 points respectively at one year follow-up (P < 0.0001). No between-group differences were found at any time. CONCLUSIONS:EMG-triggered feedback stimulation did not lead to more arm-hand function improvement relative to conventional electrostimulation. However, in contrast to many clinical reports, a significant improvement was still observed in both groups nine months after treatment ceased.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Hemmen B,Seelen HA

doi

10.1177/0269215507075502

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

587-94

issue

7

eissn

0269-2155

issn

1477-0873

pii

21/7/587

journal_volume

21

pub_type

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