The electromyography bridge (EMGB) plays an important role in promoting the recovery of wrist joint function in stroke patients. We investigated the effects of the EMGB on promoting the recovery of upper limb function in hemiplegia. Twenty-four stroke patients with wrist dorsal extension dysfunction were recruited. Participants were randomized to undergo EMGB treatment or neuromuscular electrical stimulation (NMES). Treatments to wrist extensors were conducted for 25 min, twice a day, 5 days per week, for 1 month. Outcome measures: active range of motion (AROM) of wrist dorsal extension; Fugl-Meyer assessment for upper extremity (FMA-UE); Barthel index (BI); and muscle strength of wrist extensors. After interventions, patients in the NMES group had significantly greater improvement in the AROM of wrist dorsal extension at the 4th week and 1st month follow-up (p < 0.05). However, patients in the EMGB group had a statistically significant increase in AROM only at the follow-up assessment. No significant differences were observed in the AROM between the EMGB group and the NMES group (p > 0.05). For secondary outcomes in the EMGB group, compared to baseline measurements, FMA-UE, BI, extensor carpi radialis and extensor carpi ulnaris muscle strength were significantly different as early as the 4th week (p < 0.05). The muscle strength of the extensor digitorum communis muscle showed significant differences at the follow-up (p < 0.05). There were no statistically significant differences between patients in the two groups in any of the parameters evaluated (p > 0.05). The combination of EMGB or NMES with conventional treatment had similar effects on the improvement of the hemiplegic upper limb as assessed by wrist dorsal extension, FMA-UE, and activities of daily living. The improvement in both groups was maintained until 1 month after the intervention.
机构:
Univ Airlangga, Dr Soetomo Gen Acad Hosp, Dept Phys Med & Rehabil, Fac Med, Surabaya, IndonesiaUniv Airlangga, Dr Soetomo Gen Acad Hosp, Dept Phys Med & Rehabil, Fac Med, Surabaya, Indonesia
Rochman, Fatchur
Hidayati, Hanik Badriyah
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Univ Airlangga, Dr Soetomo Gen Acad Hosp, Fac Med, Dept Neurol, Surabaya, IndonesiaUniv Airlangga, Dr Soetomo Gen Acad Hosp, Dept Phys Med & Rehabil, Fac Med, Surabaya, Indonesia
Hidayati, Hanik Badriyah
Subadi, Imam
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Univ Airlangga, Dr Soetomo Gen Acad Hosp, Dept Phys Med & Rehabil, Fac Med, Surabaya, IndonesiaUniv Airlangga, Dr Soetomo Gen Acad Hosp, Dept Phys Med & Rehabil, Fac Med, Surabaya, Indonesia
Subadi, Imam
CADERNOS BRASILEIROS DE TERAPIA OCUPACIONAL-BRAZILIAN JOURNAL OF OCCUPATIONAL THERAPY,
2022,
30
机构:
North China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Hebei Prov Key Lab Cerebral Networks & Cognit Diso, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Liu, Xiaolu
Zhang, Wendong
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机构:
Hebei Gen Hosp, Dept Rehabil, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Zhang, Wendong
Li, Weibo
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h-index: 0
机构:
Hebei Med Univ, Dept Gastrointestinal Surg, Hosp 2, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Li, Weibo
Zhang, Shaohua
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机构:
Eighth Peoples Hosp Hebei Prov, Dept Med, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Zhang, Shaohua
Lv, Peiyuan
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机构:
Hebei Gen Hosp, Dept Neurol, Shijiazhuang 050000, Peoples R China
Hebei Prov Key Lab Cerebral Networks & Cognit Diso, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
Lv, Peiyuan
Yin, Yu
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h-index: 0
机构:
Hebei Gen Hosp, Dept Rehabil, Shijiazhuang 050000, Peoples R China
Hebei Prov Key Lab Cerebral Networks & Cognit Diso, Shijiazhuang 050000, Peoples R ChinaNorth China Univ Sci & Technol, Coll Nursing & Rehabil, Tangshan 063210, Peoples R China
机构:
Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Hangzhou Dingqiaos Hosp, Dept Tui Na, Hangzhou, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Chen, Yu-Feng
Zhu, Guang-Yue
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机构:
Tongji Univ, Tongji Hosp Affiliated, Sch Med, Rehabil Med Ctr, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Zhu, Guang-Yue
Mao, Meng-Chai
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机构:
Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Minist Educ, Engn Res Ctr Tradit Chinese Med Intelligent Rehabi, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Mao, Meng-Chai
Zheng, Ya
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h-index: 0
机构:
Tongji Univ, Tongji Hosp Affiliated, Sch Med, Rehabil Med Ctr, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Zheng, Ya
Huang, Hao
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机构:
Shanghai Univ Tradit Chinese Med, Shanghai Rehabil Hosp Affiliated 3, Dept Rehabil Med, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Huang, Hao
Liu, Lan-Lan
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机构:
Shanghai Univ Tradit Chinese Med, Shanghai Rehabil Hosp Affiliated 3, Dept Rehabil Med, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Liu, Lan-Lan
Chen, Si-Yun
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机构:
Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Chen, Si-Yun
Cao, Ling-Yun
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机构:
Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Cao, Ling-Yun
Xu, Dong-Sheng
论文数: 0引用数: 0
h-index: 0
机构:
Shanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China
Minist Educ, Engn Res Ctr Tradit Chinese Med Intelligent Rehabi, Shanghai, Peoples R China
Yueyang Hosp Integrated Tradit Chinese & Western M, Dept Rehabil Med, Shanghai, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Rehabil Sci, Shanghai, Peoples R China