Effect of Eletromyographic Biofeedback Therapy combined with BWSTT on Motor Function in Patients with Stroke.docVIP

Effect of Eletromyographic Biofeedback Therapy combined with BWSTT on Motor Function in Patients with Stroke.doc

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Effect of Eletromyographic Biofeedback Therapy combined with BWSTT on Motor Function in Patients with Stroke.doc

胫前肌肌电生物反馈联合减重步行训练对脑卒中偏瘫患者 下肢运动功能的影响Effect of Eletromyographic Biofeedback Therapy combined with BWSTT on Motor Function in Patients with Stroke ZHANG Mei-ying1,ZHANG Jian-ping2, CHEN Wei2, ZHANG Ming2, ZHAI Hong-wei2. (1. Postgraduate of Grade 2008, Graduate School, Xuzhou Medical College, Xuzhou, Jiangsu 221002, China; 2. Department of Rehabilitation, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009) Corresponding author:CHEN Wei.Email:chenwei2339@163.com 【Abstract】 Objective To investigate the effect of eletromyographic biofeedback therapy combined with body weight support treadmill training (BWSTT) on motor function and integrated electromyography (iEMG) of the lower limbs. Method 72 hemiplegic patients were randomized by factorial design method into 4 groups (n=18 each): normal regulation group, BWSTT group, eletromyographic biofeedback therapy group(electromyogram group)and eletromyographic biofeedback therapy combined with BWSTT group (combination group). Patients in each were assessed by Fugl-Meyer scale, range of motion (ROM) of ankle dorsiflexion and iEMG values before and after the treatment. Multifactor ANOVA by Factorial design was conducted in the statistical analysis. Result Before the treatment, there were no statistical significance in Fugl-Meyer scores and iEMG values in the (P 0.05) 4 groups. At the end of the treatment, iEMG values of the tibialis anterior and the gastrocnemius in the relatively resting state had no statistical significance between groups; the Fugl-Meyer scores, iEMG values of the tibialis anterior in the actively state and ROM of ankle dorsiflexion were elevated(P 0.05), meanwhile, co-contraction ratio decreased (P 0.05) in BWSTT group and electromyogram group. The application of BWSTT and eletromyographic biofeedback therapy had interactions with Fugl-Meyer scores, ROM, iEMG values of the tibialis anterior in the actively state and co-contraction ratio (P 0.05), which suggested that combined intervention with eletromyog

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