Feasibility study of a combined treatment of electromyography-triggered neuromuscular stimulation and mirror therapy in stroke patients: a randomized crossover trial.
NeuroRehabilitation
; 34(2): 235-44, 2014.
Article
em En
| MEDLINE
| ID: mdl-24419019
ABSTRACT
BACKGROUND:
Mirror therapy (MT) and electromyography-triggered neuromuscular stimulation (ETMS) are both effective treatments for impaired upper limbs following stroke. A combination of these two treatments (ETMS-MT) may result in greater gain than either treatment alone.OBJECTIVES:
The feasibility and possible effects of ETMS-MT upon upper extremity function were investigated in stroke patients.METHODS:
Thirteen post-acute stroke patients were randomly assigned to an immediate ETMS-MT group or a delayed ETMS-MT group and then underwent an 8-week training program. The immediate ETMS-MT group received ETMS-MT in addition to physical and occupational therapy (PT+OT) for 4 weeks. They then received only PT+OT for the next 4 weeks. In the delayed ETMS-MT group, interventions were provided in the reverse order. The main outcome measure was the Fugl-Meyer Assessment (FMA).RESULTS:
The immediate ETMS-MT group showed significantly greater gain in FMA in the first 4 weeks. The delayed ETMS-MT group showed significantly greater gain in active range of motion during the latter 4 weeks. No adverse effects were reported following ETMS-MT.CONCLUSION:
ETMS-MT might be as effective as independent MT or ETMS without causing any side effects. Future research should focus upon the direct comparisons between independent and combined interventions.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Terapia por Estimulação Elétrica
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Extremidade Superior
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Eletromiografia
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Reabilitação do Acidente Vascular Cerebral
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Hemiplegia
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Lateralidade Funcional
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article