Rehabilitation effect of electromyographic biofeedback therapy combined with intelligent Tongluo therapeutic apparatus on upper limb dysfunction in stroke patients with hemiplegia(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2025年第3期
- Page:
- 415-420
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Rehabilitation effect of electromyographic biofeedback therapy combined with intelligent Tongluo therapeutic apparatus on upper limb dysfunction in stroke patients with hemiplegia
- Author(s):
- CHEN Meijun; ZHENG Jinhong; WANG Meichun; ZHUANG Yue’e
- Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China
- Keywords:
- stroke; hemiplegia; electromyographic biofeedback therapy; intelligent Tongluo therapeutic apparatus; upper limb function; quality of life
- PACS:
- R318R49
- DOI:
- 10.3969/j.issn.1005-202X.2025.03.019
- Abstract:
- Objective To investigate the rehabilitation outcome in hemiplegic stroke patients with upper limb dysfunction treated with electromyographic (EMG) biofeedback therapy in combination with an intelligent Tongluo therapeutic apparatus. Methods A total of 132 stroke patients with hemiplegia were chosen and divided into observation group and control group according to the rehabilitation strategies, with 66 cases in each group. Control group was treated with EMG biofeedback therapy, while observation group was given the integrated therapy of EMG biofeedback therapy and intelligent Tongluo therapeutic apparatus. The two groups were compared for motor function of the hemiplegic upper limb (shoulder, hand and wrist muscle), integrated electromyography (iEMG) in the affected limb flexion and extension (biceps brachii and triceps brachii), range of motion of the shoulder joint (abduction, external rotation, internal rotation) and Barthel index of activities of daily living (ADL). Results The differences in the iEMG of biceps brachii and triceps brachii of the elbow joint, motor function of the hemiplegic upper limb, range of motion of the shoulder joint and ADL between two groups before treatment were trivial (P>0.05). The treatment in observation group increased the iEMG of biceps brachii and triceps brachii in elbow flexion (P<0.05), decreased the iEMG of biceps brachii in elbow extension but increased the iEMG of triceps brachii in elbow extension (P<0.05), and these improvements were more significant than those in control group (P<0.05). After treatment, the scores for shoulder function, hand function, and wrist muscle function in observation group increased from (12.23±2.76) to (26.77±4.28), (6.54±1.34) to (15.35±2.46), and (2.36±0.46) to (8.13±2.52), and the scores of the above indexes were higher than those in control group (P<0.05). The shoulder abduction, external rotation and internal rotation ranges of motion in observation group after treatment were greater than those before treatment [(90.77±8.35)° vs (61.23± 6.35)° , (45.36±5.33)° vs (26.33±4.65)° , (52.55±5.86)° vs (32.44±3.87)° ], and the observation group had greater shoulder ranges of motion than control group (P<0.05). The ADL score in observation group after treatment was higher than that before treatment [(62.45±5.25) vs (33.35±4.85), P<0.05], and it was also higher than that in control group (P<0.05). Conclusion EMG biofeedback therapy combined with intelligent Tongluo therapeutic apparatus can effectively improve the iEMG in the affected limb flexion and extension, enhance the ranges of motion of the shoulder joint, and ultimately improve the upper limb motor function and life quality of hemiplegic stroke patients.
Last Update: 2025-03-26