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Effect of Electrical Stimulation Combined with Electromyographic Biofeedback and Exercise Practices on Upper Extremity Rehabilitation after Stroke Original Article

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dc.creator Yavuz Selim Pehlivan
dc.creator Onur Armağan
dc.date 2011
dc.date.accessioned 2013-05-30T14:12:13Z
dc.date.available 2013-05-30T14:12:13Z
dc.date.issued 2013-05-30
dc.identifier http://www.ftrdergisi.com/eng/makale/1751/173/Full-Text
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=13020234&date=2011&volume=57&issue=2&spage=66
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/6067
dc.description Objective: In this study, we aimed to investigate the additional benefits of ES (electrical stimulation) combined with EMG-BF (electromyographic biofeedback) on motor and functional outcomes in 30 patients admitted to Eskişehir Osmangazi University Faculty of Medicine, Department of Physical Medicine and Rehabilitation.Metarials and Methods: Medicine and Rehabilitation, with hemiparetic upper xtremity after stroke. The patients were divided into three groups. Group 1 was assigned to exercise and ES, group 2 - to exercise, EMG-BF and ES, and group 3 – to exercise alone. All procedures were administered for one hour a day, 5 days in a week, for 4 weeks. The Barthel Index (BI), Upper Extremity Function Test, Brunnstrom stages of motor recovery for hands, goniometric measurement of active wrist extension and the Motricity Index (MI) were used to assess the efficiency of treatment. Results: There were statistically significant improvements in Brunnstrom stages of motor recovery for hand (p<0.05), goniometric measurement of active wrist extension (p<0.05), upper extremity function test (p<0.01), BI (group 1 p<0.05, group 2 p<0.01) and MI (group 1 p<0.05, group 2 p<0.01) for both first and second groups after treatment. In group 3, significant improvement was found only in MI. Advanced significant improvement in surface EMG activity was observed only in group 2 (p<0.01).Conclusion: Although our results do not support the efficacy of combined therapy, considering the mechanisms of effects of ES and EMG-BF, it can be suggested that ES and EMG-BF are complementary procedures. We think that further studies are needed on this issue. Turk J Phys Med Rehab 2011;57:66-72.
dc.publisher Galenos Yayincilik
dc.source Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
dc.subject Stroke
dc.subject hemiplegia
dc.subject electromyographic biofeedback
dc.subject electrical stimulation
dc.title Effect of Electrical Stimulation Combined with Electromyographic Biofeedback and Exercise Practices on Upper Extremity Rehabilitation after Stroke Original Article


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