Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients
Objective:To investigate the effects of mirror feedback therapy of contralaterally controlled functional electrical stimulation on hand function of apoplectic hemiplegic patients.Methods:A total of 60 apoplectic hemiplegic patients were randomly divided into group A, group B and group C, with 20 cas...
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Editorial Office of Rehabilitation Medicine
2021-02-01
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Series: | 康复学报 |
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Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.01010 |
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author | Yafei ZHOU Qingzhen CHEN Shihong HU Yingying LI Lei YU Jiaran JIN |
author_facet | Yafei ZHOU Qingzhen CHEN Shihong HU Yingying LI Lei YU Jiaran JIN |
author_sort | Yafei ZHOU |
collection | DOAJ |
description | Objective:To investigate the effects of mirror feedback therapy of contralaterally controlled functional electrical stimulation on hand function of apoplectic hemiplegic patients.Methods:A total of 60 apoplectic hemiplegic patients were randomly divided into group A, group B and group C, with 20 cases in each group. All three groups received treatment for 20 minutes each time, once a day, for 5 days a week, and for 4 weeks. On the basis of conventional rehabilitation treatment, patients in group A received mirror therapy (MT), patients in group B received contralaterally controlled functional electrical stimulation (CCFES), and patients in group C received mirror feedback therapy of CCFES. Surface electromyography (sEMG), upper extremities motor function test of Fugl-Meyer movement assessment (U-FMA), box and block test (BBT) and wrist active range of motion (AROM) were used to evaluate hand function of patients before and after treatment.Results:Before treatment, average EMG(AEMG) value, median frequency (MF) value, U-FMA scores, BBT scores and wrist AROM of all three groups showed no significant differences (<italic>P</italic>> 0.05). After 4 weeks of treatment, the AEMG value, MF value, U-FMA scores, BBT scores and wrist AROM improved significantly in all three groups (<italic>P</italic>< 0.05). The AEMG value, MF value, BBT scores and wrist AROM for group C were:(73.17±29.12), (95.67±26.54), (9.50±3.28), (41.75±17.19), which were better than group A:(57.33±18.47), (77.62±31.10), (7.15±3.13), (26.75±14.53), and Group B(55.61±20.17), (74.45±23.22), (6.50±3.78), (31.50±16.47). The differences were statistically significant (<italic>P</italic>< 0.05). The U-FMA scores of the three groups were (25.85±8.38) in group A, (25.40±9.25) in group B and (27.20±9.21) in group C. There were no significant statistical differences in U-FMA scores in the three groups (<italic>P</italic>> 0.05).Conclusion:Mirror feedback therapy of contralaterally controlled functional electrical stimulation can improve hand function of apoplectic hemiplegic patients, and is superior to the single CCFES or MT. |
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id | doaj-art-04735f724ad3465988487e38b97c4105 |
institution | Kabale University |
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publishDate | 2021-02-01 |
publisher | Editorial Office of Rehabilitation Medicine |
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spelling | doaj-art-04735f724ad3465988487e38b97c41052025-01-14T10:06:59ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282021-02-0131636823133357Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic PatientsYafei ZHOUQingzhen CHENShihong HUYingying LILei YUJiaran JINObjective:To investigate the effects of mirror feedback therapy of contralaterally controlled functional electrical stimulation on hand function of apoplectic hemiplegic patients.Methods:A total of 60 apoplectic hemiplegic patients were randomly divided into group A, group B and group C, with 20 cases in each group. All three groups received treatment for 20 minutes each time, once a day, for 5 days a week, and for 4 weeks. On the basis of conventional rehabilitation treatment, patients in group A received mirror therapy (MT), patients in group B received contralaterally controlled functional electrical stimulation (CCFES), and patients in group C received mirror feedback therapy of CCFES. Surface electromyography (sEMG), upper extremities motor function test of Fugl-Meyer movement assessment (U-FMA), box and block test (BBT) and wrist active range of motion (AROM) were used to evaluate hand function of patients before and after treatment.Results:Before treatment, average EMG(AEMG) value, median frequency (MF) value, U-FMA scores, BBT scores and wrist AROM of all three groups showed no significant differences (<italic>P</italic>> 0.05). After 4 weeks of treatment, the AEMG value, MF value, U-FMA scores, BBT scores and wrist AROM improved significantly in all three groups (<italic>P</italic>< 0.05). The AEMG value, MF value, BBT scores and wrist AROM for group C were:(73.17±29.12), (95.67±26.54), (9.50±3.28), (41.75±17.19), which were better than group A:(57.33±18.47), (77.62±31.10), (7.15±3.13), (26.75±14.53), and Group B(55.61±20.17), (74.45±23.22), (6.50±3.78), (31.50±16.47). The differences were statistically significant (<italic>P</italic>< 0.05). The U-FMA scores of the three groups were (25.85±8.38) in group A, (25.40±9.25) in group B and (27.20±9.21) in group C. There were no significant statistical differences in U-FMA scores in the three groups (<italic>P</italic>> 0.05).Conclusion:Mirror feedback therapy of contralaterally controlled functional electrical stimulation can improve hand function of apoplectic hemiplegic patients, and is superior to the single CCFES or MT.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.01010strokehemiplegiamirror feedback therapy of contralaterally controlled functional electrical stimulationhand function |
spellingShingle | Yafei ZHOU Qingzhen CHEN Shihong HU Yingying LI Lei YU Jiaran JIN Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients 康复学报 stroke hemiplegia mirror feedback therapy of contralaterally controlled functional electrical stimulation hand function |
title | Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients |
title_full | Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients |
title_fullStr | Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients |
title_full_unstemmed | Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients |
title_short | Effect of Mirror Feedback Therapy of Contralaterally Controlled Functional Electrical Stimulation on Hand Function of Apoplectic Hemiplegic Patients |
title_sort | effect of mirror feedback therapy of contralaterally controlled functional electrical stimulation on hand function of apoplectic hemiplegic patients |
topic | stroke hemiplegia mirror feedback therapy of contralaterally controlled functional electrical stimulation hand function |
url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.01010 |
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