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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Main Authors: Yafei ZHOU, Qingzhen CHEN, Shihong HU, Yingying LI, Lei YU, Jiaran JIN
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2021-02-01
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>&gt; 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>&lt; 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>&lt; 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>&gt; 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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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>&gt; 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>&lt; 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>&lt; 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>&gt; 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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