Research Article
Volume 13 Issue 2 - 2021
Effects of a Therapy Based on a Functional Electrical Stimulation of Bimanual Activation Combined with the Training of Electromyographic Biofeedback on the Motor Function of the Upper Limb in Subjects with Stroke
Sebastián Eduardo Alarcón Arancibia1*, Barbara Sánchez O1, Hachi Manzur V2 and Julio Torres E1
1Kinesiologist, Service of Physical Medicine and Rehabilitation, Clínica Dávila, Recoleta, Chile
2Hospital Clínico Universidad Católica, Santiago, Chile
*Corresponding Author: Sebastián Eduardo Alarcón Arancibia, Kinesiologist, Master degree in Neurorehabilitation, Service of Physical Medicine and Rehabilitation, Clínica Dávila, Recoleta, Chile.
Received: December 14, 2020;Published: January 30, 2021




Abstract

Introduction: Stroke is the leading cause of death and disability in Chile. More than 85% of patients suffer from hemiplegia and more than 69% functional motor disability of the upper extremities. This alteration generates an impact on the use of the upper limb, affecting the various activities of people's daily lives. There are no studies that combine electromyographic biofeedback therapy and bimanual activation with functional electrical stimulation in subjects with stroke. Therefore, there is interest in determining the effect of a training protocol based on Functional Electrical Stimulation (FES) with bimanual activation and biofeedback therapy on the function of the upper limb.

Methodology: 15 subjects with stroke between 40 and 85 years recruited in the outpatients neurorehabilitation program of Clínica Dávila, randomized in an experimental group and in two control groups of 5 subjects. In each session the experimental group will train fifteen minutes of bimanual activation with functional electrostimulation and then a ten-minute biofeedback training program, while the control 1 and control 2 group trained under the same conditions but with placebo FES and placebo BF-EMG respectively.

Results: There were significant changes in the experimental group after the intervention.

Conclusion: This study suggests the electrical stimulation works and biofeedback as a tool for the rehabilitation of the upper limb in subjects with stroke.

Keywords: Stroke; Neurofeedback; Rehabilitation

References

  1. Guía Clínica AUGE. “Accidente cerebrovascular isquémico en personas de 15 años y más”. Serie Guías Clínicas MINSAL (2013).
  2. Ju-Hong Kim. “The effects of training using EMG biofeedback on stroke patients upper extremity functions”. The Journal of Physical Therapy Science 29 (2017): 1085-1088.
  3. Hyun Seok MD., et al. “Can Short-Term Constraint-Induced Movement Therapy Combined With Visual Biofeedback Training Improve Hemiplegic Upper Limb Function of Subacute Stroke Patients?”. Annals of Rehabilitation Medicine 6 (2016): 998-1009.
  4. Kim HH., et al. “Intervenciones para promover la recuperación de la extremidad superior en pacientes con accidente cerebrovascular: una revisión sistemática”. Journal of Korean Society of Occupational Therapy (2012): 129-145.
  5. Pietrosimone Brian., et al. “Clinical Strategies for Addressing Muscle Weakness Following Knee Injury”. Clinics in Sports Medicine 2 (2015): 285-300.
  6. Urra O., et al. “The impact of visual feedback on the motor control of the upper-limb”. IEEE Engineering in Medicine and Biology Society (2015): 3945-3948.
  7. Rehabilitation of Upper Extremity Nerve Injuries Using Surface EMG Biofeedback: Protocols for Clinical Application.
  8. Nelson Lonnie a. “The Role of Biofeedback in Stroke Rehabilitation: Past and Future Directions”. Topics in Stroke Rehabilitation4 (2007): 59-66.
  9. Giggins Oonagh M., et al. “Biofeedback in Rehabilitation”. Journal of Neuro Engineering and Rehabilitation1 (2013): 60.
  10. Jonsdottir J., et al. “Concepts of motor learning applied to a rehabilitation protocol using biofeedback to improve gait in a chronic stroke patient: an A-B system study with multiple gait analyses”. Neurorehabilitation and Neural Repair 21 (2007): 190-194.
  11. Johanna Jonsdottir., et al. “Task-Oriented Biofeedback to Improve Gait in Individuals With Chronic Stroke: Motor Learning Approach”. Neurorehabilitation and Neural Repair5 (2010): 478-485.
  12. Rosalyn Stanton., et al. “Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review”. Journal of Physiotherapy1 (2017): 11-16.
  13. Oonagh M., et al. “Persson and Brian Caulfield Biofeedback in rehabilitation”. Journal of Neuro Engineering and Rehabilitation (2013).
  14. Akkaya N., et al. “Efficacy of electromyographic biofeedback and electrical stimulation following arthroscopic partial meniscectomy: a randomized controlled trial”. Clinical Rehabilitation 3 (2012): 224-236.
  15. Vanessa Draper. “Electromyographic Biofeedback and Recovery of Quadriceps Femoris Muscle Function Following Anterior Cruciate Ligament Reconstruction”. Physical Therapy 1 (1990): 11-17.
  16. Nelson LA. “The Role of Biofeedback in Stroke Rehabilitation: Past and Future Directions”. Topics in Stroke Rehabilitation 4 (2007): 59-66.
  17. Taub R., et al. “A placebo-controlled trial of constraint-induced movement therapy for upper extremity after stroke”. Stroke 4 (2006): 1045-1049.
  18. Axel Forman. “Recovery of supraspinal control of leg movement in a chronic complete flaccid paraplegic man after continuous low-frequency pelvic nerve stimulation and FES-assisted training (2017).
  19. Howlett O. “Using functional electrical stimulation with stroke survivors: A survey of Victorian occupational therapists and physiotherapists”. Australian Occupational Therapy Journal 4 (2018): 306-313.
  20. Jonsdottir J., et al. “Arm rehabilitation in post stroke subjects: A randomized controlled trial on the efficacy of myoelectrically driven FES applied in a task-oriented approach”. PLoS One12 (2017): e0188642.
  21. Cuesta-Gómez., et al. “The Use of Functional Electrical Stimulation on the Upper Limb and Interscapular Muscles of Patients with Stroke for the Improvement of Reaching Movements: A Feasibility Study”. Frontiers in Neurology 8 (2017): 186.
  22. Nakipoğlu Yuzer GF., et al. “A Randomized Controlled Study: Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia”. Journal of Stroke and Cerebrovascular Diseases 7 (2017): 1467-1471.
  23. Eraifej J., et al. “Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis”. Systematic Reviews 1 (2017): 40.
  24. Schuster-Amft C., et al. “Effect of a four-week virtual reality-based training versus conventional therapy on upper limb motor function after stroke: A multicenter parallel group randomized trial”. PLoS ONE10 (2018): e0204455.
  25. Amano S., et al. “Reliability of remote evaluation for the Fugl-Meyer assessment and the action research arm test in hemiparetic patients after stroke”. List of issues Topics in Stroke Rehabilitation 6 (2018): 432-437.
  26. Bernhardt Julie., et al. “Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce”. International Journal of Stroke5 (2017): 444-450.
Citation: Sebastián Eduardo Alarcón Arancibia., et al. “Effects of a Therapy Based on a Functional Electrical Stimulation of Bimanual Activation Combined with the Training of Electromyographic Biofeedback on the Motor Function of the Upper Limb in Subjects with Stroke”.EC Neurology 13.2 (2021): 77-86.

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