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6. Effect of 3-Dimensional Robotic Therapy Combined with Electromyography-Triggered Neuromuscular Electrical Stimulation on Upper Limb Function and Cerebral Cortex Activation in Stroke Patients: A Randomized Controlled Trial.

Author

Yang, Seo-Won, Ma, Sung-Ryong, and Choi, Jong-Bae

Subjects
ELECTRIC stimulation, ARM, CEREBRAL cortex, RANDOMIZED controlled trials, STROKE patients, EVOKED potentials (Electrophysiology)
Abstract

(1) Background: This study investigated the effect of 3-dimensional robotic therapy (RT) combined with electromyography-triggered neuromuscular electrical stimulation (RT–ENMES) on stroke patients' upper-limb function and cerebral cortex activation. (2) Methods: Sixty-one stroke patients were assigned randomly to one of three groups. The stroke patients were in the subacute stage between 2 and 6 months after onset. The three groups received 20 min of RT and 20 min of electromyography-triggered neuromuscular electrical stimulation (ENMES) in the RT–ENMES group (n = 21), 40 min of RT in the RT group (n = 20), and 40 min of ENMES in the ENMES group (n = 20). The treatments were for 40 min, 5 days per week, and for 8 weeks. Upper-extremity function was evaluated using the Fugl–Meyer assessment for upper extremity (FMA-UE), Wolf motor function test, and action research arm test (ARAT); cerebral cortex activation and motor-evoked potential (MEP) amplitude were evaluated before and after the study. (3) Results: The analysis showed significant changes in all evaluation items for all three groups in the before-and-after comparisons. Significant changes were observed in the FMA-UE, ARAT, and MEP; in the posttest, the RT–ENMES group showed more significant changes in the FMA-UE, ARAT, and MEP than the other two groups. (4) Conclusions: The study analysis suggests that RT–ENMES effectively improves upper-limb function and cerebral cortex activation in patients with stroke. [ABSTRACT FROM AUTHOR]

Published
2024
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33. The Effect of Different Types of Resting Hand Splints on Spasticity and Hand Function among Patients with Stroke

Author

Choi, Jong-Bae; Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedae-ro Dongdaemun-gu, Seoul, 02447, Republic of Korea, Yang, Jong-Eun; Department of Occupational Therapy, Bethesda Hospital Rehabilitation Center, 1623 Bongyeongro,SuwonsiYeongtong-gu, Gyeonggi-do, 443-810, Republic of Korea, Song, Bo-Kyoung; Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eupSamcheok- si Gangwon-do 245-710, Republic of Korea, Choi, Jong-Bae; Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedae-ro Dongdaemun-gu, Seoul, 02447, Republic of Korea, Yang, Jong-Eun; Department of Occupational Therapy, Bethesda Hospital Rehabilitation Center, 1623 Bongyeongro,SuwonsiYeongtong-gu, Gyeonggi-do, 443-810, Republic of Korea, and Song, Bo-Kyoung; Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eupSamcheok- si Gangwon-do 245-710, Republic of Korea

Abstract

After stroke, these changes consequently result in the limitation of upper limb joint range of motion or muscle shortening, and spasticity, causing the reduction of hand functions. This study aimed to investigate the effect according to the types of resting hand splints, particularly the effect of the application of resting hand splint. This study was performed in two groups, which were determined by random assignment according to the order of visits of 52 subjects who were diagnosed of stroke. The patients were divided into a dorsal resting hand splint group (n=26) and volar resting hand splint group (n=26). The data collected in this study was analyzed using SPSS version 18.0.For the difference in Modified Ashworth Scales (MAS), surface ElectroMyoGraphy (sEMG), and Wrist Active Range of Motion(AROM) before and after the intervention in two groups, paired t-test was performed, and independent sample t-test was performed to compare the change(s) before and after the intervention in two groups. Statistical significance level was α=.05. First, there was a significant difference in wrist MAS, AROM, and sEMG in the group of dorsal resting hand splint. Second, there was no significant difference in wrist MAS and AROM in the group of volar resting hand splint, but there was a significant difference in wrist sEMG. Third, there was a significant difference in wrist MAS and AROM in the group of resting dorsal hand splint as a result of comparing change(s) between two groups, but there was no significant difference in wrist sEMG. Through this study, it was found that dorsal resting hand splint was more effective in the reduction of wrist spasticity and improving AROM than volar resting hand splint in stroke patients. Applying resting hand splint to stroke patients would not only have preventive effects but also have great influence on the improvement of hand function.

Published
2017

34. The Effect of Resting Hand Splint on Hand Pain and Edema among Patients with Stroke

Author

Choi, Jong-Bae; Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedaero Dongdaemun-gu, Seoul, 02447, Republic of Korea, Ma, Sung-Ryoung; Department of Occupational Therapy ,Shinsung University, Daehak-ro, Jeongmi-myeon, Dangjin-si, Chungcheonam-do, 318-01, Republic of Korea, ; Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eup Samcheok-si Gangwon-do 245-710, Republic of Korea, Choi, Jong-Bae; Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedaero Dongdaemun-gu, Seoul, 02447, Republic of Korea, Ma, Sung-Ryoung; Department of Occupational Therapy ,Shinsung University, Daehak-ro, Jeongmi-myeon, Dangjin-si, Chungcheonam-do, 318-01, Republic of Korea, and ; Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eup Samcheok-si Gangwon-do 245-710, Republic of Korea

Abstract

Stroke patients often decreased upper extremity function that occurred pain and edema. We researched the effects of resting hand splints on hand pain and on edema in patients with stroke in the acute stage. Participants were randomly allocated to the experiment group (n=15) or the control group (n=15). All participants were treated with general rehabilitation treatment for 30 mins / daily, five days / week, for 12 weeks. In addition, participants in the experiment group wore resting hand splints. The data collected for the study were analyzed using SPSS version 18.0. The statistical significance level was set at α=.05. According to the intervention, the changes in the experimental group proved significant differences. By contrast, significant differences were not seen in the control group. In comparing the changes between the groups, significant differences were found in the experiment group in Visual Analogue Scale and in volume of hand, but not in Modified Ashworth Scale. This study researched the effects of resting hand splints on pain and edema in hands of patients in the acute stage of stroke. Significant decreases were found in hand pain and edema in experiment group. Therefore, resting hand splint will in turn contribute to improved upper limb function in stroke patients.

Published
2017

35. The Effect of Resting Hand Splint on Hand Pain and Edema among Patients with Stroke

Author

Choi, Jong-Bae, Ma, Sung-Ryoung, Choi, Jong-Bae, and Ma, Sung-Ryoung

Abstract

Stroke patients often decreased upper extremity function that occurred pain and edema. We researched the effects of resting hand splints on hand pain and on edema in patients with stroke in the acute stage. Participants were randomly allocated to the experiment group (n=15) or the control group (n=15). All participants were treated with general rehabilitation treatment for 30 mins / daily, five days / week, for 12 weeks. In addition, participants in the experiment group wore resting hand splints. The data collected for the study were analyzed using SPSS version 18.0. The statistical significance level was set at α=.05. According to the intervention, the changes in the experimental group proved significant differences. By contrast, significant differences were not seen in the control group. In comparing the changes between the groups, significant differences were found in the experiment group in Visual Analogue Scale and in volume of hand, but not in Modified Ashworth Scale. This study researched the effects of resting hand splints on pain and edema in hands of patients in the acute stage of stroke. Significant decreases were found in hand pain and edema in experiment group. Therefore, resting hand splint will in turn contribute to improved upper limb function in stroke patients.

Published
2017

36. The Effect of Different Types of Resting Hand Splints on Spasticity and Hand Function among Patients with Stroke

Author

Choi, Jong-Bae, Yang, Jong-Eun, Song, Bo-Kyoung, Choi, Jong-Bae, Yang, Jong-Eun, and Song, Bo-Kyoung

Abstract

After stroke, these changes consequently result in the limitation of upper limb joint range of motion or muscle shortening, and spasticity, causing the reduction of hand functions. This study aimed to investigate the effect according to the types of resting hand splints, particularly the effect of the application of resting hand splint. This study was performed in two groups, which were determined by random assignment according to the order of visits of 52 subjects who were diagnosed of stroke. The patients were divided into a dorsal resting hand splint group (n=26) and volar resting hand splint group (n=26). The data collected in this study was analyzed using SPSS version 18.0.For the difference in Modified Ashworth Scales (MAS), surface ElectroMyoGraphy (sEMG), and Wrist Active Range of Motion(AROM) before and after the intervention in two groups, paired t-test was performed, and independent sample t-test was performed to compare the change(s) before and after the intervention in two groups. Statistical significance level was α=.05. First, there was a significant difference in wrist MAS, AROM, and sEMG in the group of dorsal resting hand splint. Second, there was no significant difference in wrist MAS and AROM in the group of volar resting hand splint, but there was a significant difference in wrist sEMG. Third, there was a significant difference in wrist MAS and AROM in the group of resting dorsal hand splint as a result of comparing change(s) between two groups, but there was no significant difference in wrist sEMG. Through this study, it was found that dorsal resting hand splint was more effective in the reduction of wrist spasticity and improving AROM than volar resting hand splint in stroke patients. Applying resting hand splint to stroke patients would not only have preventive effects but also have great influence on the improvement of hand function.

Published
2017

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