Effects of Vibration Stimulation on Electromyographic Activity of Flexor Digitorum Superficialis and Hand Dexterity in Patients After a Chronic Stroke (진동자극이 뇌졸중 환자의 얕은손가락굽힘근의 근전도 활동과 손 기민성에 미치는 영향)

심선미; Duck-Won Oh (오덕원); 기경일; Hyunju Park (박현주); 차현규; 조혁신

Effects of Vibration Stimulation on Electromyographic Activity of Flexor Digitorum Superficialis and Hand Dexterity in Patients After a Chronic Stroke

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2013, 21(2), pp.91-102
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics

심선미 ¹, Duck-Won Oh ², 기경일 ³, Hyunju Park ⁴, 차현규 ⁵, 조혁신 ⁶

¹유성웰니스병원 물리치료실
²청주대학교
³대전대학교 보건의료대학 물리치료학과
⁴대전대학교 대학원 물리치료학과
⁵을지대학병원 물리치료실
⁶원광보건대학교

Accredited

ABSTRACT

Objective : This study aimed at determining whether the application of vibration stimulation over the flexor digitorum superficialis can be helpful in improving the hand dexterity and reducing the onset and end times of the muscle contraction. Methods : We used a single-subject experimental A-B-A design. The experimental sessions were divided into three phases: baseline, intervention, and withdrawal, with eight sessions in each phase. In the intervention phase, the vibration stimulation was applied over the flexor digitorum superficialis muscle of the affected side. Measurements included a box and block test (BBT),and the onset and end times of the muscle while gripping and releasing a cup. Results : During the intervention phase, the BBT score was clinically and significantly increased when compared to the baseline (p<.05), and this improvement was maintained during the withdrawal phase with no intervention. Further, there were significant decreases for the delay in the onset and end times of the flexor digitorum superficialis (p<.05), and these trends were favorably maintained during the withdrawal phase. Conclusion : Our findings suggest that vibration stimulation may be helpful in enhancing the dexterity of the affected hand post stroke, and optimizing the activation patterns of flexor muscles of the wrist and hand while grasping and releasing objects.

KEYWORDS

Hand dexterity, Onset and end times, Stroke, Vibration

Citation status

* References for papers published after 2023 are currently being built.

[thesis] 배세현 / 2011 / 상지경직에서 신장자극 및 진동자극이 척수운동신경원의 흥분성 변화에 미치는 영향 / 석사 / 동신대학교 대학원

[journal] 배세현 / 2011 / Effects of Vibration Stimulation Method on Upper Limbs Spasticity in Patients with Brain Lesion / 한국산학기술학회논문지 / 한국산학기술학회 12(7) : 3109~3116

[journal] 이택영 / 1999 / 뇌졸중환자의 환측 상지 기능이 건측 손의 기민성에 미치는영향 / 대한작업치료학회지 7(1) : 56~67

[journal] 정이정 / 2003 / Reliability of the Onset Time Determinations During Maximal Isometric Contraction in Surface EMG / 한국전문물리치료학회지 / 한국전문물리치료학회 10(1) : 51~62

[journal] 황성수 / 2011 / 냉·온수적용이 편마비 환자의 손기민성에 미치는 영향 / 대한고유수용성신경근촉진법학회지 9(1) : 65~73

[journal] Ageranoti, S. A. / 1990 / Effects of vibration on hypertonia and hyperreflexia in the wrist joint of patients with spastic hemiparesis / Physiotherapy Cannada 42(1) : 24~33

[book] Basmajian, J. V. / 1989 / Electrode placement in electromyographic biofeedback, In Biofeedback: Principles and Practice for Clinicians / Lippincott Williams & Wilkins : 369~382

[journal] Canning, C. G. / 2000 / Abnormal muscle activation characteristics associated with loss of dexterity after stroke / Journal of the Neurological Sciences 176(1) : 45~56

[book] Carr, J. H. / 2003 / Stroke rehabilitation / Elservier

[journal] Chae, J. / 2002 / Delay in initiation and termination of muscle contraction, motor impairment, and physical disability in upper limb hemiparesis / Muscle & Nerve 25 : 568~575

[journal] Conrad, M. O. / 2011 / Effects of wrist tendon vibration on targeted upper-arm movements in poststroke hemiparesis / Neurorehabilitation and Neural Repair 25(1) : 61~70

[journal] Cordo, P. / 2009 / Assisted Movement with Enhanced Sensation(AMES) : Coupling motor and sensory to remediate motor deficits in chronic stroke patients / Neurorehabilitation and Neural Repair 23(1) : 67~77

[book] Cromwell, F. S. / 1976 / Occupational therapist manual for basic skill assessment : Primary prevocational evaluation / Fair Oaks Printing

[journal] Desrosiers, J. / 1996 / Performance of the unaffected upper extremity of elderly stroke patients / Stroke 27 : 1564~1570

[journal] Di Fabio, R. P. / 1987 / Reliability of computerized surface electromyography for determining the onset of muscle activity / Physical Therapy 67(1) : 43~48

[journal] Foran, J. R. / 2005 / Structural and mechanical alterations in spastic skeletal muscle / Developmental Medicine & Child Neurology 47 : 713~717

[journal] Folstein, M. F. / 1975 / ‘Minimental state’ : A practical method for grading the cognitive state of patients for the clinician / Journal of Psychiatric Research 12(3) : 189~198

[journal] Gemperline, J. J. / 1995 / Characteristics of motor unit discharge in subjects with hemiparesis / Muscle & Nerve 18 : 1101~1114

[book] Griffin, M. J. / 2004 / Handbook of human vibration / Elsvier : 171~220

[journal] Hammond, M. C. / 1988 / Recruitment and termination of electromyographic activity in the hemiparetic forearm / Archives of Physical Medicine and Rehabilitation 69(2) : 106~110

[journal] Issurin, V. B. / 1994 / Effect of vibratory stimulation on maximal force and flexibility / Journal of Sports Sciences 12(6) : 561~566

[journal] Kasai, T. / 1992 / The effects of wrist muscle vibration on human voluntary elbow flexion-extension movements / Experimental Brain Research 90(1) : 217~220

[journal] Kaufmann, R. A. / 2007 / Biomechanical analysis of flexor digitorum profundus and superficialis in grip strength generation / American Journal of Orthopedics 36(9) : 128~132

[journal] Lebedev, M. A. / 1991 / Analysis of the interference electromyogram of human soleus muscle after exposure to vibration / Neirofiziologiia 23(1) : 57~65

[journal] Mathiowetz, V. / 1985 / Grip and pinch strength : Normative data for adults / Archives of Physical Medicine and Rehabilitation 66(2) : 69~74

[journal] Noma, T. S. / 2009 / Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients / Brain Injury 23(7) : 623~631

[book] Ottenbacher, K. J. / 1986 / Evaluating clinical change : Strategies for occupational and physical therapists / Lippincott Williams & Wilkins : 117~119

[book] Perotto, A. O. / 1994 / Anatomical guide for the electromyographer : The limbs and trunk / Charles C Thomas

[book] Portney, L. / 2000 / Foundations of clinical research : Applications to practice / Prentice Hall : 223~264

[journal] Rees, S. / 2007 / Effects of vibration exercise on muscle performance and mobility in an older population / Journal of Aging and Physical Activity 15(4) : 367~381

[journal] Roelants, M. / 2006 / Whole body vibration induced increase in leg muscle activity during different squat exercises / Journal of Strength & Conditioning Research 20(1) : 124~129

[journal] Seo, N. J. / 2009 / Delays in grip initiation and termination in persons with stroke : Effects of arm support and active muscle stretch exercise / Journal of Neurophysiology 101 : 3108~3115

[book] Sheean, G. / 2001 / Upper motor neurone syndrome and spasticity : Clinical management and nerophysiology / Cambridge University Press : 12~78

[journal] Shirahashi, I. / 2007 / Functional vibratory stimulation on the hand facilitates voluntary movements of a hemiplegic upper limb in a patient with stroke / International Journal of Rehabilitation Research 30(3) : 227~230

[book] Trombly, C. A. / 2002 / Occupational therapy for physical dysfunction / Lippincott Williams & Wilkins

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Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81