Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81
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pISSN : 1226-0134 / eISSN : 2671-4450
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A Comparison of the Effect According to Type of Electromyography-triggered Neuromuscular Electrical Stimulation on the Upper Limb Function and Activities of Daily Living in Stroke Patients: A Prospective, Randomized Controlled Pilot Trial
- Korean Journal of Occupational Therapy
- Abbr : Korean J of Occup Ther
- 2014, 22(2), pp.17-33
- DOI : 10.14519/jksot.2014.22.2.02
- Publisher : Korean Society Of Occupational Therapy
- Research Area : Medicine and Pharmacy > Working Therapeutics
Ji-Su Park 1, Jongbae Choi 2
1인제대학교부속부산백병원
2경희대학교병원
Accredited
ABSTRACT
The Journal of Korean Society of Occupational Therapy Vol. 22, No. 2, 2014 33AbstractA Comparison of the Effect According to Type of Electromyography-triggeredNeuromuscular Electrical Stimulation on the Upper Limb Function andActivities of Daily Living in Stroke Patients: A Prospective, RandomizedControlled Pilot TrialPark, Ji-Su*, M.Sc., O.T., Choi, Jong-Bae**, M.Sc., O.T.
*Dept. of Occupational Therapy, Inje University Busan Paik Medical Center**Dept. of Occupational Therapy, Kyung Hee University Medical CenterObjective : This study aimed at investigating the effect of two types of electromyography-triggered neuromuscularelectrical stimulation on the upper limb function of the affected side and activities of daily living in stroke patients.
Methods : A randomized controlled study was conducted for 20 patients within 6 months of occurrence of a subacutestroke. The patients were divided into two groups as follows: those treated with electromyography-triggeredneuromuscular electrical stimulation (EMG-NMES), and those treated with mental imagery training combined withEMG-NMES (MIT EMG-NMES), for 30 minutes a day, 5 days a week, for 4 weeks. For the assessment of upperlimb function, the Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test (WMFT) were used, and for theassessment of daily living activities, the Modified Barthel Index (MBI) was used.
Results : After four weeks of intervention, the MIT EMG-NMES-treated group showed statistically significantimprovement in the FMA and WMFT (p<.01), and improvement in the MBI, particularly in each of the self-carescores, with a statistical significance (p<.05). The EMG-NMES-treated group showed significant improvement inwrist movement on the FMA and in the upper limb function in the WMFT (p<.05). There was no statisticallysignificant improvement in the total MBI, except in the self-care score (p<.05).
Conclusion : This study suggests that both the MIT EMG-NMES and EMG-NMES are beneficial in improving theupper limb function and activities of daily living in patients after an acute stroke.
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