Clinical Feasibility of Mirror Therapy Combined with Electromyography-Triggered Neuromuscular Stimulation for the Paretic Hand after Stroke: a Pilot Study

  • KOJIMA Kosuke
    Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital Graduate School of Health Science, Kio University
  • IKUNO Koki
    Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital Graduate School of Health Science, Kio University
  • TOKUHISA Kentaro
    Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital
  • SHOMOTO Koji
    Graduate School of Health Science, Kio University

Bibliographic Information

Other Title
  • 鏡治療と筋電誘発電気刺激の組み合わせ治療が脳卒中後の上肢機能に与える変化
  • 症例研究 鏡治療と筋電誘発電気刺激の組み合わせ治療が脳卒中後の上肢機能に与える変化 : 症例集積による有用性検証
  • ショウレイ ケンキュウ カガミ チリョウ ト キンデンユウハツ デンキ シゲキ ノ クミアワセ チリョウ ガ ノウソッチュウ ゴ ノ ジョウシ キノウ ニ アタエル ヘンカ : ショウレイ シュウセキ ニ ヨル ユウヨウセイ ケンショウ
  • ─症例集積による有用性検証─

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Abstract

[Purpose] The purpose of this study was to evaluate the effect of a combined treatment of mirror therapy (MT) and electromyography-triggered neuromuscular stimulation (ETMS) (ETMS-MT) on the upper limb function of stroke patients. [Methods] Following receipt of their written informed consent, eight stroke patients received two 20-minute sessions of ETMS-MT, 5 days a week, for 4 weeks. Electrical stimulation was applied to the wrist and finger extensors of the paretic arms. The upper extremity items of the Fugl-Meyer assessment, active range of motion of wrist extension, hand ratio, box and block test, Wolf motor function test and motor activity log were evaluated before and after the treatment. [Results] After the treatment of 4 weeks, all outcome measures improved significantly. Besides, improvements were specifically seen in the outcomes related to wrist and finger function. [Conclusion] ETMS-MT might enhance functional recovery of the paretic hand of stroke patients. A randomized-controlled trial should be executed to investigate the treatment effect of ETMS-MT.

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 27 (2), 231-238, 2012

    The Society of Physical Therapy Science

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