Relationships between Motor Function Evaluation and Activities of Daily Living in Stroke Patients

Background. Contralaterally controlled neuromuscular electrical stimulation (CCNMES) is a novel electrical stimulation treatment for stroke; however, reports on the efficacy of CCNMES on lower extremity function after stroke are scarce. Objective. To compare the effects of CCNMES versus NMES on lower extremity function and activities of daily living (ADL) in subacute stroke patients. Methods. Forty-four patients with a history of subacute stroke were randomly assigned to a CCNMES group and a NMES group ( n = 22 per group). Twenty-one patients in each group completed the study per protocol, with one subject lost in follow-up in each group. The CCNMES group received CCNMES to the tibialis anterior (TA) and the peroneus longus and brevis muscles to induce ankle dorsiflexion motion, whereas the NMES group received NMES. The stimulus current was a biphasic waveform with a pulse duration of 200 μs and a frequency of 60 Hz. Patients in both groups underwent five 15 min sessions of electrical stimulation per week for three weeks. Indicators of motor function and ADL were measured pre- and posttreatment, including the Fugl–Meyer assessment of the lower extremity (FMA-LE) and modified Barthel index (MBI). Surface electromyography (sEMG) assessments included average electromyography (aEMG), integrated electromyography (iEMG), and root mean square (RMS) of the paretic TA muscle. Results. Values for the FMA-LE, MBI, aEMG, iEMG, and RMS of the affected TA muscle were significantly increased in both groups after treatment ( p < 0.01 ). Patients in the CCNMES group showed significant improvements in all the measurements compared with the NMES group after treatment. Within-group differences in all post- and pretreatment indicators were significantly greater in the CCNMES group than in the NMES group ( p < 0.05 ). Conclusion. CCNMES improved motor function and ADL ability to a greater extent than the conventional NMES in subacute stroke patients.

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Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

Physical Therapy Korea ◽

10.12674/ptk.2015.22.2.059 ◽

2015 ◽

Vol 22 (2) ◽

pp. 59-69

Author(s):

Myung-sook Ko ◽

◽

Yong-jin Jeon

Keyword(s):

Activities Of Daily Living ◽

Motor Function ◽

Daily Living ◽

Case Series ◽

Exercise Program ◽

Chronic Stroke ◽

Upper Extremities ◽

Group Exercise ◽

Stroke Patients

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Effect of combined acupuncture and Chinese herbal formula on the motor function and activities of daily living in post-stroke patients

Journal of Acupuncture and Tuina Science ◽

10.1007/s11726-011-0542-0 ◽

2011 ◽

Vol 9 (5) ◽

pp. 315-318 ◽

Cited By ~ 2

Author(s):

Wu Yaochi ◽

Chai Lu

Keyword(s):

Activities Of Daily Living ◽

Motor Function ◽

Daily Living ◽

Herbal Formula ◽

Stroke Patients ◽

Chinese Herbal Formula ◽

Post Stroke ◽

Chinese Herbal

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Effects of short-term upper limb robot-assisted therapy on the rehabilitation of sub-acute stroke patients

Technology and Health Care ◽

10.3233/thc-202127 ◽

2020 ◽

pp. 1-9

Author(s):

Shangrong Jiang ◽

Hong You ◽

Weijing Zhao ◽

Min Zhang

Keyword(s):

Activities Of Daily Living ◽

Acute Stroke ◽

Motor Function ◽

Upper Limb ◽

Daily Living ◽

Muscle Tone ◽

Stroke Patients ◽

Robot Assisted ◽

Short Term ◽

Significant Difference

BACKGROUND: Robot-assisted therapy (RT) has become a promising stroke rehabilitation intervention. OBJECTIVE: To examine the effects of short-term upper limb RT on the rehabilitation of sub-acute stroke patients. METHODS: Subjects were randomly assigned to the RT group (n= 23) or conventional rehabilitation (CR) group (n= 22). All subjects received conventional rehabilitation therapy for 30 minutes twice a day, for 2 weeks. In addition, the RT group received RT for 30 minutes twice a day, for 2 weeks. The outcomes before treatment (T0) and at 2 weeks (T1) and 1 month follow-up (T2) were evaluated in the patients using the upper limb motor function test of the Fugl-Meyer assessment (FMA) the Motricity Index (MI), the Modified Ashworth Scale (MAS), the Functional Independence Measure (FIM), and the Barthel Index (BI). RESULTS: There were significant improvements in motor function scales (P< 0.001 for FMA and MI) and activities of daily living (P< 0.001 for FIM and BI) but without muscle tone (MAS, P> 0.05) in the RT and CR groups. Compared to the CR group, the RT group showed improvements in motor function and activities of daily living (P< 0.05 for FMA, MI, FIM, BI) at T1 and T2. There was no significant difference between the two groups in muscle tone (MAS, P> 0.05). CONCLUSIONS: RT may be a useful tool for sub-acute stroke patients’ rehabilitation.

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Effects of Mental Imagery Training Combined With Electromyogram-Triggered Electrical Stimulation on Upper Extremity Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Randomized Controlled Trial

The Journal of Korean Society of Occupational Therapy ◽

10.14519/jksot.2013.21.4.08 ◽

2013 ◽

Vol 21 (4) ◽

pp. 91-106 ◽

Cited By ~ 1

Author(s):

Ji-Su Park ◽

◽

Jong-Bae Choi

Keyword(s):

Randomized Controlled Trial ◽

Electrical Stimulation ◽

Activities Of Daily Living ◽

Motor Function ◽

Mental Imagery ◽

Daily Living ◽

Controlled Trial ◽

Stroke Patients ◽

Imagery Training ◽

Randomized Controlled

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EMG-Triggered Pedaling Training on Muscle Activation, Gait, and Motor Function for Stroke Patients

Brain Sciences ◽

10.3390/brainsci12010076 ◽

2022 ◽

Vol 12 (1) ◽

pp. 76

Author(s):

Kyeongjin Lee

Keyword(s):

Lower Extremity ◽

Activities Of Daily Living ◽

Motor Function ◽

Postural Balance ◽

Daily Living ◽

Muscle Activation ◽

Lower Extremities ◽

Training Group ◽

Stroke Patients ◽

Timed Up And Go

This study aimed to determine the effects of electromyography (EMG)-triggered pedaling training to improve motor functions in the lower extremities, muscle activation, gait, postural balance, and activities of daily living in stroke patients. Subjects were randomly allocated to two groups: the EMG-triggered pedaling training group (EMG-PTG, n = 21) and the traditional pedaling training group (TPTG, n = 20). Both groups trained five times per week for four weeks, with 50 min per session. Lower extremity motor function was assessed using the Fugl–Meyer Assessment (FMA). Muscle activation of the four muscles of the lower extremities was assessed using eight-channel electromyography, while gait ability was assessed using GaitRite. Postural balance was assessed using the Berg balance scale (BBS), the timed up and go (TUG), and functional reach tests (FRT). Daily activities were assessed using the Modified Barthel Index (MBI). For lower extremity motor function, gait ability, balance ability, and activities of daily living, the EMG-PTG showed significant improvement compared to TPTG (p < 0.05). These results suggest that EMG-triggered pedaling training effectively improves lower extremity motor function, muscle activation, gait, postural balance, and activities of daily living in stroke patients.

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