Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial

Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation parad...

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Autores:
Garrido-Montenegro, Maricel
Álvarez-Espinoza, Evelyn
Vergara-Ruiz, Sebastián
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/65208
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/65208
http://bdigital.unal.edu.co/66231/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_b2080f1ae7c51d88e01f3e86439a7a7f
oai_identifier_str oai:repositorio.unal.edu.co:unal/65208
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
title Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
spellingShingle Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
61 Ciencias médicas; Medicina / Medicine and health
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
title_short Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
title_full Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
title_fullStr Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
title_full_unstemmed Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
title_sort Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial
dc.creator.fl_str_mv Garrido-Montenegro, Maricel
Álvarez-Espinoza, Evelyn
Vergara-Ruiz, Sebastián
dc.contributor.author.spa.fl_str_mv Garrido-Montenegro, Maricel
Álvarez-Espinoza, Evelyn
Vergara-Ruiz, Sebastián
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
dc.subject.proposal.spa.fl_str_mv Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
Neurorretroalimentación
Rehabilitación
Actividades cotidianas
Accidente cerebrovascular
Terapia Ocupacional
description Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation paradigms.Objective: To assess whether the application of EMG biofeedback in upper limbs during BADL training improves motor, occupational and satisfaction performances compared to BADL training without this feedback.Materials and methods: A pilot randomized clinical trial was conducted with stroke patients of more than six months of evolution, who showed hemiparesis and no cognitive deterioration. These patients were randomly classified into two groups: control group, who underwent conventional occupational therapy (COT), and experimental group, who underwent COT+EMG-BF. Patients were given 10 therapy sessions. Entry, evaluation and data analysis were masked.Results: Seven patients were included in each group, showing the same initial clinical and demographic characteristics (p0.05). The group that underwent COT+EMG-BF showed a significantly better performance in all assessments. For example, the Barthel scale obtained a median of 100 points [85-100] for the COT+EMG-BF group versus 85 [80-90] for the control group (p0.05), whereas ARAT score was 42 [40-47] points versus 20 [15-38] (p=0.03), respectively.Conclusion: The combination of COT+EMG-BF for BADL may be considered as an alternative for treatment of stroke patients.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-07-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T23:59:25Z
dc.date.available.spa.fl_str_mv 2019-07-02T23:59:25Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
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dc.type.content.spa.fl_str_mv Text
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/65208
dc.identifier.eprints.spa.fl_str_mv http://bdigital.unal.edu.co/66231/
identifier_str_mv ISSN: 2357-3848
url https://repositorio.unal.edu.co/handle/unal/65208
http://bdigital.unal.edu.co/66231/
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/revfacmed/article/view/56213
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Garrido-Montenegro, Maricel and Álvarez-Espinoza, Evelyn and Vergara-Ruiz, Sebastián (2016) Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial. Revista de la Facultad de Medicina, 64 (3). pp. 477-483. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/65208/1/56213-315255-1-PB.pdf
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repository.name.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Garrido-Montenegro, Maricel3f63577e-c188-410f-9445-8963acae5b6c300Álvarez-Espinoza, Evelyn4e506254-17c1-428f-a028-158e876b72f7300Vergara-Ruiz, Sebastián0e0f420b-dc83-4fc8-9adf-bc2c985921f33002019-07-02T23:59:25Z2019-07-02T23:59:25Z2016-07-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/65208http://bdigital.unal.edu.co/66231/Introduction: Sequels in stroke patients include hemiparesis and dependency for performing basic activities of daily living (BADL). EMG biofeedback has yielded some benefits but has been limited to repetitive movement, therefore, it is insufficient for current task-oriented neurorehabilitation paradigms.Objective: To assess whether the application of EMG biofeedback in upper limbs during BADL training improves motor, occupational and satisfaction performances compared to BADL training without this feedback.Materials and methods: A pilot randomized clinical trial was conducted with stroke patients of more than six months of evolution, who showed hemiparesis and no cognitive deterioration. These patients were randomly classified into two groups: control group, who underwent conventional occupational therapy (COT), and experimental group, who underwent COT+EMG-BF. Patients were given 10 therapy sessions. Entry, evaluation and data analysis were masked.Results: Seven patients were included in each group, showing the same initial clinical and demographic characteristics (p0.05). The group that underwent COT+EMG-BF showed a significantly better performance in all assessments. For example, the Barthel scale obtained a median of 100 points [85-100] for the COT+EMG-BF group versus 85 [80-90] for the control group (p0.05), whereas ARAT score was 42 [40-47] points versus 20 [15-38] (p=0.03), respectively.Conclusion: The combination of COT+EMG-BF for BADL may be considered as an alternative for treatment of stroke patients.Introducción. Las principales secuelas del accidente cerebrovascular (ACV) son la hemiparesia y la dependencia en actividades básicas de la vida diaria (ABVD). El biofeedback electromiográfico (BF-EMG) ha mostrado beneficios, pero su uso se ha centrado en el entrenamiento de movimientos aislados, lo que difiere del paradigma actual en rehabilitación.Objetivo. Evaluar si la aplicación de BF-EMG durante el entrenamiento de ABVD mejora el nivel de independencia, el funcionamiento motor y la satisfacción en el desempeño comparado con entrenamiento de ABVD sin esta técnica.Materiales y métodos. Ensayo clínico piloto en pacientes de 18 a 70 años con hemiparesia secundaria a ACV isquémico crónico. Los pacientes fueron aleatorizados en dos grupos: un grupo control con terapia ocupacional convencional (TOC) o un grupo experimental con TOC + BF-EMG. Se enmascaró el enrolamiento, la evaluación y el análisis de datos.Resultados. Se reclutaron siete pacientes en cada grupo, control y experimental, con las mismas características demográficas y clínicas iniciales (p0.05). El grupo TOC+BF-EMG mostró mejor rendimiento en todas las evaluaciones. En el índice de Barthel se obtuvo una mediana de 100 puntos (85-100) para el grupo TOC + BF-EMG en comparación a 85 (80-90) del grupo control (p0.05), mientras que en el test de Arat fueron 42 (40-47) puntos frente a 20 (15-38) (p=0.03), respectivamente.Conclusión. La combinación de TOC + BF-EMG en ABVD podría considerarse una alternativa en el tratamiento de personas con ACV.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/56213Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaGarrido-Montenegro, Maricel and Álvarez-Espinoza, Evelyn and Vergara-Ruiz, Sebastián (2016) Use of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trial. Revista de la Facultad de Medicina, 64 (3). pp. 477-483. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthNeurorretroalimentaciónRehabilitaciónActividades cotidianasAccidente cerebrovascularTerapia OcupacionalNeurorretroalimentaciónRehabilitaciónActividades cotidianasAccidente cerebrovascularTerapia OcupacionalUse of EMG biofeedback for basic activities of daily living training in stroke patients. Pilot randomized clinical trialArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL56213-315255-1-PB.pdfapplication/pdf591282https://repositorio.unal.edu.co/bitstream/unal/65208/1/56213-315255-1-PB.pdfe2f7a7f9b83c7b412a6df362101d8339MD51THUMBNAIL56213-315255-1-PB.pdf.jpg56213-315255-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8904https://repositorio.unal.edu.co/bitstream/unal/65208/2/56213-315255-1-PB.pdf.jpgb551e1381f94a41ecd1018ff082394e4MD52unal/65208oai:repositorio.unal.edu.co:unal/652082024-05-09 23:09:10.076Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co