Effects of Treatment With Bilateral Upper Limb Approach Combined with Electromyography-Induced Neuromuscular Electrical Stimulation on Upper Limb Function and Daily Living in Hemiplegic Patients after STROKE
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Abstract
Background/Objectives: This study was conducted to confirm effect of the bilateral upper limb training(BULT) with neuromuscular electrical stimulation (NMES) in strokepatients with upper limb dysfunction.
Methods/Statistical analysis: The experiment was executed on 33 stroke patients. Theywere divided into the NMES combined with BULT (NMES-BULT)(n=16) and the general bilateral upper limb training GBULT (n=17).Intervention was conducted for 4 weeks/ 5 times/ a week/ 30 minutes. The testofmanual Function(MFT) was utilized as upper limb function evaluation, and Modified Barthel Index (MBI) was used as thedaily life evaluation, and the evaluation was performed before and after the intervention.
Findings: The change in UL function after intervention between the NMES-BULT group and general BULT was 4.060.58 before intervention and 3.553.19 after intervention, showing significant differences in the grasp and manipulation of MFT (p<.05). In the MFT of the NMES-BULT group, changes in grasping and manipulation items before and after intervention were 3.122.38 before intervention, 4.060.58 after intervention. It was significantly different after intervention (p<.01). And total scores were 13.106.93 before intervention, and 13.995.23 after intervention. It was significantly different after intervention (p<.01). In addition, personal hygiene and clothing improved significantly at MBI (p>0.5). Changes in UL function in the general BULT group were 3.423.25 before intervention and 3.653.19 after intervention in the grasping and manipulation of MFT (p<0.05). There was no meaningful difference in the total score (p>0.05). And there was no meaningful difference before and after the intervention in daily life (p>0.05).
Improvements/Applications: It was confirmed that BULT combined with NMES in stroke patients improves manipulation and grasp and influences the ability to perform normal life related to upper limb function.