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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2023; 33(02): 100-106
DOI: 10.1055/a-1841-6739
Original Article

Applicability of Mobile Based Electromyography Visual Biofeedback Training to Improvement of Muscle Activity and Joint Range of Motions of Stroke Patients: A Pilot Study

Anwendbarkeit einer mobilen Variante der Elektromyographie zur Verbesserung der Muskelaktivität und des Bewegungsbereichs der Gelenke bei Schlaganfallpatienten: Eine Pilotstudie
Won-deuk Kim
1   Department of Physical Therapy, Graduate School of Kyungnam University, Republic of Korea
,
DongChun Park
1   Department of Physical Therapy, Graduate School of Kyungnam University, Republic of Korea
,
Lee Yang-Jin
2   Department of Physical Therapy, Kyungbuk college, Yeongju-si, Republic of Korea
,
Il-hyun Son
1   Department of Physical Therapy, Graduate School of Kyungnam University, Republic of Korea
,
Jung-hee Jung
1   Department of Physical Therapy, Graduate School of Kyungnam University, Republic of Korea
,
DooChul Shin
3   Department of Physical Therapy, College of Health Sciences, Kyungnam University, Republic of Korea
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Abstract

Background Recently, a lot of visual feedback training equipment using the electromyography in a mobile environment has been developed. These devices are small, easy to use, and inexpensive. Despite the various advantages of such equipment, it is still not widely used in the clinical field, and research on it is lacking.

Objective The purpose of this study is to introduce the mobile-based electromyography visual feedback training equipment and evaluate the usability for the muscle activity improvements in stroke patients.

Methods This study was conducted in 12 patient with chronic stroke. To evaluate the usability of mobile-based electromyography training equipment, this research compared the immediate effects of the traditional tactile feedback training and the mobile-based electromyography training on 12 stroke patients. The MVIC muscle activity of the tibialis anterior, quadriceps femoris and gluteus maximus as well as the range of motion of the ankle dorsiflexion, hip joint extension and knee joint extension were measured before and after intervention.

Resutls As a result of this study, the tibialis anterior, quadriceps femoris, and gluteus maximus muscle activity were all significantly different in mobile-based electromyography visual feedback training. In the comparison of the effects on the range of motion, there was a significant difference in mobile-based electromyography visual feedback training only in the knee extension.

Conclusions Mobile-based electromyography visual feedback training is expected to be able to improve muscle activity and range of motion in stroke patients more effectively than conventional tactile training.

Zusammenfassung

Hintergrund In letzter Zeit wurden viele Trainingsgeräte für visuelles Feedback entwickelt, die die Elektromyographie in einer mobilen Umgebung verwenden. Diese Geräte sind klein, einfach zu bedienen und kostengünstig. Trotz der verschiedenen Vorteile solcher Geräte ist sie im klinischen Bereich noch nicht weit verbreitet, und es fehlt die Forschung dazu.ZIEL  Das Ziel dieser Studie ist es, das mobilbasierte elektromyographische visuelle Feedback-Trainingsgerät vorzustellen und die Anwendbarkeit für die Verbesserung der Muskelaktivität bei Schlaganfallpatienten zu bewerten.

Methoden Diese Studie wurde bei 12 Patienten mit chronischem Schlaganfall durchgeführt. Um die Benutzerfreundlichkeit von mobilbasierten Elektromyographie-Trainingsgeräten zu bewerten, wurden in dieser Studie die unmittelbaren Auswirkungen des traditionellen taktilen Feedback-Trainings und des mobilbasierten Elektromyographie-Trainings bei 12 Schlaganfallpatienten verglichen. Die MVIC-Muskelaktivität des M. tibialis anterior, des Quadrizeps femoris und des Gluteus maximus sowie der Bewegungsumfang der Knöcheldorsalflexion, Hüftgelenkstreckung und Kniegelenkstreckung wurden vor und nach der Intervention gemessen.

Ergebnisse Als Ergebnis dieser Studie waren die Muskelaktivität des Tibialis anterior, des Quadrizeps und des Gesäßmuskels beim mobilbasierten visuellen Feedback-Training mit Elektromyographie signifikant unterschiedlich. Im Vergleich der Effekte auf den Bewegungsumfang zeigte sich ein signifikanter Unterschied beim mobilbasierten elektromyographischen visuellen Feedback-Training nur in der Kniestreckung.

Schlussfolgerungen Es wird erwartet, dass mobilbasiertes elektromyographisches visuelles Feedback-Training die Muskelaktivität und den Bewegungsumfang bei Schlaganfallpatienten effektiver verbessern kann als konventionelles taktiles Training.

Key words

Visual Feedback - Sensory Feedbacks - stroke - Electromyography - Mobile Health Units

Schlüsselwörter

Visuelles Feedback - Sensorische Rückmeldungen - Schlaganfall - Elektromyographie - Mobile Gesundheitseinheiten


Publication History

Received: 30 July 2021

Accepted: 02 May 2022

Article published online:
26 July 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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