Comparison of the efficiency of exercise, electrical muscle stimulation, electromyographic biofeedback and robotic rehabilitation in tibialis anterior muscle activation of hemiplegic patients

Yıl 2021, Cilt: 7 Sayı: 1, 1 - 13, 23.04.2021

Mustafa Al Haddad Sema Özandaç Polat , Emir İbrahim Işık

https://doi.org/10.30569/adiyamansaglik.799520

Öz

Aim: The comparison of the efficiency of Classical Physical Therapy and Rehabilitation (CPTR), Electrical Muscle Stimulation (EMS), Electromyographic Biofeedback (EMG-BF) and Robotic Rehabilitation (RR) on tibialis anterior (mTA) muscle activation and functions of hemiplegic patients was aimed.
Materials and Methods: Thirty hemiplegic patients aged 40-86 years were participated. The range of motion (ROM), 10 meters walk test, Modified Ashworth Scale (MAS), strength measurements, and Visual Analog Scale (VAS) were performed.
Results: In the measurements including dorsi flexion ROM, EMG-BF, NMMT (right and left), a significant difference was found in all Groups. Also, the significant difference in dorsi flexion ROM was higher in Group 3 than Group 2 and Group 1. Additionally, the plantar flexion ROM was higher in Group 1 than Group 3 and Group 2.
Conclusion: There were the positive effects of three different treatment methods on ROM, walking time, spasticity and mTA muscle strength. Also, three treatment modalities contributed to recovery level of hemiplegic patients. 

Anahtar Kelimeler

Electromyographic Biofeedback, Hemiplegia, Classic Physical Therapy and Rehabilitation, Robotic rehabilitation

Egzersiz, elektriksel kas stimülasyonu, elektromyografik biofeedback ve robotik rehabilitasyonun hemiplejik hastaların tibialis anterior kas aktivasyonu üzerine etkileri

Öz

Amaç: Klasik Fizik Tedavi ve Rehabilitasyon (KFTR), Elektriksel Kas Stimülasyonu (EKS), Elektromyografik Biyofeedback (EMG-BF) ve Robotik Rehabilitasyon’un (RR) hemipleji hastalarının tibialis anterior kas (mTA) aktivitesi ve fonksiyonları üzerine etkinliğini karşılaştırma amaçlandı.
Gereç ve Yöntem: Yaşları 40-86 arasında değişen otuz hemiplejik hasta çalışmaya katıldı. Eklem hareket açıklığı (EHA), 10 metre yürüme testi, Modifiye Ashworth Skalası (MAS), kuvvetlendirme ölçümleri ve Görsel Analog Skalası (GAS) uygulandı.
Bulgular: Dorsi fleksiyon EHA, EMG-BF ve NMMT (sağ-sol) ölçümlerinde bütün gruplarda anlamlı farklılık bulundu. Dorsi fleksiyon EHA'da anlamlı farklılık Grup 3'te Grup 2 ve Grup 1'den daha yüksekti. Ayrıca, plantar fleksiyon EHA artışı ise Grup 1'de Grup 3 ve Grup 2'den daha yüksekti.
Sonuç: Uygulanan üç farklı tedavi metodunun EHA, yürüme zamanı, spastisite ve tibialis anterior kas kuvvetini içeren parametreler üzerine olumlu etkileri vardı. Ayrıca, üç tedavi yöntemi hemiplejik hastaların iyileşme düzeylerine katkı sağladı.

Anahtar Kelimeler

Elektromyografik Biyofeedback, Hemipleji, Klasik Fizik Tedavi ve Rehabilitasyon, Robotik Rehabilitasyon

Kaynakça

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