Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/35568
Title: Wrist rehabilitation assisted by an electromyography-driven neuromuscular electrical stimulation robot after stroke
Authors: Hu, XL 
Tong, RKY
Ho, NSK
Xue, JJ
Rong, W
Li, LSW
Keywords: Neuromuscular electrical stimulation
Rehabilitation
Robot
Stroke
Issue Date: 2015
Publisher: SAGE Publications
Source: Neurorehabilitation and neural repair, 2015, v. 29, no. 8, p. 767-776 How to cite?
Journal: Neurorehabilitation and neural repair 
Abstract: Background. Augmented physical training with assistance from robot and neuromuscular electrical stimulation (NMES) may introduce intensive motor improvement in chronic stroke. Objective. To compare the rehabilitation effectiveness achieved by NMES robot-assisted wrist training and that by robot-assisted training.
Methods. This study was a single-blinded randomized controlled trial with a 3-month follow-up. Twenty-six hemiplegic subjects with chronic stroke were randomly assigned to receive 20-session wrist training with an electromyography (EMG)-driven NMES robot (NMES robot group, n = 11) and with an EMG-driven robot (robot group, n = 15), completed within 7 consecutive weeks. Clinical scores, Fugl-Meyer Assessment (FMA), Modified Ashworth Score (MAS), and Action Research Arm Test (ARAT) were used to evaluate the training effects before and after the training, as well as 3 months later. An EMG parameter, muscle co-contraction index, was also applied to investigate the session-by-session variation in muscular coordination patterns during the training.
Results. The improvement in FMA (shoulder/elbow, wrist/hand) obtained in the NMES robot group was more significant than the robot group (P <.05). Significant improvement in ARAT was achieved in the NMES robot group (P <.05) but absent in the robot group. NMES robot-assisted training showed better performance in releasing muscle co-contraction than the robot-assisted across the training sessions (P <.05).
Conclusions. The NMES robot-assisted wrist training was more effective than the pure robot. The additional NMES application in the treatment could bring more improvements in the distal motor functions and faster rehabilitation progress.
URI: http://hdl.handle.net/10397/35568
ISSN: 1545-9683 (print)
1552-6844 (eISSN)
DOI: 10.1177/1545968314565510
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

4
Last Week
0
Last month
Citations as of Apr 28, 2017

WEB OF SCIENCETM
Citations

3
Last Week
0
Last month
Citations as of Apr 27, 2017

Page view(s)

27
Last Week
1
Last month
Checked on Apr 23, 2017

Google ScholarTM

Check

Altmetric



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.