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Effectiveness Of Electromyographic Biofeedback And Neuromuscular Electrical Stimulation On Improving Strength And Functions Of Wrist And Hand Complex In Subjects With Sub-acute MCA Stroke

E-Book  December 16, 2024 |  editor editor |  Physiotherapy, Uncategorized
Arya P.V1,   Jitto Joseph2, Jabir S3, Parvathy G.M4, Amina Shajahan5, Fidha Sidheek6

Corresponding Author:
1.Physiotherapist, Attukal Devi Institute of medical sciences, Attukal, Trivandrum, Kerala, India Email: aryapvpt@gmail.com
Co-Authors:
2.Associate Professor, Bethany Navajeevan college of physiotherapy, Trivandrum, Kerala, India.
3.Lecturer, Hillside College of physiotherapy Bangalore, India
4.Assistant Professor, Bethany Navajeevan college of physiotherapy, Trivandrum, Kerala, India.
5.Physiotherapist, Gokulam Health Centre, Attingal, Kerala, India.
6.Physiotherapist, Physio abroad, Surat, Gujarat, India.

Abstract

Introduction: stroke rehabilitation mainly emphasize on improving upper limb function especially on wrist and hand. Even mild improvement to wrist and hand function will reflects on patient outcome and reduces disability. Objective of the study is to determine the effect of EMG biofeedback and NMES on improving the strength and function of wrist and hand muscles in Sub acute MCA stroke patients.

Methodology: it is aPre Vs post experimental design. This study was conducted at Outpatient department of Bethany Navajeevan College of physiotherapy, hospitals in and around Trivandrum 30 subjects with poor hand and wrist function and strength after sub acute MCA stroke whose satisfying inclusion criteria were included in the study. Group a included 15 subjects, was treated with EMG biofeedback, NMES (15hz, pulse width 200ms) and conventional exercises, group b included 15 subjects, was treated with conventional exercises for 6 weeks, 5 days per week. Pre and post tests were conducted on ARAT and MMT.

Results: based on statistical analysis, the result of the study shows statistically significant difference in pre-test and post-test values in the ARAT and MMT of the experimental group.

Conclusion: the study concludes that the Emg biofeedback and NMES shows significant improvement in strength and function of wrist and hand complex in Sub acute MCA stroke patients.

Keywords: MCA stroke, Electromyographic biofeedback, neuromuscular electrical stimulation, action research arm test, manual muscle testing.

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