The effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke

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dc.authorid0000-0002-7226-510X
dc.contributor.authorOğul, Özden Erkan
dc.contributor.authorKaragözoğlu Coşkunsu, Dilber
dc.contributor.authorAkçay, Sümeyye
dc.contributor.authorAkyol, Kübra
dc.contributor.authorHanoğlu, Lütfü
dc.contributor.authorÖztürk, Necla
dc.date.accessioned2023-06-16T12:45:04Z
dc.date.available2023-06-16T12:45:04Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractObjective: To investigate the effect of electromyography (EMG)-driven robotic therapy on the recovery of the hand in a stroke case lasting 9 years.Case: An 18-year-old patient with hemiparesis due to the ischemic lesion was admitted to our clinic with hand impairment. Fifteen sessions (5 weeks x 3 times) of robotic rehabilitation were applied with the Hand of Hope. Average EMG (mV) of flexor digitorum superficialis (FDS) muscle, average force (N) and the rate of force development (RFD)(N/s) were also assessed before and after the treatment following the 5th and 10th sessions and at the end of treatment. Also, Fugl-Meyer Assessment of Upper Extremity Scale (FMU-UE), Motor Activity Log (MAL), Canadian Occupational Performance Score (COPM) and Visual Analog Scale (VAS) were used for assessment before and after the treatment.Results: The average EMG measured from FDS increased from 0.093-0.133 mV. The average force and average RFD increased from 45.6-97.7 and from 135.6-172.6 respectively. While affected and/or unaffected side force ratio increased dramatically from 54%-82%, the FMA-UE score increased from 56-59. The MAL quality of use score increased from 3.93-4.13. Performance and satisfaction scores of COPM changed from 5.25-7.25 and 4.5-8.25 respectively. VAS score for fatigue changed from 6 to 4.Discussion: The improvement achieved 9 years later with 15 sessions of rehabilitation suggests that im-provement may be possible for chronic stroke patients.
dc.identifier.citationOğul, Ö. E., Karagözoğlu Coşkunsu, D., Akçay, S., Akyol, K., Hanoğlu, L. ve Öztürk, N. (2023). The effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke. Journal of Hand Therapy, 36(1), 234-240. https://doi.org/10.1016/j.jht.2021.04.022
dc.identifier.doi10.1016/j.jht.2021.04.022
dc.identifier.endpage240
dc.identifier.issn0894-1130
dc.identifier.issn1545-004X
dc.identifier.issue1
dc.identifier.pmid34253408
dc.identifier.scopus2-s2.0-85110512948
dc.identifier.scopusqualityQ2
dc.identifier.startpage234
dc.identifier.urihttps://doi.org/10.1016/j.jht.2021.04.022
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11101
dc.identifier.volume36
dc.identifier.wos000998637300001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOğul, Özden Erkan
dc.institutionauthorHanoğlu, Lütfü
dc.language.isoen
dc.publisherHanley and Belfus Inc.
dc.relation.ispartofJournal of Hand Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCase Report
dc.subjectForce
dc.subjectHand
dc.subjectRobotic Rehabilitation
dc.subjectStroke
dc.titleThe effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke
dc.typeArticle

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