The effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke
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info:eu-repo/semantics/embargoedAccessTarih
2023Yazar
Oğul, Özden ErkanKaragözoğlu Coşkunsu, Dilber
Akçay, Sümeyye
Akyol, Kübra
Hanoğlu, Lütfü
Öztürk, Necla
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Oğul, 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.2021.04.022Özet
Objective: 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.
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Journal of Hand TherapyCilt
36Sayı
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