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| The effect of mirror therapy combined with electromyographic biofeedback on lower extremity motor function and balance function of subacute ischemic stroke patients. |
| XU Leyi SUO Guanghu LIN Zuchen JIN Haimin WANG Zhewei |
| Department of Rehabilitation Medicine， the First Affiliated Hospital of Wenzhou Medical University， Zhejiang Province, Wenzhou 325000， China |
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Abstract Objective To observe the effective of mirror therapy combined with electromyographic biofeedback on lower extremity motor function and balance function and activities of daily living of subacute ischemic stroke patients. Methods From November 2016 to March 2018， 29 cases of subacute ischemic stroke patients in the Department of Rehabilitation Medicine, the First Affiliated Hospital of Wenzhou Medical University were selected, and they were divided into mirror therapy combined with electromyographic biofeedback group (MT+EMGBF, 14 cases） and electromyographic biofeedback group (EMGBF, 15 cases）. The two groups were treated with conventional methods. On the basis of the former treatment, EMGBF group was given knee extension and ankle flexion training with myoelectric biofeedback therapy apparatus, and MT+EMGBF group was given the above training by using lower limb mirror treatment combined with myoelectric biofeedback therapy apparatus. The treatment sustained for 30 min， 1/d， 5 d/week， and the course was 8 weeks. Fugl-Meyer assessment lower extremity（FMA-LE）， Berg balance score（BBS） and modified Barthel index（MBI） was adopted to evaluate the motor function， balance function and activity of daily living, respectively. Results After treatment, scores of FMA-LE， BBS and MBI of the two groups had improved than those before treatment （P ＜ 0.01）. Compared with the EMGBF group, motor function and balance function in the MT+EMGBF group improved significantly (P ＜ 0.05), while there was no significant difference between the two groups in the improvement of activity of daily living （P ＞ 0.05）. Conclusion In the early stage, electromyographic biofeedback can significantly improve the motor function of the lower extremity, balance function and ability of daily living in subacute ischemic stroke patients. On that basis, electromyographic biofeedback combined with mirror therapy has more significant improvement in motor function and balance function in the lower extremity.
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