Cargando…

The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke

Background and Objectives: Application of the EMG-driven robotic training in everyday therapeutic processes is a modern and innovative form of neurorehabilitation among patients after stroke. Active participation of the patient contributes to significantly higher activation of the sensorimotor netwo...

Descripción completa

Detalles Bibliográficos
Autores principales: Lewandowska-Sroka, Patrycja, Stabrawa, Rafał, Kozak, Dominika, Poświata, Anna, Łysoń-Uklańska, Barbara, Bienias, Katarzyna, Roksela, Anna, Kliś, Marcin, Mikulski, Michał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001928/
https://www.ncbi.nlm.nih.gov/pubmed/33801295
http://dx.doi.org/10.3390/medicina57030227
_version_ 1783671344419831808
author Lewandowska-Sroka, Patrycja
Stabrawa, Rafał
Kozak, Dominika
Poświata, Anna
Łysoń-Uklańska, Barbara
Bienias, Katarzyna
Roksela, Anna
Kliś, Marcin
Mikulski, Michał
author_facet Lewandowska-Sroka, Patrycja
Stabrawa, Rafał
Kozak, Dominika
Poświata, Anna
Łysoń-Uklańska, Barbara
Bienias, Katarzyna
Roksela, Anna
Kliś, Marcin
Mikulski, Michał
author_sort Lewandowska-Sroka, Patrycja
collection PubMed
description Background and Objectives: Application of the EMG-driven robotic training in everyday therapeutic processes is a modern and innovative form of neurorehabilitation among patients after stroke. Active participation of the patient contributes to significantly higher activation of the sensorimotor network during active motor control rather than during passive movement. The study objective was to determine the effect of electromyographic triggering (EMG-triggered) robotic rehabilitation device treatment on walking, muscle force, and spasticity after an ischemic stroke. Materials and Methods: A total of 60 participants with impaired motor function and gait after subacute stroke were included in the study. Each patient was randomly assigned to an intervention or control group (IG or CG). All patients, except standard therapy, underwent 1 additional session of therapy per day, 5 days a week for 6 weeks. IG had 30 min of training on the robot, while CG received exercises on the lower limb rotor. The subjects were assessed with Timed Up and Go Test (TUG), Ashworth scale, knee range of motion (ROM), Lovett Scale, and tight circumference at baseline and at weeks 2, 4, and 6. Results: For seven parameters, the values credibly increased between consecutive measurements, and for the Ashworth scale, they credibly decreased. The biggest changes were observed for the measurements made with Lovett scale. The average thigh circumference as measured 5 and 15 cm above the knee increased credibly more in the robot condition, as compared to control condition. Additionally, the decrease in Ashworth values over time, although statistically credible in both groups, was credibly higher in the robot condition. Conclusion: The inclusion of the EMG-triggered neurorehabilitation robot in the patient’s daily rehabilitation plan has a positive effect on outcomes of the treatment. Both proposed rehabilitation protocols significantly improved patients’ condition regarding all measured outcomes, but the spasticity and thigh circumference improved significantly better in the robotic group in comparison to controls.
format Online
Article
Text
id pubmed-8001928
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80019282021-03-28 The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke Lewandowska-Sroka, Patrycja Stabrawa, Rafał Kozak, Dominika Poświata, Anna Łysoń-Uklańska, Barbara Bienias, Katarzyna Roksela, Anna Kliś, Marcin Mikulski, Michał Medicina (Kaunas) Article Background and Objectives: Application of the EMG-driven robotic training in everyday therapeutic processes is a modern and innovative form of neurorehabilitation among patients after stroke. Active participation of the patient contributes to significantly higher activation of the sensorimotor network during active motor control rather than during passive movement. The study objective was to determine the effect of electromyographic triggering (EMG-triggered) robotic rehabilitation device treatment on walking, muscle force, and spasticity after an ischemic stroke. Materials and Methods: A total of 60 participants with impaired motor function and gait after subacute stroke were included in the study. Each patient was randomly assigned to an intervention or control group (IG or CG). All patients, except standard therapy, underwent 1 additional session of therapy per day, 5 days a week for 6 weeks. IG had 30 min of training on the robot, while CG received exercises on the lower limb rotor. The subjects were assessed with Timed Up and Go Test (TUG), Ashworth scale, knee range of motion (ROM), Lovett Scale, and tight circumference at baseline and at weeks 2, 4, and 6. Results: For seven parameters, the values credibly increased between consecutive measurements, and for the Ashworth scale, they credibly decreased. The biggest changes were observed for the measurements made with Lovett scale. The average thigh circumference as measured 5 and 15 cm above the knee increased credibly more in the robot condition, as compared to control condition. Additionally, the decrease in Ashworth values over time, although statistically credible in both groups, was credibly higher in the robot condition. Conclusion: The inclusion of the EMG-triggered neurorehabilitation robot in the patient’s daily rehabilitation plan has a positive effect on outcomes of the treatment. Both proposed rehabilitation protocols significantly improved patients’ condition regarding all measured outcomes, but the spasticity and thigh circumference improved significantly better in the robotic group in comparison to controls. MDPI 2021-03-02 /pmc/articles/PMC8001928/ /pubmed/33801295 http://dx.doi.org/10.3390/medicina57030227 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Lewandowska-Sroka, Patrycja
Stabrawa, Rafał
Kozak, Dominika
Poświata, Anna
Łysoń-Uklańska, Barbara
Bienias, Katarzyna
Roksela, Anna
Kliś, Marcin
Mikulski, Michał
The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title_full The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title_fullStr The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title_full_unstemmed The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title_short The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke
title_sort influence of emg-triggered robotic movement on walking, muscle force and spasticity after an ischemic stroke
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001928/
https://www.ncbi.nlm.nih.gov/pubmed/33801295
http://dx.doi.org/10.3390/medicina57030227
work_keys_str_mv AT lewandowskasrokapatrycja theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT stabrawarafał theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT kozakdominika theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT poswiataanna theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT łysonuklanskabarbara theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT bieniaskatarzyna theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT rokselaanna theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT klismarcin theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT mikulskimichał theinfluenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT lewandowskasrokapatrycja influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT stabrawarafał influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT kozakdominika influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT poswiataanna influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT łysonuklanskabarbara influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT bieniaskatarzyna influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT rokselaanna influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT klismarcin influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke
AT mikulskimichał influenceofemgtriggeredroboticmovementonwalkingmuscleforceandspasticityafteranischemicstroke