Abstract
Effects of electromyography-triggered neuromuscular stimulation on stroke patients with shoulder subluxation
  
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EN KeyWords: electromyography-triggered neuromuscular stimulation  stroke  shoulder subluxation
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作者单位
许佳 复旦大学附属上海市第五人民医院康复科,上海 200240 
胡世红 复旦大学附属上海市第五人民医院康复科,上海 200240 
凌晴 复旦大学附属上海市第五人民医院康复科,上海 200240 
陈丽丹 复旦大学附属上海市第五人民医院康复科,上海 200240 
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EN Abstract:
  Objective:To study the effect of electromyography (EMG)-triggered neuromuscular stimulation (NMES) on stroke patients with shoulder subluxation. Methods: Sixty stroke patients with shoulder subluxation were randomly divided into 3 groups (A, B, and C) with 20 cases in each group. All groups received normal rehabilitation therapy. Group B received extra NMES therapy, and group C received EMG-triggered NMES therapy besides. Before and after the therapy, X-ray examination, palpation on bilateral shoulders and Fugl-Meyer test with upper limb (FMA) were used to evaluate the recovery of the upper limb. Results: After the treatment for 6 weeks, recovery rate in group C was significantly higher than in groups A and B (45%, 15% and 25% respectively, P<0.05). The FMA scores in three groups after treatment were significantly higher than those before treatment, and those in group C were significantly increased as compared with groups A and B (P<0.05). Conclusion: As compared with the routine therapy and NMES therapy, EMG-triggered NMES therapy is more effective on stroke patients with shoulder subluxation.
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