Abstract
Analysis of immediate effects of Orthosuit on the trunk movement and sEMG of hemiparetic limb when stroke patients reaching forward
  
DOI:
EN KeyWords: orthosuit  stroke  range of motion  surface electromyographic  posture stability
Fund Project:国家重点研发计划项目(2018YFC2001600,2018YFC2001603)
作者单位
郭川 南京医科大学第一附属医院(江苏省人民医院)康复医学中心南京 210029 
卞海波 常州市德安医院康复中心江苏 常州 213004 
赵坤坤 东南大学机械工程学院南京 211189 
李向哲 南京医科大学附属苏州科技城医院康复医学科江苏 苏州 215153 
温娜娜 常州市德安医院康复中心江苏 常州 213004 
王彤 南京医科大学第一附属医院(江苏省人民医院)康复医学中心南京 210029 
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EN Abstract:
  Objective: To observe the immediate effects of Orthosuit on trunk motion capture and hemiparetic limbs’ surface electromyographic (sEMG) signals in stroke patients. Methods: Twenty stroke patients performed forward stretching activities with hemiplegic upper limb in standing before and after wearing Orthosuit. A motion capture system was used to measure trunk forward flexion, rotation and lateral flexion angles. A sEMG system was used to analyze the integral EMG (iEMG) values of pectoralis major, anterior deltoid fasciculus, middle deltoid fasciculus, upper trapezius, biceps brachii, triceps brachii, rectus femoris, gluteus medius, tibialis anterior and gastrocnemius on the hemiplegic side, as well as the cooperative contraction rate (CR) of the triceps. Results: Compared with no Orthosuit wearing, the trunk forward flexion and lateral flexion angles were reduced with Orthosuit worn when stretching forward (both P<0.05). The iEMG values of anterior deltoid fasciculus, upper trapezius, middle deltoid fasciculus, biceps brachii, rectus femoris, gluteus medius and gastrocnemius were increased (all P<0.05), attaching with the CR values of triceps brachii increased (P<0.05). Conclusion: The Orthosuit can assist hemiplegic patients to stabilize posture, provide trunk support and limit abnormal compensatory posture, as well as improve the motor control ability of upper and lower limb muscles.
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