Effect of Electromyographic Biofeedback Motion Sensing Game on Upper Limb Function in Children with Ob-stetric Brachial Plexus Injury
10.3969/j.issn.1006-9771.2016.12.018
- VernacularTitle:肌电反馈体感游戏治疗分娩性臂丛神经麻痹儿童上肢功能的效果
- Author:
Yulan ZHU
;
Bei ZHANG
;
Liang CHEN
;
Yulong BAI
- Keywords:
obstetric brachial plexus palsy;
electromyographic biofeedback;
motion sensing game;
surface electromyography
- From:
Chinese Journal of Rehabilitation Theory and Practice
2016;22(12):1446-1450
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of electromyographic biofeedback motion sensing game on upper limb function in chil-dren with obstetric brachial plexus palsy (OBPP). Methods From March, 2013 to February, 2014, 41 children with OBPP were randomly as-signed into conventional rehabilitation group (n=21) and motion sensing game group (n=20). Both groups underwent a comprehensive course of rehabilitation, and the motion sensing game group received upper limb occupational therapy in the motion sensing game, for four weeks. They were assessed with Mallet shoulder function scale and the surface electromyogram (EMG) of the deltoid muscle when abduct-ing the shoulder before and after treatment. Results Before treatment, there was no significant difference in the Mallet scores between two groups (t=0.730, P>0.05), the scores improved after treatment in both groups (t>5.085, P<0.05), and the scores after treatment and the D-val-ue scores before and after treatment were higher in the motion sensing game group than in the conventional rehabilitation group (t>3.195, P<0.01). The integral EMG (iEMG) value, average EMG (aEMG) value and maximum EMG (EMGmax) value of the deltoid muscle improved in the motion sensing game group after treatment (t>4.420, P<0.05), however, only aEMG and iEMG improved in the conventional rehabili-tation group (t>2.282, P<0.05). All of them after treatment and the D-value were higher in the motion sensing game group than in the con-ventional rehabilitation group (t>2.155, P<0.05). Conclusion Electromyographic biofeedback motion sensing game therapy plays a role in the rehabilitation of upper limb function and muscle strength in children with OBPP.
