Variation of Surface Electromyogram with Manipulation of Tuina for Stroke Hemiplegics
10.3969/j.issn.1006-9771.2017.07.015
- VernacularTitle:推拿手法对脑卒中患者表面肌电信号的影响
- Author:
Ruoyi LIAO
;
Ting ZHANG
;
Huaan CAI
;
Yuejuan ZHANG
;
Tingyun PENG
;
Qianyu CHEN
;
Bingqian FAN
;
Yisha GUI
;
Zhenzhen YIN
- Keywords:
stroke;
hemiplegia;
Tuina;
manipulation;
surface electromyogram
- From:
Chinese Journal of Rehabilitation Theory and Practice
2017;23(7):807-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of various manipulation of Tuina on surface electromyogram (sEMG) in hemiplegics after stroke. Methods From January to May, 2016, 20 inpatients with hemiplegia after stroke accepted Tuina on bilateral rectus femoris by the same therapist, with the techniques of rolling, patting, rubbing, shaking, kneading and pressing, one minute a manipulation and interval one minute. Integrated electromyography (iEMG), root mean square (RMS) and median frequency (MF) of sEMG were compared, both in rest and during Tuina. Results There was no significant difference of iEMG, RMS and MF between affected and unaffected sides in rest (t<1.147, P>0.05). iEMG and RMS were the most under patting (F>21.376, P<0.001), and MF was the highest under pressing (F>11.772, P<0.001). iEMG, RMS and MF were not very different under other manipulation (P>0.05). iEMG and RMS were less in the affected side than in the unaffected side under patting (P<0.05). Conclusion Various manipulation of Tuina may be different in neuromuscular stimulation, that patting may stimulate more muscles and motor units.