Standing at a table while training improves the upper limb function of hemiplegic stroke survivors
10.3760/cma.j.issn.0254-1424.2018.08.004
- VernacularTitle:站立桌辅助作业训练在脑梗死偏瘫患者上肢功能训练中的应用
- Author:
Zhenhua SONG
1
;
Xiafei LIN
;
Yanfang SUI
;
Dan YU
;
Liang WANG
;
Jingjing PAN
;
Chunmiao GAN
;
Li ZHANG
;
Ting ZHANG
Author Information
1. 海口市人民医院康复医学科
- Keywords:
Standing;
Cerebral infarction;
Hemiplegia;
Dysfunction;
Occupational training;
Surface electromyography
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(8):575-579
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of standing at a table while training on the upper limb function and muscle surface electromyography of hemiplegics.Methods Sixty hemiplegic persons were randomly divided into an experimental group and a control group,each of 30.The affected upper limbs of the experimental group were trained while standing at a table,while the control group was trained while sitting.Before the treatment,as well as after 2 and 4 weeks of treatment,both groups' motor functioning was evaluated using the Fugl-Mayer upper limb assessment (FMA),as well as muscle surface electromyography.Results Before the treatment there was no significant difference betweenthe two groups' average FMA scores.After 2 and 4 weeks of treatment it had increased significantly in the experimental group,but in the control group the increase was not significant until the fourth week.In terms of surface myography,significant differences were observed in the biceps femoris and gastrocnemius muscles of both groups after 2 weeks.Two weeks later there was further significant improvement in both groups except for the tibialis anterior muscles of the control group.The differences between the two groups were significant after two weeks in the electromyograms of the biceps femoris,gastrocnemius muscle and anterior tibialis.After four weeks the differences between the groups in all of the electromyograms were significant.Conclusion Compared with the traditional sitting position,standing at a table while training can effectively improve the muscle activity of the rectus abdominis and the spine so as to promote the recovery of movement in hemiplegic upper limbs.
