운동반응 근전도 분석을 이용한 뇌졸증 환자의 운동기능 회복 평가
Assessment of Motor Recovery after Stroke by EMG Analysis of Motor Reaction
박병규, 이현충, 신용범, 정동근,
소속 상세정보
박병규 ( Park Byung-Kyu )
부산대학교 의과대학 재활의학교실
이현충 ( Lee Hyun-Choong )
부산대학교 의과대학 재활의학교실
신용범 ( Shin Yong-Beom )
부산대학교 의과대학 재활의학교실
정동근 ( Jung Dong-Geun )
동아대학교 의과대학 신경외과학교실
KMID : 0860920040060010038
Abstract
Objective: To investigate the relationship between EMG timing and activity and motor impairment, and to describe the value of EMG assessment for motor recovery after stroke.
Methods: EMG signal of 18 stroke survivors was recorded during isometric contraction of shoulder and wrist joints along the audible beep. Motor impairment was assessed with the upper limb component of the Fugl-Meyer motor assessment (FMA) and was administered on the same day as the EMF assessments.
Results:Delay in initiation and termination was significantly prolonged in the paretic arm and correlated significantly with FMA. Initiation delay was not significantly prolonged in the paretic arm and correlated significantly with FMA. Initiation delay was not dignificantly different between proximal and distal segments of the affected arm. However, termination delay of wrist contraction was significantly prolonged, compared to that of shoulder abduction. The root mean square of the agonist and antagonist during wrist contractionsscorrelated significantly with FMA.
Conclusion: Timing and strength of EMG have close relationship to motor impairment. Initiation delay of proximal muscle is expected to evaluate motor processing function for whole segment of the limb.Development is likely to co-contraction may be a component of motor recovery sequence. Therefore,EMG assessment is likely to be useful outcome measure and also provise insights into mechanisms for motor recovery in stroke survivors.
키워드
Motor ompairment;Stroke;EMG
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