Electromyographic biofeedback applications to stroke patients. A critical review.

This article critically reviews publications on EMG biofeedback applications to stroke patients. The state of the art on specificity of treatment effects, consistency across training procedures, measurement techniques, outcome assessments, transfer of treatment effect, and mechanism of action is discussed. Although EMG biofeedback may augment movement capabilities, at least as well as exercise regimens, data relating neuromuscular changes to function are limited. The deficiencies in our current knowledge about this application to stroke patients are identified, and suggestions for items requiring future clarification are delineated.

[1]  Aleksandr R. Luria,et al.  Restoration of higher cortical function following local brain damage , 1969 .

[2]  Efficacy of myofeedback therapy in regaining control of lower extremity musculature following stroke. , 1979 .

[3]  S. D. Fokkema,et al.  Auditory electromyographic feedback therapy to inhibit undesired motor activity. , 1974, Archives of physical medicine and rehabilitation.

[4]  N. Mroczek,et al.  Electromyographic feedback and physical therapy for neuromuscular retraining in hemiplegia. , 1978, Archives of physical medicine and rehabilitation.

[5]  S. Wolf,et al.  Essential considerations in the use of EMG biofeedback. , 1978, Physical therapy.

[6]  D. Bursill,et al.  Electromyographic feedback in the remobilization of stroke patients: a controlled trial. , 1982, Archives of physical medicine and rehabilitation.

[7]  Andrews Jm.  NEUROMUSCULAR RE-EDUCATION OF THE HEMIPLEGIC WITH THE AID OF THE ELECTROMYOGRAPH. , 1964 .

[8]  R. Roth,et al.  Electromyographic biofeedback to dissociate an upper extremity synergy pattern: a case report. , 1982, Physical therapy.

[9]  J V Basmajian,et al.  Gait analysis in stroke patients to assess treatments of foot-drop. , 1976, Archives of physical medicine and rehabilitation.

[10]  C. Nepomuceno,et al.  Comparison of actual and simulated EMG biofeedback in the treatment of hemiplegic patients. , 1980, American journal of physical medicine.

[11]  P. Engel-Sittenfeld.  Biofeedback in the Treatment of Neuromuscular Disorders , 1977 .

[12]  S L Wolf,et al.  EMG biofeedback in stroke: a 1-year follow-up on the effect of patient characteristics. , 1980, Archives of physical medicine and rehabilitation.

[13]  J. Brudny,et al.  Helping hemiparetics to help themselves. Sensory feedback therapy. , 1979, JAMA.

[14]  P. BachyRita.  Central nervous system lesions: sprouting and unmasking in rehabilitation. , 1981 .

[15]  M. Baker,et al.  EMG biofeedback in stroke: effect of patient characteristics. , 1979, Archives of physical medicine and rehabilitation.

[16]  J V Basmajian,et al.  EMG feedback treatment of upper limb in hemiplegic stroke patients: a pilot study. , 1982, Archives of physical medicine and rehabilitation.

[17]  Effect of EMG feedback on paretic muscles and abnormal co-contraction in the hemiplegic arm, compared with conventional physical therapy. , 1982, Scandinavian journal of rehabilitation medicine.

[18]  S. Middaugh,et al.  Electromyographic feedback: effects on voluntary muscle contractions in normal subjects. , 1982, Archives of physical medicine and rehabilitation.

[19]  J. He,et al.  Muscle re-education in hemiplegia by use of electromyographic device. , 1973 .

[20]  J. Quast,et al.  Biofeedback training to overcome poststroke foot-drop. , 1976, Geriatrics.

[21]  A. Amato,et al.  Use of electromyographic feedback to increase inhibitory control of spastic muscles. , 1973, Physical therapy.

[22]  J. Basmajian,et al.  Biofeedback in physical medicine and rehabilitation , 1978, Biofeedback and self-regulation.

[23]  K. Lee,et al.  Myofeedback for muscle retraining in hemiplegic patients. , 1976, Archives of physical medicine and rehabilitation.

[24]  S. S. Steiner,et al.  Biofeedback efficacy studies , 1981, Biofeedback and self-regulation.

[25]  J V Basmajian,et al.  Biofeedback treatment of foot-drop after stroke compared with standard rehabilitation technique: effects on voluntary control and strength. , 1975, Archives of physical medicine and rehabilitation.

[26]  J. Brudny,et al.  Sensory feedback therapy in patients with brain insult. , 1977, Scandinavian journal of rehabilitation medicine.

[27]  A. Marinacci,et al.  Electromyogram in neuromuscular re-education. , 1960, Bulletin of the Los Angeles Neurological Society.

[28]  Skelly Am,et al.  EMG biofeedback therapy in the re-education of the hemiplegic shoulder in patients with sensory loss. , 1982 .

[29]  R. Lee,et al.  EMG Biofeedback In Patients With Motor Disorders: An Aid For Co-Ordinating Activity In Antagonistic Muscle Groups , 1980, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[30]  S. Wolf,et al.  Evaluation of electromyographic biofeedback as an adjunct to therapeutic exercise in treating the lower extremities of hemiplegic patients. , 1981, Physical therapy.