29/2/24, 11:19 Effects of Task-Oriented Training as an Added Treatment to Electromyogram-Triggered Neuromuscular Stimulation on Upper Extremi…

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 June 2016, Volume 23(2)  Español 

Occupational Therapy International
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June 2016 , Volumen 23 ( 2 ), p 165 – 174

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RESEARCH ARTICLES

Effects of Task-Oriented Training as an Added

Treatment to Electromyogram-Triggered
Neuromuscular Stimulation on Upper Extremity
Function in Chronic Stroke Patients
Kim, Sun-Ho (https://oce-ovid-com.bibliotecavirtual.uis.edu.co/article/00060996-201606000-
00008/HTML#contributor-); Park, Ji-Hyuk (https://oce-ovid-
com.bibliotecavirtual.uis.edu.co/article/00060996-201606000-00008/HTML#contributor-); Jung, Min-Ye
(https://oce-ovid-com.bibliotecavirtual.uis.edu.co/article/00060996-201606000-
00008/HTML#contributor-); Yoo, Eun-Young (https://oce-ovid-

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com.bibliotecavirtual.uis.edu.co/article/00060996-201606000-00008/HTML#contributor-)
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Resumen

Abstract
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The purpose of the present study was to investigate the effects of electromyogram-triggered
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neuromuscular stimulation (EMG-stim) combined with task-oriented training (TOT) 
(/journals)
on upper extremity
function in chronic stroke patients. Twenty chronic stroke patients were randomly assigned to either

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29/2/24, 11:19 Effects of Task-Oriented Training as an Added Treatment to Electromyogram-Triggered Neuromuscular Stimulation on Upper Extremi…

the intervention ( n = 10) or control ( n = 10) group. The intervention group conducted TOT with EMG-
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stim on the wrist and finger extensor of the affected arm for 30 minutes per day, 5 days per week, for 4 
weeks. The control group was provided EMG-stim for 20 minutes per day for the same duration. The
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intervention group exhibited significant improvement relative to the control muscle
group in
activation, motor recovery (Fugl-Meyer assessment) and dexterity (Box and Block Test) ( p < 0.05).
Significant differences in hand function between the groups were detected in the writing of short
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sentences and in stacking checkers ( p < 0.05). It is concluded that EMG-stim in combination with TOT
may be better than EMG-stim alone for the treatment of arm paresis in stroke patients. Further
research with a larger sample is recommended to examine neurologic changes or cerebral cortex
reorganization. Copyright © 2016 John Wiley & Sons, Ltd.

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