Question: How is dynamics of the function of the shoulder joint and shoulder girdle muscles in patients with hemiparesis during the acute stage compare to individual rehabilitation sessions (IRS) and IRS plus biofeedback (BF) training?

Design: Randomised, parallel-group trial with intention-to-treat analysis.

Participants: Control group included 25 healthy persons. The group of 25 patients with hemiparesis during the acute stage of first-ever hemispheric stroke: a group receiving IRS (R group).

Intervention: The group of 25 the same type of patients: a group receiving along with IRS the BF training (R & BF group). Outcome measures: The study of patients was conducted before and after the individual set of rehabilitation measures: on the 3-5th day and after the course completion on the 21st day. Each of the participants passed a standard clinical examination and biomechanics investigation of kinematics of shoulders joints and trunk movement, and of EMG of girdle shoulders muscles.

Results: The control group recognized a normal pattern of kinematics of shoulders joints, trunk movements and EMG function. The results of the studies by the clinical scales did not show statistically significant differences in patients group. We noted decrease of all the basic amplitudes of the paretic limb and later EMG maximum activity. As a result of rehabilitation discovered a slight improvement of the paretic limb with somewhat better dynamics in the R & BF group.

Conclusion: Application of the combined technique of the rehabilitation treatment – rehabilitation with biofeedback – provides earlier activation of the reparative processes.

Published on: May 09, 2020
doi: 10.17756/micr.2020-043
Citation: Kaurkin SN, Skvortsov DV, Ivanova GE. 2020. Dynamics of the Function of the Shoulder Joint and Shoulder Girdle Muscles in Patients with Hemiparesis during the Acute Stage of Hemispheric Stroke: A Randomised Trial. J Med Imaging Case Rep 4(1): 22-28.