Authors :
Megha Sarwade; Dr. Usha Talreja; Dr. Moushumi Debnath
Volume/Issue :
Volume 10 - 2025, Issue 8 - August
Google Scholar :
https://tinyurl.com/bdebtu59
Scribd :
https://tinyurl.com/3ebdc6p5
DOI :
https://doi.org/10.38124/ijisrt/25aug1296
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Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
Introduction:
Stroke is a major cause of long-term disability, frequently leading to diminished hand function that greatly interferes
with daily life activities. Both conventional rehabilitation methods such as Bobath technique and more contemporary
supplements like Electromyographic (EMG) biofeedback have shown on their own advantages in improving motor recovery.
But there’s not much proof about how well they work together.
Methods:
A trial involving 30 post stroke patients (45-70years) drawn from nearby hospitals was carried out. Participants met
inclusion criteria of middle cerebral artery stroke (subacute to chronic stage, Brunnstrom stage 2-5, MMSE>24).Pre and
post-intervention the Michigan Hand Questionnaire (MHQ) evaluated hand function. For four weeks, statistical analysis
was done with paired t-test at a significance threshold of p<0.01 using EMG biofeedback training (40 minutes, 3
sessions/week) and Bobath based exercises(30 minutes/day,3sessions/week).
Results:
Post-intervention examination showed a statistically significant increase in hand function. With a mean difference of
32.5 (t = 12.574, p<0.01), the mean MHQ score rose from 77.5 to 45.0. This suggests improved neuromuscular control, motor
relearning, and functional recovery when the Bobath technique was used with EMG biofeedback.
Conclusion:
The study demonstrates that Research show that post-stroke survivors’ hand function greatly improves when EMG
biofeedback is combined with the Bobath method. As a result of the synergistic effect, the integrated strategy promotes
motor recovery and functional independence, therefore making it somewhat beneficial supplement in stroke recovery.
Keywords :
Stroke, Hand Function, EMG Biofeedback, Bobath Technique, Rehabilitation, Michigan Hand Questionnaire.
References :
- O’sullivan SB, Schmitz TJ, Fulk GD. Physical rehabilitation. 7th ed. Philadelphia, Pa: F.A. Davis Company; 2019.
- Kamalakannan S, Gudlavalleti AashraiSV, Gudlavalleti VenkataSM, Goenka S, Kuper H. Incidence & prevalence of stroke in India: A systematic review. Indian Journal of Medical Research. 2017; 146 (2):175.
- Jones JD, Castanho P, Bazira P, Sanders K. Anatomical variations of the circle of Willis and their prevalence, with a focus on the posterior communicating artery: A literature review and meta-analysis. Clin Anat [Internet]. 2021; 34(7):978–90. Available from: http://dx.doi.org/10.1002/ca.23662
- Chaurasia BD, Garg K, Pragati Sheel Mittal, Mrudula Chandrupatla, Cbs Publishers & Distributors Private Limited. BD Chaurasia’s human anatomy: regional and applied, dissection and clinical. Vol. 4, Brain-neuroanatomy. New Delhi: Cbs Publishers & Distributors Pvt Ltd; 2017.
- Woldag H, Hummelsheim H. Evidence-based physiotherapeutic concepts for improving arm and hand function in stroke patients: a review. Journal of neurology. 2002 May; 249:518-28.
- Hasina SN, Maharani CF, Fitriasari A, Putri RA. Effect of Bobath Therapy On Extremity Muscle Strength In Post Stroke Infarced Patients. Journal for Quality in Public Health. 2023 Nov 30; 7(1):57-65.
- Sabini RC, Dijkers MP, Raghavan P. Stroke survivors talk while doing: development of a therapeutic framework for continued rehabilitation of hand function post stroke. Journal of Hand Therapy. 2013 Apr 1; 26(2):124-31.
- Pathak A, Gyanpuri V, Dev P, Dhiman NR. The Bobath Concept (NDT) as rehabilitation in stroke patients: A systematic review: A systematic review. J Family Med Prim Care [Internet]. 2021; 10(11):3983–90. Available from: http://dx.doi.org/10.4103/jfmpc.jfmpc_528_21
- 9.Radecka A, Lubkowska A. The usefulness of surface electromyography in rehabilitation and physiotherapy: systematic review. Pomeranian Journal of Life Sciences [Internet]. 2020; 66(3):49–56. Available from: http://dx.doi.org/10.21164/pomjlifesci.724
- Rodríguez-Hernández M, Polonio-López B, Corregidor-Sánchez AI, Martín-Conty JL, Mohedano-Moriano A, Criado-Álvarez JJ. Can specific virtual reality combined with conventional rehabilitation improve poststroke hand motor function? A randomized clinical trial. Journal of NeuroEngineering and Rehabilitation. 2023 Apr 4; 20(1):38.
- Kim JH. The effects of training using EMG biofeedback on stroke patients upper extremity functions. Journal of physical therapy science. 2017; 29(6):1085-8.
- Firoozeh F, Dehkordi SN, Dadgoo M, Islam D, Habibi SA. The effects of task-oriented training combined with Bobath program and task-oriented training alone on upper-limb function in stroke patients. Func Disabil J. 2019.
- Lalwani SS, Vardhan GV, Bele A. Comparison the Impact on TENS and Conventional Physiotherapy in Stroke Patients with Upper Limb Dysfunctions: A Research Protocol. Journal of Pharmaceutical Research International. 2021 Oct 2:466-75.
- Arcidiacone S, Panuccio F, Tusoni F, Galeoto G. A systematic review of the measurement properties of the Michigan Hand Outcomes Questionnaire (MHQ). Hand Surgery and Rehabilitation. 2022 Oct 1; 41(5):542-51.
Introduction:
Stroke is a major cause of long-term disability, frequently leading to diminished hand function that greatly interferes
with daily life activities. Both conventional rehabilitation methods such as Bobath technique and more contemporary
supplements like Electromyographic (EMG) biofeedback have shown on their own advantages in improving motor recovery.
But there’s not much proof about how well they work together.
Methods:
A trial involving 30 post stroke patients (45-70years) drawn from nearby hospitals was carried out. Participants met
inclusion criteria of middle cerebral artery stroke (subacute to chronic stage, Brunnstrom stage 2-5, MMSE>24).Pre and
post-intervention the Michigan Hand Questionnaire (MHQ) evaluated hand function. For four weeks, statistical analysis
was done with paired t-test at a significance threshold of p<0.01 using EMG biofeedback training (40 minutes, 3
sessions/week) and Bobath based exercises(30 minutes/day,3sessions/week).
Results:
Post-intervention examination showed a statistically significant increase in hand function. With a mean difference of
32.5 (t = 12.574, p<0.01), the mean MHQ score rose from 77.5 to 45.0. This suggests improved neuromuscular control, motor
relearning, and functional recovery when the Bobath technique was used with EMG biofeedback.
Conclusion:
The study demonstrates that Research show that post-stroke survivors’ hand function greatly improves when EMG
biofeedback is combined with the Bobath method. As a result of the synergistic effect, the integrated strategy promotes
motor recovery and functional independence, therefore making it somewhat beneficial supplement in stroke recovery.
Keywords :
Stroke, Hand Function, EMG Biofeedback, Bobath Technique, Rehabilitation, Michigan Hand Questionnaire.