Long Term Effect of Contralaterally Controlled EMG-Modulated Electrical Stimulation Combined with Training and Botulinum Toxin A (BONT-A) Motor Point Block on Hand Function in Patients with Stroke

Ratna Darjanti Haryadi, Lydia Arfianti, Meisy Andriana

2019

Abstract

Objective: This study describes the long term effect of contralaterally controlled EMG modulated electrical stimulation combined with Botulinum Toxin A (BONT-A) motor point block and hand function training in stroke. Methods: Three stroke patients, onset ≥ 6 months, with paresis of wrist and fingers extensors (MRC 2/5), flexor spasticity >3 (MAS), were given BONT-A injections before training. The training consisted of 40 minutes electrical stimulation on the affected side, proportional to the EMG signal picked-up from the unaffected side, simultaneously doing hand function training, for 3-5 days/ week. Outcome measures were Box and Block Test (BBT) and Nine Hole Peg Test (NHPT) scored before, after training, and at follow-up of 4 and 9 months. Results: After 18 sessions, grasp function (BBT) improved in 3 patients, pinch grip (NHPT) improved in 2 patients. One patient was lost to follow-up. At 4 and 9 months, BBT improved further in 1 patient, deteriorated in 1 patient, while NHPT deteriorated in both patients. Conclusion: Grasp function improved at long term follow-up in 1 chronic stroke patient who consistently used the affected dominant-hand. No improvement was seen in 1 patient affected at the non-dominant hand. Improvement in pinch grip was lost at long term follow-up.

Paper Citation

in Harvard Style

Haryadi R., Arfianti L. and Andriana M. (2019). Long Term Effect of Contralaterally Controlled EMG-Modulated Electrical Stimulation Combined with Training and Botulinum Toxin A (BONT-A) Motor Point Block on Hand Function in Patients with Stroke.In Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI, ISBN 978-989-758-409-1, pages 124-129. DOI: 10.5220/0009064901240129

in Bibtex Style

@conference{konas xi and pit xviii perdosri19,
author={Ratna Darjanti Haryadi and Lydia Arfianti and Meisy Andriana},
title={Long Term Effect of Contralaterally Controlled EMG-Modulated Electrical Stimulation Combined with Training and Botulinum Toxin A (BONT-A) Motor Point Block on Hand Function in Patients with Stroke},
booktitle={Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,},
year={2019},
pages={124-129},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009064901240129},
isbn={978-989-758-409-1},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,
TI - Long Term Effect of Contralaterally Controlled EMG-Modulated Electrical Stimulation Combined with Training and Botulinum Toxin A (BONT-A) Motor Point Block on Hand Function in Patients with Stroke
SN - 978-989-758-409-1
AU - Haryadi R.
AU - Arfianti L.
AU - Andriana M.
PY - 2019
SP - 124
EP - 129
DO - 10.5220/0009064901240129