Abstract
ABSTRACTObjectiveTo determine whether electromyography (EMG) can be used in acute stroke care to identify muscle activity in patients with no observable activity during clinical examination.DesignStroke survivors admitted to a level one trauma hospital with initial NIH Stroke Scale scores of two or higher for arm function were recruited within five days of stroke (average 3±1 days), including eleven stroke survivors (7 male/4 female, age 56±11) with no observable or palpable arm muscle activity (Manual Muscle Test, MMT=0) and ten stroke survivors (6 male/4 female, age 64±1) with observable muscle activity (MMT>0). We placed wireless EMG sensors on five major muscle groups (anterior deltoid, biceps, triceps, wrist extensors, and wrist flexors) of the impaired arm for 3-4 hours during standard care.ResultsWe were able to identify muscle contractions in all five muscles for all participants from EMG recordings. Contractions were easily identified from 30-minutes of monitoring for participants with MMT>0, but up to three hours of monitoring was required for participants with MMT=0 to detect contractions in all five muscles during standard care. Only the wrist extensors demonstrated significantly larger amplitude contractions for participants with MMT>0 than MMT=0. Co-contraction was rare, involving less than 10% of contractions. Co-contraction of two muscles most commonly aligned with the flexor synergy pattern commonly observed after stroke. For participants with MMT=0, number of contractions and maximum amplitude in acute care were moderately correlated with MMT scores at follow-up.ConclusionMuscle activity can be detected with surface EMG recordings during standard care, even for stroke survivors with no observable activity by clinical exam.
Publisher
Cold Spring Harbor Laboratory
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献