Department of Electric Engineering and Information Technologies (DIETI), School of Engineering, Federico II University of Naples, Naples, Italy.
Department of Bioengineering, S. Maugeri Foundation, Telese Terme, Benevento, Italy.
Eur J Phys Rehabil Med. 2018 Oct;54(5):705-716. doi: 10.23736/S1973-9087.18.04706-8. Epub 2018 Jan 11.
The recovery of the functional limb mobility of patients with cerebral damages can take great benefit of the role offered by proprioceptive rehabilitation. Recently have been developed a special Regent Suit (RS) for rehabilitative applications. Actually, there are preliminary studies which describes the effects of RS on gait recovery of stroke patients in acute stage, but none in chronic stage. Moreover, it is known that motor recovery does not always reflect improvements of the muscle activity and coactivity.
To investigate the effects of proprioceptive stimulation induced by the Regent Suit (RS) on the EMG patterns during gait in post-stroke chronic patients.
Randomized controlled trial.
S. Maugeri Foundation, Telese Terme (BN), Italy.
Patients have been randomly assigned into two equal groups of 20 patients: experimental group and traditional group. Further, a control group of 20 healthy subjects have been enrolled.
The traditional group attended a rehabilitation program composed by neuro-motor exercises without the RS, the experimental group performed the same rehabilitation program while wearing the RS. The NIH Stroke Scale (NIHSS), the Barthel Index (BI), the Functional Independent Measure (FIM) and the Berg Balance Scale (BBS) have been evaluated. EMG analysis has been performed considering the muscle activation timing over the gait of the soleus, tibialis anterior, semitendinosus and vastus lateralis muscles by decomposing the EMG signals into Gaussian pulses. Then, the symmetry of muscle activation and the muscle synergy patterns over the gait cycle have been assessed.
The proprioceptive stimulation of the RS-based treatment induces higher and remarkable restoration of the normal muscle activation timing, also increasing the muscle symmetry and reducing the pathological muscle coactivation on both affected and non-affected sides.
These results suggest confirm that a RS-based treatment is more effective than usual care in improving the EMG patterns during locomotion and daily living activities in chronic post-stroke subjects.
The proprioceptive rehabilitation Regent Suit based has an impact on motor function in stroke patients during gait.
受损大脑患者肢体功能的恢复，可以从本体感受康复中获益。最近开发了一种特殊的 Regent 套装（RS）用于康复应用。实际上，已经有一些初步的研究描述了 RS 对急性脑卒中患者步态恢复的影响，但没有关于慢性期的研究。此外，众所周知，运动功能的恢复并不总是反映肌肉活动和协同活动的改善。
研究本体感受刺激对慢性脑卒中患者步态中肌电图模式的影响。
随机对照试验。
意大利特莱塞泰尔梅的圣马盖里基金会。
将患者随机分为两组，每组 20 名患者：实验组和传统组。此外，还招募了 20 名健康对照组。
传统组接受了由神经运动练习组成的康复计划，不穿 RS；实验组则穿着 RS 进行同样的康复计划。评估了 NIH 卒中量表（NIHSS）、巴氏指数（BI）、功能独立性测量（FIM）和伯格平衡量表（BBS）。通过将肌电图信号分解为高斯脉冲，对小腿三头肌、胫骨前肌、半腱肌和股外侧肌的步态肌电活动进行了分析，研究了肌肉激活的时间。然后，评估了步态周期中肌肉激活的对称性和肌肉协同模式。
RS 治疗的本体感受刺激可显著恢复正常的肌肉激活时间，提高肌肉对称性，减少患侧和非患侧的病理性肌肉协同活动。
这些结果表明，RS 治疗比常规护理更能有效地改善慢性脑卒中患者的运动功能，改善其运动时和日常生活中的肌电图模式。
基于本体感受康复的 Regent 套装对脑卒中患者步态中的运动功能有影响。
