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Effects of mental imagery training combined electromyogram-triggered neuromuscular electrical stimulation on upper limb function and activities of daily living in patients with chronic stroke: a randomized controlled trial [with consumer summary]
Park J-H
Disability and Rehabilitation 2020;42(20):2876-2881
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: Previous studies have suggested that electromyogram-triggered neuromuscular electrical stimulation is beneficial in enhancing the upper limb function of patients with stroke. However, mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation investigation has received a little attention. This study investigated effects of mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation on upper limb function and activities of daily living of patients with chronic stroke. METHOD: Sixty-eight participants were randomly allocated to mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation group or the electromyogram-triggered neuromuscular electrical stimulation group. Both the groups performed each intervention for 30 min a day, 5 days a week, for 6 weeks. The Action Research Arm Test, Fugl-Meyer Assessment, and Korean version of Modified Barthel Index were used for outcome measures. RESULTS: After the intervention, both the groups showed significant improvements in all outcome measures. However, there were no significant differences in outcome measures between both the groups. CONCLUSIONS: These results indicated that both mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation and electromyogram-triggered neuromuscular electrical stimulation are beneficial to improve the upper limb function and activities of daily living of patients with chronic stroke.

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