Assessment of Upper Extremity Muscle Spasticity and Impedance Using the Movement and Electromyographical Analyses
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- National Cheng-Kung University Hospital
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Surface electromyography device--3 days after baseline
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study intends to use an dynamometer and surface electromyography to objectively and quantitatively measure the corresponding force and electromyography signal generated when the hand joint receives stretching by doing circular motion, and further explore the differences and relationships of existing muscle spasm classification, kinetic and kinematic data, upper extremity performance, activity of daily life. In addition, to investigate the differences of kinetic and kinematic data between stroke patient and healthy participants during doing hand circular motion activity.
Detailed Description
Purpose 1 : To collect upper limb muscle activity parameters of healthy adults and stroke patients to establish a database of doing hand circular motion activity. Purpose 2 : To test the reliability of this refined muscle testing by collecting the muscle activity during hand circular motion activity. Purpose 3 : To compare the results of the EMG signal strength with other evaluation methods such as the modified Ashworth scale and dynamometer to understand the relationship between the EMG signal and each evaluation results. Purpose 4 : To compare the differences in electromyographic signals, muscle strength, and joint angle between healthy adults and stroke patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •20 to 65 years old
- •with the clinical diagnosis of stroke
- •Mini-mental state examination (MMSE) score ≥ 25 points
Exclusion Criteria
- •pain, subluxation or related medical history of shoulder, elbow, and wrist joints within six months
- •surgery on shoulder, elbow or wrist
- •with muscle or nerve disorders or diseases that significantly affect the performance of the upper extremities
Outcomes
Primary Outcomes
Surface electromyography device--3 days after baseline
Time Frame: 3 days after baseline
The wireless EMG system will be used to record muscle activity of biceps brachii, triceps brachii, anterior deltoid, and brachioradialis during the hand circular motion activity. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- muscle strength--Baseline
Time Frame: Baseline
A digital dynamometer will be used to measure the maximum elbow flexion/extension force as muscle strength. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- muscle strength--3 days after baseline
Time Frame: 3 days after baseline
A digital dynamometer will be used to measure the maximum elbow flexion/extension force as muscle strength. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Modified Ashworth Scale--6 days after baseline
Time Frame: 6 days after baseline
Modified Ashworth Scale (MAS) is a useful assessment tool to classify spasticity.The testing procedure of the MAS is to passively move the joint by the examiner and to feel the resistance during the movements. The scoring of the MAS included 6 level (0, 1, 1+, 2, 3, 4), where no increase muscle tone was score as 0 and rigid joint was score as 4. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Surface electromyography device--Baseline
Time Frame: Baseline
The wireless EMG system will be used to record muscle activity of biceps brachii, triceps brachii, anterior deltoid, and brachioradialis during the hand circular motion activity. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- range of motion--Baseline
Time Frame: Baseline
A digital dynamometer will be used to measure the range of motion of elbow flexion/extension. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- range of motion--6 days after baseline
Time Frame: 6 days after baseline
A digital dynamometer will be used to measure the range of motion of elbow flexion/extension. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Modified Ashworth Scale--3 days after baseline
Time Frame: 3 days after baseline
Modified Ashworth Scale (MAS) is a useful assessment tool to classify spasticity.The testing procedure of the MAS is to passively move the joint by the examiner and to feel the resistance during the movements. The scoring of the MAS included 6 level (0, 1, 1+, 2, 3, 4), where no increase muscle tone was score as 0 and rigid joint was score as 4. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Surface electromyography device--6 days after baseline
Time Frame: 6 days after baseline
The wireless EMG system will be used to record muscle activity of biceps brachii, triceps brachii, anterior deltoid, and brachioradialis during the hand circular motion activity. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- range of motion--3 days after baseline
Time Frame: 3 days after baseline
A digital dynamometer will be used to measure the range of motion of elbow flexion/extension. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Dynamometer device- muscle strength--6 days after baseline
Time Frame: 6 days after baseline
A digital dynamometer will be used to measure the maximum elbow flexion/extension force as muscle strength. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Modified Ashworth Scale--Baseline
Time Frame: Baseline
Modified Ashworth Scale (MAS) is a useful assessment tool to classify spasticity.The testing procedure of the MAS is to passively move the joint by the examiner and to feel the resistance during the movements. The scoring of the MAS included 6 level (0, 1, 1+, 2, 3, 4), where no increase muscle tone was score as 0 and rigid joint was score as 4. These data would be collected three times. (Baseline, 3 days after baseline, 6 days after baseline)
Secondary Outcomes
- Motor Activity Log(Baseline)
- The Fugl-Meyer Upper Extremity Scale(Baseline)
- Box and Block Test(Baseline)
- Action Research Arm Test(Baseline)
- EQ-5D(Baseline)