Assessment of the Effectiveness of Muscle Activating Training With the Use of EMG Biofeedback in Patients With Neuromuscular Diseases
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- Change in range of motion in upper and lower limb by goniometer
研究概览
简要总结
The aim of this study is to assess the impact of individually planned therapeutic procedures, using, among others, the concept of EMG biofeedback, to improve the general functional state, selected motor activities, stimulation and strength of specific muscle syndromes as well as postural parameters in children, adolescents and adults with neuromuscular diseases.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 3 Years 至 25 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •confirmed genetic Duchenne muscular dystrophy (DMD) or Becker muscular dystrophy (BMD), limb-girdle dystrophy, spinal muscular atrophy (SMA), myopathy or neuropathy
- •continued/uninterrupted rehabilitation process for 3 months
- •patient's condition allowing full understanding of commands
排除标准
- •patients using a respirator
- •painful complaints
- •after injuries and fractures in the last 6 months
- •significant weakening of muscle strength, preventing movements and activation of selected muscle groups, visible in the EMG examination
- •cognitive impairment-lack of or poor cooperation between the patient and the therapist,
结局指标
主要结局
Change in range of motion in upper and lower limb by goniometer
时间窗: baseline, after 12 weeks
Assessment of the changes in the range of motion in joints in the upper and lower limb measured by goniometer
Change in strength assessment
时间窗: baseline, after 12 weeks
Assessment of muscle strength using electrical dynamometer MicroFET2
Change in postural assessment by plurimeter (Rippstein)
时间窗: baseline, after 12 weeks
Spine curvature assessment in sagittal plane
Change in functional assessment
时间窗: baseline, after 12 weeks
Motor Function Measure Scale Each MFM32 item is scored on a 4-point Likert scale from 0 (cannot initiate the task) to 3 (performs the task fully). Item scores are summed, and the raw score is transformed to an overall total score ranging from 0 (severe functional impairment) to 100 (no functional impairment).
Change in EMG assessment
时间窗: baseline, after 12 weeks
EMG assessment using Stella BIO device
Hammersmith Functional Motor Scale Expanded
时间窗: baseline, after 12 weeks
It contains 33 items which are scored on a scale of 0, 1, 2 with a total achievable score of 66. Score 2 = performs without modification/adaptation/compensation Score 1 = performs with modification/adaptation/compensation Score 0 = unable to perform A total score can be achieved by summing the scores for all the individual items. The total score can range from 0, if all the activities are failed, to 66, if all the activities are achieved.
Change in postural assessment by scoliometer
时间窗: baseline, after 12 weeks
Assessment of the angle of the torso rotation in a sitting or standing position; Referral for scoliosis when rib slopeAngle of trunk rotation \[ATR\]is : 8 degrees for underweight patients, 7 degrees for normal-weight patients, 6 degrees for overweight patients, and 5 degrees for obese patients.
North Star Ambulatory Assessment
时间窗: baseline, after 12 weeks
17-item rating scale that is used to measure functional motor abilities in ambulant children with Duchenne Muscular Dystrophy. The activities are graded as follows: 2 - "Normal" - no obvious modification of activity 1 - Modified method but achieves goal independent of physical assistance from another 0 - Unable to achieve independently This scale is ordinal with 34 as the maximum score indicating fully-independent function.
次要结局
未报告次要终点