Evidence map›Paper›PMID 34526058›Full record

ArticleJournal of neuroengineering and rehabilitation2021

Home-based self-help telerehabilitation of the upper limb assisted by an electromyography-driven wrist/hand exoneuromusculoskeleton after stroke.

Chingyi Nam, Bingbing Zhang, Tszying Chow, Fuqiang Ye, Yanhuan Huang, Ziqi Guo, Waiming Li, Wei Rong, Xiaoling Hu, Waisang Poon

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03752775 (Mobile Electromyography), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03752775 narecruitingnot on this map

Mobile Electromyography (EMG)-Driven Exoneuromusculoskeleton for Upper Limb Rehabilitation After Stroke

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2018 to 2027Enrolled45ConditionsUpper Limb RehabilitationArmsRobot assisted upper limb rehabilitation
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effects of home-based neurostimulation on outcomes after stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chingyi NamDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Bingbing ZhangDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Tszying ChowDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Fuqiang YeDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Yanhuan HuangDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Ziqi GuoDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Waiming LiDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Wei RongDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Xiaoling HuDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China. xiaoling.hu@polyu.edu.hk.ORCID 0000-0003-3188-3005
Waisang PoonDepartment of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost stroke survivors have sustained upper limb impairment in their distal joints. An electromyography (EMG)-driven wrist/hand exoneuromusculoskeleton (WH-ENMS) was developed previously. The present study investigated the feasibility of a home-based self-help telerehabilitation program assisted by the aforementioned EMG-driven WH-ENMS and its rehabilitation effects after stroke.

methodsPersons with chronic stroke (n = 11) were recruited in a single-group trial. The training progress, including the training frequency and duration, was telemonitored. The clinical outcomes were evaluated using the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT), Motor Functional Independence Measure (FIM), and Modified Ashworth Scale (MAS). Improvement in muscle coordination was investigated in terms of the EMG activation level and the Co-contraction Index (CI) of the target muscles, including the abductor pollicis brevis (APB), flexor carpi radialis-flexor digitorum (FCR-FD), extensor carpi ulnaris-extensor digitorum (ECU-ED), biceps brachii (BIC), and triceps brachii (TRI). The movement smoothness and compensatory trunk movement were evaluated in terms of the following two kinematic parameters: number of movement units (NMUs) and maximal trunk displacement (MTD). The above evaluations were conducted before and after the training.

resultsAll of the participants completed the home-based program with an intensity of 63.0 ± 1.90 (mean ± SD) min/session and 3.73 ± 0.75 (mean ± SD) sessions/week. After the training, motor improvements in the entire upper limb were found, as indicated by the significant improvements (P < 0.05) in the FMA, ARAT, WMFT, and MAS; significant decreases (P < 0.05) in the EMG activation levels of the APB and FCR-FD; significant decreases (P < 0.05) in the CI of the ECU-ED/FCR-FD, ECU-ED/BIC, FCR-FD/APB, FCR-FD/BIC, FCR-FD/TRI, APB/BIC and BIC/TRI muscle pairs; and significant reductions (P < 0.05) in the NMUs and MTD.

conclusionsThe results suggested that the home-based self-help telerehabilitation program assisted by EMG-driven WH-ENMS is feasible and effective for improving the motor function of the paretic upper limb after stroke. Trial registration ClinicalTrials.gov. NCT03752775; Date of registration: November 20, 2018.

Indexed as

RoboticsStrokeStroke RehabilitationTelerehabilitationElectromyographyHumansTreatment OutcomeUpper ExtremityWristHome trainingRehabilitationRobotStrokeTelerehabilitation

Identifiers

PMID34526058
PMCPMC8442816

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.