Does electromyographic biofeedback improve exercise effects in hemiplegic patients? A pilot randomized controlled trial 
            
                Selcan  Arpa, Suheda  Ozcakir
                Department of Physical Medicine and Rehabilitation, Uludag University School of Medicine, 16059 Bursa, Turkey.
                DOI: 10.2340/16501977-2513                
                                
   
            Abstract
            
                Objective: The aim of this pilot randomized study was to assess the efficacy potential of an electromyo-graphic biofeedback-assisted exercise programme on clinical and functional outcomes of hemiplegic patients in comparison with sham electromyogra-phic biofeedback. 
Patients and methods: Thirty-four patients with hemiplegia were randomized into 2 groups. Both groups participated in an inpatient rehabilitation programme including exercise interventions and ambulation training 5 days a week for 2 weeks. Lower extremity exercises were performed via electromyogra-phic biofeedback in Group 1 (n = 17), while a sham technique was used for patients in Group 2 (n = 17). Range of motion, spasticity, muscle strength, func-tional level and walking speed were assessed before and after treatment. Follow-up was performed at 1 and 3 months after treatment. 
Results: Significant improvements were found for range of motion, muscle strength, Barthel Index and 10-m walking time in both groups. 
Conclusion: This study suggests that exercise with or without electromyographic biofeedback is effective for improving clinical and functional parameters in hemiplegic patients. Larger studies are needed to determine whether electromyographic biofeedback-assisted exercises provide additional benefits.             
            
                        Lay Abstract
            
                This study suggests that exercise with or without electromyographic biofeedback is effective for improving clinical and functional parameters in hemiplegic patients.             
            
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