[Analysis of Abnormal Muscular Coupling During Rehabilitation after Stroke]

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2016 Apr;33(2):244-54.
[Article in Chinese]

Abstract

For the questions of deeply researching abnormal neuromuscular coupling and better evaluating motor function of stroke patients with motor dysfunction,an effective intermuscular coherence analysis method and index are studied to explore the neuromuscular oscillation and the pathomechanism of motor dysfunction,based on which an assessment standard of muscle function is established.Firstly,the contrastive analysis about the intermuscular coherence of antagonistic muscle of affected and intact upper limbs of stroke patients was conducted.Secondly,a significant indicator of Fisher’s Z-transformed coherence significant indicator was defined to quantitatively describe the coupling differences in certain functional frequency domain between surface electromyogram(sEMG)of affected and intact sides.Further more,the relationship between intermuscular coherence and motor task was studied.Through the analysis of intermuscular coherence during elbow flexion-extension of affected and intact sides,we found that the intermuscular coherence was associated with motor task and the stroke patients exhibited significantly lower betaband intermuscular coherence in performing the task with their affected upper limbs.More conclusion can be drawn that beta-band intermuscular coherence has been found concerned with Fugle-Meyer scale,which indicates that betaband intermuscular coherence could be an index assisting in evaluating motor function of patients.

MeSH terms

  • Electromyography
  • Evoked Potentials, Motor
  • Humans
  • Motor Cortex / physiology
  • Motor Cortex / physiopathology
  • Muscle, Skeletal / physiology*
  • Muscle, Skeletal / physiopathology
  • Stroke / physiopathology*
  • Stroke Rehabilitation*