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Allied Journal of Medical Research
|
Volume 2
Page 42
Note:
allied
academies
CANCER THERAPY AND ONCOLOGY
NEUROLOGY AND BRAIN DISORDERS
&
International Conference on
International Conference on
J u n e 2 1 - 2 2 , 2 0 1 8 | O s a k a , J a p a n
Joint Event on
EFFECTS OF EEG-BASED ACTIVE
ASSISTED NEUROFEEDBACK THERAPY
ON HEMIPLEGIC UPPER EXTREMITY
MOTOR FUNCTION
Joo-Hee Park
and
Hye-Seon, Jeon
Yonsei University, South Korea
T
he purpose of this thesis was to investigate the effect of EEG-based
active assisted neurofeedback therapy (AANT) on stroke patients to
improve both their upper extremity functionality and brain activity. Twenty
chronic hemiplegic patients were included in this study. The subjects
were assigned to two groups (10 per group), the control, which received
only physical therapy and the experimental, which additionally received
AANT. Subjects in both groups underwent routine physical rehabilitation,
involving 30minutes of exercise, 3 times/week for 4weeks. Subjects in the
experimental group performed an active assistedwrist extension exercise,
which was combined with EEG neurofeedback. AANT was performed for
1 hour, 3 times/week for 4 weeks. Specifically, the subjects were asked
to try extending their wrist and finger while looking at a monitor, which
depicted the magnitude of real-time mu rhythm from the EEG. After an
obvious voluntary suppression of the mu rhythm was achieved with the
initiation of the wrist/finger extension, a physical therapist assisted the
participant to attain full wrist and finger extension. The outcome variables
of pre- and post- treatment evaluation included the EEG mu rhythm We
found that the electromyogram (EMG) activity and upper extremity Fugl-
Meyer Assessment (FMA) score were significantly increased in patients
of the experimental than in those of the control group. In addition, there
was a significant increase in brain activity of the affected (contralateral)
sensorimotor area (SMA) in the experimental, but not in the control
group. Spasticity, on the other hand, was significantly decreased in the
experimental, but not in the control group. According to the results of this
experiment, AANT improved brain activity in the affected SMA as well as
upper extremity functionality in stroke patients. Therefore, we suggest
neurofeedback therapy combined with proper physical guidance, as a
promising treatment option for chronic stroke patients.
JooHee Park has completed her doctoral de-
gree at the age of 31 years from Yonsei Uni-
versity and post-doctoral course from Yonsei
University School of Physical Therapy. HyeSeon
Jeon is professor of Yonsei University.
pjh1325@naver.comBIOGRAPHY
Joo-Hee Park et al., Allied J Med Res 2018, Volume 2