The Effect of Electromyography Biofeedback in Combination Conventional Physiotherapy Training on Improving Walking Speed in Individual with Chronic Stroke: A Meta-Analysis
Abstract
Background: The main important goal in rehabilitation of chronic stroke patients is improvement walking speed. EMG biofeedback training is promising treatment for improving that outcome. It offers an exceptional approach (self-control training) that does not exist in conventional physiotherapy. Based on a continuous biofeedback of EMG signal recorded in selective muscles, with the goal of modifying it. Objectives: Efficiency EMG biofeedback training in combination conventional physiotherapy approaches and the implementation into clinical settings to improve walking speed in individuals‘ chronic stroke. Methods: We searched English-language of randomised controlled studies (RCT) and words related EMG biofeedback (electromyography, biofeedback, visual biofeedback and auditory biofeedback) and related walking speed (gait speed, walking velocity, and gait velocity) as well as chronic stroke between 1980-2019 using MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, ScienceDirect, and Physiotherapy Evidence Database (PEDro), Grey Literature Report, The British Library. Results: Eleven studies including 110 participants met the inclusion criteria but only nine checked sufficient outcome data for gait speed. For this meta-analysis, the mean effect size was statistically significant (p = 0.03) with mean 2.15 (95% CI, 0.16 [0.01, 0.30]), Z test. However, the result did not exceed Minimal Clinically Important Difference (MICD) score of walking speed improvement in chronic stroke patients. Conclusions: Statistically, the result indicate that EMG biofeedback training is superior to conventional physiotherapy alone for enhancing walking speed in individuals with chronic stroke. However, the meta-analysis verified lack of clinical significance for implementing EMG biofeedback training in clinical settings. Applications/Originality/Value: This study contributes to solving nutrition problem in adolescent female athlete and as a basis for intervention in the problem of female athlete triad.
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Andreoli, A., Celi, M., Volpe, S. L., & Sorge, R. (2011). Long-term effect of exercise on bone mineral density and body composition in post-menopausal ex-elite athletes : A retrospective study. European Journal of Clinical Nutrition, 66(1), 69–74. https://doi.org/10.1038/ejcn.2011.104
Bae, J., Park, S., & Kwon, J. (2018). Factors associated with menstrual cycle irregularity and menopause. BMC Women's Health, 18(36), 1–11.
Bradbury, K. E., Guo, W., Cairns, B. J., & Armstrong, M. E. G. (2017). Association between physical activity and body fat percentage , with adjustment for BMI : a large cross- sectional analysis of UK Biobank. BMJ Open, 7, 1–9. https://doi.org/10.1136/bmjopen-2016-011843
Fink, H. H., & Mikesky, A. E. (2015). Pratical Applications in Sport Nutrition. (R. Dearborn, Ed.) (4th ed.). USA: Jones & Bartlett Learning.
Gallagher, M. L. (2008). The Nutrients and Their Metabolism. In L. K. Mahan & S. E. Stump (Eds.), Krause's Food and Nutrition Therapy (12th ed., pp. 39–135). Kanada: Elsevier.
Gibbs, J. C., Williams, N. I., & Souza, M. J. D. E. (2013). Prevalence of Individual and Combined Components of the Female Athlete Triad. Journal of American College of Sport Medicine, 985–996. https://doi.org/10.1249/MSS.0b013e31827e1bdc
Goolsby, M. A., & Boniquit, N. (2017). Bone Health in Athletes : The Role of Exercise , Nutrition , and Hormones. Sport Health, 9(2), 108–117. https://doi.org/10.1177/1941738116677732
Gudmundsdottir, S. L., Flanders, W. D., & Augestad, L. B. (2011). A longitudinal study of physical activity and menstrual cycle characteristics in healthy Norwegian women – The Nord-Trøndelag Health Study. Norsk Epidemiologi, 20(2), 163–171.
Hamzah, S., Hamid, M. S. A., & Ahmad, N. S. (2018). Bone Mineral Density and Associated Risk Factors among Female Athletes : A Cross-2 Sectional Study Bone Mineral Density and Associated Risk Factors among Female Athletes : A Cross-Sectional Study. Sains Malysiana, 47(1), 123–129. https://doi.org/10.17576/jsm-2018-4701-15
Hoch, A. Z., Pajewski, N. M., Moraski, L., Guillermo, F., Wilson, C. R., Hoffmann, R. G., … Gutterman, D. D. (2010). Prevalence of the Female Athlete Triad in High School Athletes and Sedentary Students. Clinical Journal of Sport Medicine, 19(5), 421–428. https://doi.org/10.1097/JSM.0b013e3181b8c136.PREVALENCE
Hong, A. R., & Kim, S. W. (2018). Effect of Resistance Exercise on Bone Health. Endocrinology and Metabolism, 33, 435–444.
International Olympic Comittee. (2010). Singapore 2010 Youth Olympic Games Official Report. Retrieved January 28, 2019, from https://www.olympic.org/singapore-2010
International Olympic Comittee. (2014). Official Report of the 2nd Summer Youth Olympic Games — Nanjing 2014. Retrieved January 28, 2019, from https://www.olympic.org/nanjing-2014
International Olympic Comittee. (2018). Factsheet Women in the Olympic Movement Update– October 2018. Retrieved January 28, 2019, from https://www.olympic.org/women-in-sport
Katherine A Beals; Melinda M Manore. (2007). Nutritional concerns of Female Athletes. In Neil Spuraway; Don Maclaren (Ed.), Advances in Sport and Exercise Science Series Nutrition and Sport (pp. 187–206). China: Elsevier.
Kaushal, H., & Multani, N. K. (2017). Association of Menstrual Function With Bone Mineral Denisty Amongst Punjabi University Female Athletes. International Journal Physiotherapy, 4(4), 212–216.
Kelley, G. A., Kelley, K. S., & Kohrt, W. M. (2012). Effects of Ground and Joint Reaction Force Exercise on Lumbar Spine and Femoral Neck Bone Mineral Density in Postmenopausal Women : A Meta-analysis of Randomized Controlled Trials. BMC Musculoskeletal Disorders, 13(1), 1–19. https://doi.org/10.1186/1471-2474-13-177
Kim, J., Jung, M., Hong, Y., Park, J., & Choi, B. (2013). Physical Activity in Adolescence Has a Positive Effect on Bone Mineral Density in Young Men. Journal of Preventive Medicine and Public Health, 46, 89–95.
Logue, D. M., Madigan, S. M., Heinen, M., Delahunt, E., Corish, C. A., Logue, D. M., … Corish, C. A. (2019). Screening for risk of low energy availability in athletic and recreationally active females in Ireland active females in Ireland. European Journal of Sport Science, 19(1), 112–122. https://doi.org/10.1080/17461391.2018.1526973
Maillane-vanegas, S., Agostinete, R. R., Lynch, K. R., Ito, I. H., Luiz-de-marco, R., Rodrigues-junior, M. A., & Turi-lynch, B. C. (2018). Bone Mineral Density and Sports Participation. Journal of Clinical Densitometry. https://doi.org/10.1016/j.jocd.2018.05.041
Maspaitella, M. L., & Dieny, F. F. (2012). Relationship of Calsium and Phosphorus, Body Mass Index, Body Fat Percentage, Sport Habits, Age of Menarche with Bone Minereal Density in Female Adolescent. Journal of Nutrition College, 1(1), 229–240.
Matzkin, E., Curry, E. J., & Whitlock, K. (2010). Female Athlete Triad : Past , Present and Future. Journal of the American Academy of Orthopaedic Surgeons, 23, 424–432.
Mielgo-ayuso, J., Luzardo-socorro, R., & Palacios, G. (2015). Evaluation of nutritional status and energy expenditure in athletes. Nutricion Hospitalaria, 31, 227–236. https://doi.org/10.3305/nh.2015.31.sup3.8770
Mosavat, M., Mohamed, M., & Mirsanjari, M. O. (2013). Effect of Exercise on Reproductive Hormones in Female Athletes. International Journal of Sport and Exercise Science, 5, 7–12.
Nattiv, A., Loucks, A. B., Manore, M., Sanborn, C. F., Borgen, J. S., & Warren, M. P. (2007). The Female Athlete Triad. Journal of the American College of Sport Medicine, 1867–1882. https://doi.org/10.1249/mss.0b013e318149f111
Nepocatych, S., Balilionis, G., & O‘Neal, E. K. (2017). Analysis of Dietary Intake and Body Composition of Female Athletes over a Competitive Season. Journal of Sport Medicine Science, 6(2), 57–65.
Nichols, J. F., Rauh, M. J., Lawson, M. J., Ji, M., & Barkai, H. (2006). Prevalence of the Female Athlete Triad Syndrome Among High School Athletes. Journal Archives of Pediatrics & Adolescent Medicine, 160, 137–142.
Noprisanti, Masrul, & Defrin. (2018). Relationship of Protein, Calcium, Phosphorus and Magnesium Intake with Bone Mineral Density in Female Adolescent of SMP NEGERI 5 Padang. Journal Kesehatan Andalas, 7, 29–36.
Ooi, F. K., & Sahrir, N. A. (2018). Physical Activity , Bone Remodelling and Bone Metabolism Markers. Journal of Exercise, Sports & Orthopedics, 5(2), 3–6.
Osman, D. A., Nahas, E. M. El, El-bana, R. A., Hamada, H. A., & Saab, I. M. (2017). Bone mineral density and body composition according to menstrual status in female gymnasts : An observational study . Biomedical Research, 28(19), 8390–8396.
Ramayulis, R., Pramantara, I. D., & Pangastuti, R. (2011). Relationship of Vitamin , Mineral Intake, Ratio of Calcium and Phosphorus with Women Calcaneus Bone Mineral Density. Jurnal lGizi Klinik Indonesia, 7(3), 115122.
Rauh, M. J., Facsm, À., Nichols, J. F., & Barrack, M. T. (2010). Relationships Among Injury and Disordered Eating, Menstrual Dysfunction, and Low Bone Mineral Density in High School Athletes: A Prospective Study. Journal of Athlete Training, 45(3), 243–252.
Sanders, K. M., Nowson, C. A., Kotowicz, M. A., Briffa, K., Devine, A., & Reid, I. R. (2009). Calcium and bone health: position statement for the Australian and New Zealand Bone and Mineral Society, Osteoporosis Australia and the Endocrine Society of Australia. Medical Journal of Australia, 190(6), 316–320.
Schtscherbyna, A., Ribeiro, B. G., & Farias, M. L. F. de. (2013). Bone Health, Bone Mineral Density and Sports Performance. In D. Bagchi, S. NAIR, & C. K. SEN (Eds.), Nutrition and Enhanced Sports Perfomences (pp. 75–80). San Diego: Elsevier.
Subarjati, A., & Nuryanto. (2015). Relationship Body Mass Index with Leptin Level and adiponectin. Journal of Nutrition College, 4(2), 428–434.
Sygo, J., Clinic, C., Coates, A. M., Mountjoy, M., & Burr, J. F. (2018). Prevalence of Indicators of Low Energy Avaibility in Elite Female Sprinters. International Journal of Sport Nutrition and Exercise Metabolism, 1–23. https://doi.org/10.1123/ijsnem.2017-0397
Thein-nissenbaum, J., & Hammer, E. (2017). Treatment strategies for the female athlete triad in the adolescent athlete : current perspectives. Journal of Sport Medicine, 8, 85–95.
Thein-nissenbaum, J. M., Rauh, M. J., Carr, K. E., Loud, K. J., & Mcguine, T. A. (2012). Menstrual Irregularity and Musculoskeletal Injury in Female High School Athletes. Journal of Athletic Training, 47(1), 74–82.
Weeks, B. K., & Beck, B. R. (2008). The BPAQ : A bone-specific physical activity assessment instrument. Osteoporosis International, 19, 1567–1577. https://doi.org/10.1007/s00198-008-0606-2
Whitney E; Rolfes SR. (2011). The Fat Soluble Vitamins: A, D, E and K. In Williams P (Ed.), Understanding Nutrition (12th ed., pp. 354–380). USA: Wadsworth Cengange Learning.
Wodarska, M., Witkos, J., Drosdzol-Cop, A., J.Dabrowska, Dabrowska-Galas, M., Hartman, M., … Skrzypulec-Plinta, V. (2013). Menstrual cycle disorders in female volleyball players. Journal of Obstetrics and Gynaecology, 33, 484–488. https://doi.org/10.3109/01443615.2013.790885
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