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Evaluation of Electromyographic Biofeedback as an Adjunct to Therapeutic Exercise in Treating the Lower Extremities of Hemiplegic Patients

Mr. Binder is Instructor, Graduate Programs in Physical Therapy, Emory University, and Research Associate, Emory University Regional Rehabilitation Research and Training Center, 1441 Clifton Rd NE, Atlanta, GA 30322 (USA).
Ms. Moll is Staff Physical Therapist, Center for Rehabilitation Medicine, Emory University, Atlanta, GA 30322.
Dr. Wolf is Associate Professor, Department of Rehabilitation Medicine; Assistant Professor, School of Allied Health Professions; and Coordinator of Biofeedback Research Activities, Emory University Regional Rehabilitation Research and Training Center.

The following controlled, preliminary investigation was designed to determine whether electromyographic biofeedback, in conjunction with therapeutic exercise, could influence the reacquisition of functional lower extremity movements in chronic hemiplegic patients. Both the control (standardized therapeutic exercise regimen) and experimental (therapeutic exercise regimen combined with electromyographic biofeedback) groups improved in ankle active range of motion; only the experimental group significantly shortened its timed ambulation over a carpeted surface. One patient in the experimental group who was given 12 additional training sessions showed further gains in knee and ankle joint angle measurements during walking. The apparent potential for rehabilitation of chronic hemiplegic patients and the benefits afforded to physical therapists from a standardized therapeutic exercise protocol are discussed.

Key Words: Hemiplegia • Biofeedback • Exercise therapy • Gait • Physical therapy

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