Clinical effect of self-efficacy intervention combined with electromyographic biofeedback therapy on stroke patients with hemiplegia

Jing Yingying; Wan Jie; Yue Yunhua

doi:10.3760/j.issn.1673-4777.2019.05.017

Abstract：Objective To explore the clinical effect of self-efficacy intervention combined with electromyographic biofeedback therapy on stroke patients with hemiplegia. Methods A total of 150 stroke patients with hemiplegia were enrolled in Central Hospital of Shanghai Yangpu District from July 2017 to June 2018. They were randomly divided into control group,electromyography group and combination group,with 50 cases in each group. All patients had routine medication and rehabilitation training; the electromyography group was treated with electromyographic biofeedback therapy and self-efficacy intervention was given in the combination group; all treatments lasted for 30 days. Scores of General Self-Efficacy Scale(GSES) ,National Institutes of Health Stroke Scale(NIHSS) ,Activity of Daily Living Scale(ADL) and the therapeutic efficiency were analyzed. Results There was no significant difference of scores of GSES,NIHSS and ADL among the 3 groups before treatment(all P > 0.05). After treatment,GSES score in the combination group was significantly higher than that before treatment,in the control group and electromyography group[(27 ± 6) vs (21 ± 6) ,(22 ± 6) ,(21 ± 6) ](all P < 0.05). After treatment,NIHSS and ADL scores significantly decreased in all groups; the scores in the combination group were significantly lower than those in the control group and electromyography group[NIHSS: (9.0 ± 2.3) vs (11.4 ± 3.3) ,(9.8 ± 2.4); ADL: (15 ± 4) vs (20 ± 7) ,(17 ± 6) ]; the scores in the electromyography group was significantly lower than that in the control group (all P < 0.05 ). Effective rates in the control group,electromyography group and combination group were 72.0％ (36 /50 ) , 86.0％ (43 /50) and 96.0％ (48 /50); there was a significant difference among them(χ2 = 9.226,P = 0.010). Conclusion Self-efficacy intervention combined with electromyographic biofeedback therapy can significantly improve the self-efficacy,activity of daily living and neurological deficits,showing a good therapeutic effect on stroke patients with hemiplegia.