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Biofeedback pp 153–177Cite as

The Use of Biofeedback in Disorders of Motor Function

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Abstract

Most physical therapeutic interventions are applied to patients with movement limitations resulting from weakness, central nervous system dysfunction, or a breakdown in appropriate integration of sensory information to effect purposeful motion. Inevitably clinicians in physical medicine and rehabilitation make use of their observational abilities and palpatory skills to instruct patients to improve motor performance. These instructions are often combined with a variety of neuromuscular reeducation techniques. In this framework clinicians typically provide verbal cues to a patient and, based on the clinician’s interpretation of the patient’s response, offer further information. In short, the clinician serves as a feedback interface to the patient.

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References

  • Asato, S., Twiggs, D. G., and Ellison, S. (1981). EMG biofeedback training for a mentally retarded individual with cerebral palsy. Physical Therapy, 61, 1447–1452.

    PubMed  Google Scholar 

  • Basmajian, J. V. (1978). Conscious control and training of motor units and motor neurons. Muscles alive: Their functions revealed by electromyography (2nd ed., pp. 114–130 ). Baltimore, MD: Williams and Wilkins.

    Google Scholar 

  • Basmajian, J. V. (Ed.). (1978). Therapeutic exercise ( 3rd ed. ). Baltimore, MD: Williams and Wilkins.

    Google Scholar 

  • Basmajian, J. V., Kukulka, C. G., and Narayan, M. G. (1975). Biofeedback treatment of foot-drop after stroke compared with standard rehabilitation technique: Effects on voluntary control and strength. Archives Physical Medicine and Rehabilitation, 56, 231–236.

    Google Scholar 

  • Basmajian, J. V., Gowland, C., and Brandstater, M. E. (1982). EMG feedback treatment of upper limb in hemiplegic stroke patients: A pilot study. Archives of Physical Medicine and Rehabilitation, 63, 613–616.

    PubMed  Google Scholar 

  • Baum, H. M., and Robins, M. (1981). Survival and prevalence. Stroke, 12, 59–68.

    Google Scholar 

  • Binder, S. A., Moll, C. B., and Wolf, S. L. (1981). Evaluation of electromyographic biofeedback as an adjunct to therapeutic exercise in treating the lower extremities of hemiplegic patients. Physical Therapy, 61, 886–893.

    PubMed  Google Scholar 

  • Bobath, B., and Bobath, K. (1975). Motor development in the different types of cerebral palsy. London: Heinemann.

    Google Scholar 

  • Brudny, J., Korein, J., Levidow, L., Grynbaum, B., Lieberman A., and Friedmann, K. (1974). Sensory feedback therapy as a modality of treatment in central nervous system disorders of voluntary movement. Neurology, 24, 925–932.

    Article  PubMed  Google Scholar 

  • Brudny, J., Korein, J., and Grynbaum, B. B. (1976). EMG feedback therapy: Review of 114 patients. Archives of Physical Medicine and Rehabilitation, 57, 55–61.

    PubMed  Google Scholar 

  • Brudny, J., Korein, J., Grynbaum, B. B. (1977). Sensory feedback therapy in patients with brain insult. Scandinavian Journal of Rehabilitation Medicine, 9, 155–163.

    PubMed  Google Scholar 

  • Burnside, I. G., Tobias, S., and Bursill, D. (1982). Electromyographic feedback in the re-mobilization of stroke patients: A controlled trial. Archives of Physical Medicine and Rehabilitation, 63, 217–222.

    PubMed  Google Scholar 

  • Cataldo, M. F., Bird, B., and Cunningham, C. (1978). Experimental analysis of EMG feedback in treating cerebral palsy. Journal of Behavioral Medicine, 1, 311–322.

    Article  PubMed  Google Scholar 

  • Cleeland, C. S. (1973). Behavioral techniques in the modification of spasmodic torticollis. Neurology, 23, 1241–1247.

    Article  PubMed  Google Scholar 

  • Fernando, C. K., and Basmajian, J. V. (1978). Biofeedback in physical medicine and rehabilitation. Biofeedback and Self-Regulation, 3, 435–455.

    Article  PubMed  Google Scholar 

  • Finley, W. W. (1983). Operant conditioning of the short-latency cervical somatosensory evoked potential in quadriplegics. Experimental Neurology, 81, 542–588.

    Article  PubMed  Google Scholar 

  • Fish, D., Mayer, N., Herman, R. (1976). Letter to the editor: Biofeedback. Archives of Physical Medicine and Rehabilitation, 57, 152.

    PubMed  Google Scholar 

  • Foltz, E. L. (1959). Experimental spasmodic torticollis. Journal of Neurosurgery, 16, 55–59.

    Article  PubMed  Google Scholar 

  • Gianutsos, J., Eberstein, A., and Krasilowsky, G. (1979). EMG feedback in the rehabilitation of upper extremity function: Single case studies of chronic hemiplegics. International europsychological Society Bulletin, Symposium Issue, 1–12.

    Google Scholar 

  • Gilbert, G. J. (1977). Familial spasmodic torticollis. Neurology, 27, 11–13.

    Article  PubMed  Google Scholar 

  • Gildenberg, P. L., (1981). Comprehensive management of spasmodic torticollis. Seminar of Spinal Cord Stimulation, New York 1980. Applied Neurophysiology, 44, 233–243.

    PubMed  Google Scholar 

  • Hume W. I. (1981). Biofeedback (Vol. 3, pp. 9–16). New York: Human Sciences Press. 1981, 9–16.

    Google Scholar 

  • Hurd, W. W., Pegram, V., and Nepumuceno, C. (1980). Comparison of actual and simulated MG biofeedback in the treatment of hemiplegic patients. American Journal of Physical Medicine, 59, 73–82.

    PubMed  Google Scholar 

  • Johnson, H. E., and Garton, W. H. (1973). Muscle re-education in hemiplegia by use of electromyographic device. Archives of Physical Medicine and Rehabilitation, 54, 320–323.

    PubMed  Google Scholar 

  • Korein, J., Brudny, J., Grynbaum, B., Sachs-Frankel, G., Weisinger, M., and Levidow, L. (1976). Sensory feedback therapy of spasmodic torticollis and dystonia: Results in treatment of 55 patients. In R. Eldridge and S. Fahn (Eds.), Advances in Neurology (Vol. 40 ). New York: Raven Press.

    Google Scholar 

  • Lee, K.- H., Hill, E., and Johnston, R. (1976). Myofeedback for muscle retraining in hemiplegic patients. Archives of Physical Medicine and Rehabilitation, 57, 588–591.

    PubMed  Google Scholar 

  • Leiper, C. I., Miller, A., Lang, J., and Herman, R. (1981). Sensory feedback for head control in cerebral palsy. Physical Therapy, 61, 512–518.

    PubMed  Google Scholar 

  • LeVeau, B. F., and Rogers, C. (1980). Selective training of the vastus medialis muscle using EMG biofeedback. Archives of Physical Medicine and Rehabilitation, 60, 1410–1415.

    Google Scholar 

  • Levy, L. L. (1975). Examination and diagnosis. In S. Licht (Ed.), Stroke and its rehabilitation (pp. 78–105 ). Baltimore, MD: Waverly Press.

    Google Scholar 

  • Lucca, J. A., and Recchiuti, S. J. (1983). Effect of electromyographic biofeedback on an isometric strengthening program. Physical Therapy, 63, 200–203.

    PubMed  Google Scholar 

  • Martin, P. R. (1982) Spasmodic torticollis: A behavioral perspective. Journal of Behavioral Medicine, 5, 249–273.

    Article  PubMed  Google Scholar 

  • McCormick, W. F. (1975). The pathology of strokes. In S. Licht (Ed.), Stroke and its rehabilitation (pp. 46–77 ). Baltimore: Waverly Press.

    Google Scholar 

  • Middaugh, S. J. (1978). EMG feedback as a muscle re-education technique: A controlled study. Physical Therapy, 58, 15–22.

    PubMed  Google Scholar 

  • Middaugh, S. J., and Miller, M. C. (1980). Electromyographic feedback: Effect on voluntary muscle contractions in paretic patients. Archives of Physical Medicine and Rehabilitation, 61, 24–29.

    PubMed  Google Scholar 

  • Middaugh, S. J., Miller, M. C., Foster, G. and Ferdon, M. B. (1982). Electromyographic feedback: Effects on voluntary muscle contractions in normal subjects. Archives of Physical Medicine and Rehabilitation, 63, 154–160.

    Google Scholar 

  • Milner-Brown, H. S., and Penn, R. D. (1979). Pathophysiological mechanisms in cerebral palsy. Journal of Neurology, Neurosurgery, and Psychiatry, 42, 606–618.

    Google Scholar 

  • Mroczek, N., Halpern, D., and McHugh, R. (1978). Electromyographic feedback and physical therapy for neuromuscular retraining in hemiplegia. Archives of Physical Medicine and Rehabilitation, 59, 258–267.

    PubMed  Google Scholar 

  • Nacht, M. B., Wolf, S. L., and Coogler, C. E. (1982). Use of electromyographic biofeedback during the acute phase of spinal cord injury. Physical Therapy, 62, 290–294.

    PubMed  Google Scholar 

  • National Institutes of Health. (1976). Neurological and communicative disorders: Estimated numbers and cost (DREW Publication No. (NIH)77–152. Bethesda, MD.

    Google Scholar 

  • Neilson, P. D., and McCaughey, J. (1982). Self-regulation of spasm and spasticity in cerebral palsy. Journal of Neurology, Neurosurgery, and Psychiatry, 45, 320–330.

    Google Scholar 

  • Prevo, A. J. H., Visser, S. L., and Vogelaar, T. W. (1982). Effect of EMG feedback on paretic muscles and abnormal co-contraction in the hemiplegic arm, compared with conventional physical therapy. Scandinavian Journal of Rehabilitation Medicine, 14, 121–131.

    PubMed  Google Scholar 

  • Robins, M., and Baum, H. M. (1981). Incidence. In F. D. Weinfeld (Ed.), Stroke (pp. 45–55 ).

    Google Scholar 

  • Romanul, R. (1976). Some anatomical and pathophysiological aspects of clinical importance in stroke. In F. J. Gillingham, C. Mawdsley, and A. E. Williams (Eds.), Stroke (pp. 167–177 ). London: Churchill-Livingstone.

    Google Scholar 

  • Rusk, H. A. (1971). Rehabilitation medicine ( 3rd ed. ). St. Louis, MO: C. V. Mosby.

    Google Scholar 

  • Santee, J. L., Keister, M. E., and Kleinman, K. M. (1980). Incentives to enhance the effects of electromyographic feedback training in stroke patients. Biofeedback and Self-Regulation, 5, 51–56.

    Article  PubMed  Google Scholar 

  • Scoville, W. B., and Bettis, D. B. (1979). Motorics of the head and neck: Surgical approaches and their complications. Acta Neurochirurgica (Wien), 48, 47–66.

    Article  Google Scholar 

  • Seeger, B. R., and Caudrey, D. J. (1983). Biofeedback therapy to achieve symmetrical gait in children with hemiplegic cerebral palsy: Long-term efficacy. Archives of Physical Medicine and Rehabilitation, 64, 160–162.

    PubMed  Google Scholar 

  • Seeger, B. R., Caudrey, D. J., and Scholes, J. R. (1981). Biofeedback therapy to achieve symmetrical gait in hemiplegic cerebral palsied children. Archives of Physical Medicine and Rehabilitation, 62, 364–368.

    PubMed  Google Scholar 

  • Sheehy, M. P., and Marsden, C. D. (1980). Trauma and pain in spasmodic torticollis. Lancet, 1, 777–778.

    Article  PubMed  Google Scholar 

  • Shahani, B. T., Connors, L., and Mohr, J. P. (1977). Electromyographic audiovisual feedback training effect on the motor performance in patients with lesions of the central nervous system. Archives of Physical Medicine and Rehabilitation, 58, 519.

    Google Scholar 

  • Shiavi, R. G., Champion, S. A., and Freeman, F. R. (1979). Efficacy of myofeedback therapy in regaining control of lower extremity musculature following stroke. American Journal of Physical Medicine, 58, 185–194.

    PubMed  Google Scholar 

  • Skelly, A. M., and Kenedi, R. M. (1982). EMG biofeedback therapy in the re-education of the hemiplegic shoulder in patients with sensory loss. Physiotherapy, 68, 34–38.

    PubMed  Google Scholar 

  • Skrotzky, K., Gallenstein, J. B., and Osternig, L. R. (1978). Effects of electromyographic feedback training on motor control in spastic cerebral palsy. Physical Therapy, 58, 547–551.

    PubMed  Google Scholar 

  • Stauffer, E. S. (1977). Long-term management of traumatic quadriplegia. In D. S. Pierce and V. H. Nickel (Eds.), The total care of spinal cord injuries (pp. 81–102 ). Boston, MA: Little, Brown.

    Google Scholar 

  • Swann, D., vanWieringen, P. C. W., and Fokkema, S. D. (1974). Auditory electromyographic feedback therapy to inhibit undesired motor activity. Archives of Physical Medicine and Rehabilitation, 55, 251–254.

    Google Scholar 

  • Takebe, K. and Basmajian, J. V. (1976). Gait analysis in stroke patients to assess treatments of foot-drop. Archives of Physical Medicine and Rehabilitation, 57, 305–310.

    PubMed  Google Scholar 

  • Teng, E. L., McNeal D. R., and Kralj, A. (1976). Electrical stimulation and feedback training: Effect on the voluntary control of paretic muscles. Archives of Physical Medicine and Rehabilitation, 57, 228–233.

    PubMed  Google Scholar 

  • Towbin, A. (1955). Pathology of cerebral palsy. I. Developmental defects of the brain as a cause of cerebral palsy. AMA Archives of Pathology, 59, 397–411.

    PubMed  Google Scholar 

  • Towbin, A. (1960). The pathology of cerebral palsy. Springfield, IL: Charles C Thomas.

    Google Scholar 

  • Walmsley, R. P., Crichton, L., and Droog, D. (1981). Music as a feedback mechanism for teaching head control to severely handicapped children: A pilot study. Developmental Medicine and Child Neurology, 23, 739–746.

    Article  PubMed  Google Scholar 

  • Wolf, S. L. (1982). Biofeedback rehabilitation of the incomplete spinal cord injured patientRegional Rehabilitation Research and Training Center Grant No. G008003042 ). Washington, DC: National Institute of Handicapped Research.

    Google Scholar 

  • Wolf, S. L. (1983). Electromyographic biofeedback applications to stroke patients: A critical review. Physical Therapy, 63, 1448–1445

    PubMed  Google Scholar 

  • Wolf, S. L., and Binder-Macleod, S. A. (1983a). Electromyographic biofeedback applications to the hemiplegic patient: Changes in upper extremity neuromuscular and functional status. Physical Therapy, 63, 1393–1403.

    PubMed  Google Scholar 

  • Wolf, S. L., and Binder-Macleod, S. A. (1983b). Electromyographic biofeedback applications to the hemiplegic patient: Changes in lower extremity neuromuscular and functional status. Physical Therapy, 63, 1404–1413.

    PubMed  Google Scholar 

  • Wolf, S. L., Baker, M. P., and Kelly, J. L. (1979). EMG biofeedback in stroke: Effect of patient characteristics. Archives of Physical Medicine and Rehabilitation, 60, 96–102.

    PubMed  Google Scholar 

  • Wolf, S. L., Baker, M. P., and Kelly, J. L. (1980). EMG biofeedback in stroke: A 1-year follow up on the effect of patient characteristics. Archives of Physical Medicine and Rehabilitation, 61, 351–355.

    PubMed  Google Scholar 

  • Young, J. S. and Northup, N. E. (1979). Statistical information pertaining to some of the most commonly asked questions about SCI. Model Systems’ SCI Digest, 1, 11–33.

    Google Scholar 

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Wolf, S.L., Fischer-Williams, M. (1987). The Use of Biofeedback in Disorders of Motor Function. In: Hatch, J.P., Fisher, J.G., Rugh, J.D. (eds) Biofeedback. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9462-5_4

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  • DOI: https://doi.org/10.1007/978-1-4757-9462-5_4

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