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BIOFEEDBACK
(Occupational therapy for Physical Dysfunction. Catherine A. Trombly)
By receiving & processing such information person can learn to control the
monitored function because he known the effect of his efforts.
Biofeedback is used to remediate motor impairments through occupation & is
used as an enabling therapy at time when person is unable to engage in
occupation
EMG BIOFEEDBACK:
Surface EMG Att. M learn or relearn lost function.
Each motor unit is composed of many motor fibres that depolarize more or
less simultaneously when neuron belonging to that unit Activates them.
When motor fiber depolarizes, small electric charge or voltage is generated.
If many motor unit depolarize at same time, their signals are combined & the
amplitude of the resultant signal increase as the no. of motor fibers
depolarizing increases.
When no contraction of extrafusal muscle is occurring when muscle is at rest,
no signal is generated.
GOAL:
EMG signals Paretic M. Brain uses Proprioception input from joint & muscle as well
as visual information to gain voluntary control over Paretic M.
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EFFECTIVENESS OF BIOFEEDBACK:
1. Control of the Autonomic system the concerned with control of movement.
2. Autonomic control have been found to benefit from relaxation training
BIOFEEDBACK
( 3RD Edit. Electrotherapy exp. Low and Reed, P.no. 157)
MAJOR USES:
1. CONTROL OF MOTOR ACTIVITY & BODY MOVEMENT
2. Rx OF STRESS – RELATED CONDITION.
EMG with surface electrodes to record MUAP (Motor unit Action potentials)
USES OF BIOFEEDBACK:
1. Neurology
2. Geriatrics
3. Orthopaedics, Sports Medicine
• For Condition in which control over some defective Motor action or movement
is attempted.
- Electrical signals generated when motor unit fibers when one of these
fibers, Muscle fibers it supplies all contract together causing Electrical
disturbance called MUAP.
- When muscle contracts normally many 100 of these motor units fire
asynchronously producing.
- Electrical Potentials which can be detected either by needle electrodes in
the muscle tissue or Surface electrode.
- These signals can be displayed on an Oscilloscope screen or recorded on a
strip of paper (Recorder)
- Fed to a loud speaker to generate a series of Audible clicks.
- Electromyographic display bears an approximate relationship to the
magnitude of muscle contraction causing it.
7. Balance control
8. Movement practice: e.g. Biofeedback training was Rx of foot drop (CDF)
9. Recruitment of Q2 or relaxation of Hamstring
MECHANISM OF BIOFEEDBACK:
1. Biofeedback works by making patient aware of his or her own sensation when
dysfunction occurs, spasticity.
2. Once learned, control can be maintained.
3. In many patients however control is gradually lost when the immediate
feedback is stopped.
EFFECTIVENESS OF BIOFEEDBACK:
Ask Evaluation of EMG Biofeedback for Motor control.
GENERAL PRINICIPLES:
Improves motor performance by facilitating (motor learning) (Shumway-cook)
Feedback Intrinsic
Extrinsic KP (Source of Task)
KR (end results)
PHYSIOLOGICAL PRINCIPLES:
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Preplanning is called feed forward or Open loop control. Biofeedback techniques need
thus require, atleast at first, that patient utilize closed loop control.
BIOFEEDBACK
(J.J. p.# 46)
Biofeedback is the process of furnishing the information of body function to get
some voluntary control over it.
Information of body functioning is informed to the patient via visual or auditory
signals by a suitable device. (Sabesti et.al, Matchews 1980)
e.g: Cardio: B.P V. C Relax
Neuro: Tension over it waves more higher.
Types of Biofeedback:
Response feedback:
Direct result of Muscle contraction
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Bizzi & Polit comment that proprioceptors have uncertain role in the execution
of voluntary movts.