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Biofeedback and its application in physiotherapy



Feedback is one of the important contributors of motor learning. Feedback is defined as a method of controlling a system by reinserting in to it the result of its past performance. Is A type of extrinsic feedback where feedback is given continuously during performance of a task that in turn improve the patients performance.. This technique help the patient to improve their functional performance through auditory or visual stimuli.



INSTRUMENTATION

The standard biofeedback equipment consist of the following,

  1. Surface Electrode

  2. Signal processor

  3. Video display

  4. Audio speaker

  5. Electrode paste

Surface electrodes are silver or silver chloride electrodes with a diameter of 1 cm or less, they detect biological signals arising from the working muscles. for electrode application bipolar technique is used. The active electrode will be placed over the muscle belly parallel to the muscle fiber, the distance between the electrode usually kept 1 cm to optimize the results ..



STEPTS INVOLVED IN SIGNAL PROCESSING

amplification : improve signal strength

Filtering : eliminate unwanted signals

Rectification : positive and negative signals are made unidirectional

integration :area under curve is computed

level detector : to detect present level of EMG activity

THE OUTPUT UNIT

The output unit includes both audio and video display











USES OF EMG FEEDBACK

  1. Neuromuscular re-educations

  2. Relaxation (Down Training)

  3. Tension recognition training

  4. training to use myoelectric appliences

CONTRAINDICATIONS

  1. Unhealed grafts

  2. Avulsed Tendons

  3. Third degree tears of the muscle fibers

  4. Unstable fractures



Prepared By

Dr.Gayathri Rajeevan

BPT, MPT (Cardiorespiratory)


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