Electromyographic (EMG) biofeedback in the comprehensive treatment of central pain and ataxic tremor following thalamic stroke.

Published

Journal Article

Peripheral pain and ataxic tremor can appear suddenly following thalamic stroke and can significantly alter a patient's psychological, social, and physical functioning. The present paper reports the case of a 70-year-old Caucasian female who sustained an acute left posterior cerebral artery infarction involving the thalamus and left mesiotemporal regions. She subsequently developed Central Poststroke Pain and ataxic movement of her right arm and hand in addition to a significant right-side claudication. She was treated over 16 weeks (6 weeks of EMG biofeedback and 10 weeks of psychotherapy) with a combination of EMG biofeedback, progressive muscle relaxation, behavioral pain coping skills training, Forced Use Therapy, and Cognitive Behavioral Therapy 7 years after her initial cerebral accident. The case demonstrates the utility of biofeedback when combined as part of a comprehensive treatment program to address the multiple complications associated with thalamic stroke.

Full Text

Duke Authors

Cited Authors

  • Edwards, CL; Sudhakar, S; Scales, MT; Applegate, KL; Webster, W; Dunn, RH

Published Date

  • December 2000

Published In

Volume / Issue

  • 25 / 4

Start / End Page

  • 229 - 240

PubMed ID

  • 11218924

Pubmed Central ID

  • 11218924

Electronic International Standard Serial Number (EISSN)

  • 1573-3270

International Standard Serial Number (ISSN)

  • 1090-0586

Digital Object Identifier (DOI)

  • 10.1023/a:1026406921765

Language

  • eng