Adaptive training with electromyographic feedback after elimination of traumatic defects of wrist and fingers

The objective of this work was to analyse the efficiency of adaptive training with electromyographic biological feedback in the early period after reconstruction of fingers depending on the character of wrist defects, the method of their correction, and etiology of the injury. Unique techniques were proposed for the training. Their effectiveness was evaluated based on clinical observations, results of electromyographic and biomechanical studies that demonstrated a significant increase of EMG amplitudes for different groups of wrist and forearm muscles during basic thumb movements (p = 0.05-0.0003) and changes of major biomechanical parameters (p = 0.007-0.000008) in the course of adaptive training with electromyographic biological feedback depending on EMG amplitude.