《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 722-724.

• 论文 • 上一篇    下一篇

表面肌电生物反馈对脑卒中偏瘫患者下肢运动功能的影响

吴玉玲，林建强，吴立红，孙晓敏   

  1. 南京军区杭州疗养院全军创伤康复中心，浙江杭州市 310007。
  • 收稿日期:2011-04-28 修回日期:2011-05-23 出版日期:2011-08-25 发布日期:2011-08-25

Effect of Surface Electromyogram Biofeedback Stimulation on Lower Limb Function with Stroke Hemiplegia

WU Yu-ling, LIN Jian-qiang, WU Li-hong, et al.   

  1. Rehabilitation Medicine Center, Nanjing Military Region Sanatorium of Hangzhou, Hangzhou 310007, Zhejiang,China
  • Received:2011-04-28 Revised:2011-05-23 Published:2011-08-25 Online:2011-08-25

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摘要： 目的探讨表面肌电生物反馈对脑卒中偏瘫患者下肢运动功能的影响。方法30 例脑卒中偏瘫患者分为观察组和对照组，每组各15 例。两组患者均给予常规康复训练，观察组在常规康复训练的基础上给予生物反馈治疗，对照组在常规康复训练的基础上给予针刺治疗。两组均于治疗前和治疗4 个疗程后进行Brunnstrom运动功能分级、简式Fugl-Meyer(FMA)下肢运动功能评定和表面肌电图肌电积分值(iEMG)测定。结果4 个疗程结束后，两组的Brunnstrom分级、FMA 及iEMG 较治疗前均有提高(P<0.05)，且观察组各项评分均优于对照组(P<0.05)。结论表面肌电生物反馈治疗对脑卒中偏瘫患者下肢运动功能的恢复有明显的促进作用。

关键词: 生物反馈, 脑卒中, 偏瘫, 运动功能, 肌电积分

Abstract: Objective To explore the effect of surface electromyogram biofeedback stimulation on lower limb function of stroke hemiplegicpatients. Methods 30 stroke patients following hemiplegia were divided into 2 groups: observation group (n=15) and control group(n=15). 2 groups were given conventional rehabilitation training. The observation group added surface electromyogram biofeedback stimulationtraining, while the control group added acupuncture. Brunnstrom's recovery stages, the Fugl-Meyer Assessment(FMA) and electromyographicparameters were assessed before and 4 courses after the treatment. Results Both groups had significantly higher Brunnstrom's andFMA scores and better integrated electromyogram (P<0.05), but the observation group was significantly better than the control group afterthe treatment (P<0.05). Conclusion Surface electromyogram biofeedback stimulation training can facilitate to provide satisfactory rehabilitationeffects for lower limb function of hemiplegic stroke patients.

Key words: biofeedback, stroke, hemiplegia, motor function, integrated electromyography