《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (02): 202-206.

• 临床研究 • 上一篇    下一篇

镜像视觉反馈和肌电生物反馈对脑卒中偏瘫患者上肢功能的影响

王丽菊，陈立早，欧艺，郭龙，郝丹，陈思思，宋平，胡婉玲   

  1. 长沙市中心医院康复医学科，湖南长沙市410004。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-25 发布日期:2015-02-25

Effects of Mirror Visual Feedback and Electromyographic Biofeedback on Upper Extremity Function in Hemiplegics after Stroke

WANG Li-ju, CHEN Li-zao, OU Yi, GUO Long, HAO Dan, CHEN Si-si, SONG Ping, HU Wan-ling   

  1. Department of Rehabilitation, Changsha Central Hospital, Changsha,Hunan 410004, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-25 Online:2015-02-25

PDF (PC)

被引次数

29

摘要： 目的研究镜像视觉反馈(MVF)、任务导向训练和肌电生物反馈(EMGBF)对脑卒中偏瘫患者上肢功能的恢复的作用。方法90 例脑卒中偏瘫患者采用随机数字表法分为对照组(n=30)、EMGBF组(n=30)和MVF组(n=30)。所有患者均接受常规康复治疗和任务导向性训练，EMGBF组在此基础上加EMGBF，MVF组在EMGBF组的基础上加MVF，共8 周。治疗前后进行Fugl-Meyer运动功能评定(FMA)、Carroll 手功能评定(UEFT)，并测定偏瘫上肢相关肌电积分。结果治疗后，所有患者上肢FMA评分，UEFT评级和上肢肌肉肌电积分均较治疗前改善(P<0.05)。组间比较，EMGBF组各项指标均优于对照组(P<0.05)，MVF组优于其他两组(P<0.05)。结论镜像视觉反馈结合肌电生物反馈可以更有效地促进脑卒中偏瘫患者上肢功能的改善。

关键词: 脑卒中, 镜像视觉反馈, 任务导向性训练, 肌电生物反馈, 上肢功能

Abstract: Objective To investigate the effects of mirror visual feedback (MVF) and electromyographic biofeedback (EMGBF) on upper extremity function in hemiplegic patients after stroke based on task-oriented training. Methods 90 patients with hempiplegia after stroke were randomly divided into control group (n=30), EMGBF group (n=30) and MVF group (n=30). All patients accepted routine rehabilitation and task-oriented training once a day for 8 weeks. The EMGBF group also accepted EMGBF, and the MVF group accepted MVF in addition. They were assessed with Fugl-Meyer Assessment (FMA) and the Upper Extremity Function Test (UEFT), and their integrated electromyogram (iEMG) of affected upper extremities were recorded before and after treatment. Results All the groups improved in scores of FMA and UEFT, as well as the iEMG after treatment (P<0.05), and ranked as the MVF group, the EMGBF group and the control group from improving more to less (P<0.05). Conclusion Mirror visual feedback combined with electromyographic biofeedback may further promote the recovery of upper limb function in patients with hemiplegia after stroke based on task-oriented training.

Key words: stroke, mirror visual feedback, task-oriented training, electromyographic biofeedback, upper extremity function