《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (10): 986-989.

• 论文 • 上一篇    下一篇

肌电生物反馈电刺激治疗偏瘫型脑瘫下肢运动功能障碍的疗效观察

颜华，张惠佳，李惠枝，王益梅，郭春光，胡继红，周平秋，何金华，王晓娜   

  1. 湖南省儿童医院康复中心，湖南长沙市410007。
  • 收稿日期:2011-07-04 修回日期:2011-08-26 出版日期:2011-10-25 发布日期:2011-10-25

Effects of Electromyographic Biofeedback Electric Stimulation Therapy on Lower Extremities Motor Dysfunction in Spastic Hemiplegic Cerebral Palsy

YAN Hua, ZHANG Hui-jia, LI Hui-zhi, et al.   

  1. Rehabilitation Centre of Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2011-07-04 Revised:2011-08-26 Published:2011-10-25 Online:2011-10-25

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摘要： 目的观察肌电生物反馈电刺激疗法治疗痉挛型偏瘫型脑瘫患儿下肢运动功能障碍的疗效。方法60 例痉挛型偏瘫型脑瘫患儿按照监护人的治疗意愿分为治疗组和对照组各30 例，两组均进行运动训练、物理疗法及配戴矫形器等，治疗组在此基础上应用肌电生物反馈电刺激治疗仪对偏瘫侧下肢进行肌电生物反馈刺激。在治疗前与治疗12 周后，分别用综合痉挛评分量表(CSS)评定患侧下肢肌张力、关节量角器法测量患侧下肢踝关节被动背屈角度、粗大运动功能量表(GMFM-88)之D区(站立)、E 区(走跑跳)分值以比较观察疗效。结果治疗后两组上述指标均较治疗前有改善(P<0.05)。治疗组12 周后下肢CSS 评分及踝关节被动背屈角度、GMFM之D区和E 区评分均比对照组改善(P<0.05)。结论肌电生物反馈电刺激疗法配合康复功能训练能降低痉挛型偏瘫型脑瘫患儿的下肢肌张力，改善踝关节活动范围，提高下肢运动功能。

关键词: 脑性瘫痪, 痉挛型, 偏瘫, 肌电生物反馈, 下肢运动功能

Abstract: Objective To observe the effects of electromyographic biofeedback electric stimulation therapy on lower extremities motordysfunction in children with spastic hemiplegic cerebral palsy (CP). Methods According to the consent of the custodians to the new therapy,60 children with spastic hemiplegic CP were divided into treatment group and control group with 30 cases in each group. All children weretreated with motor training, physical therapy and wore the ankle-foot orthosis (AFO). The treatment group was received electromyographicbiofeedback electric stimulation therapy on their lower extremity additionally. Composite Spasticity Scale (CSS) of the hemiplegic lower extremities,the ankle angle of passive dorsiflexion motion, D and E domains of Gross Motor Function Measure (GMFM-88) were performedto comparatively evaluate the effects before and 12 weeks after treatment. Results The outcomes were improved compared with the ones ofpre-treatment (P<0.05), and improved more in the treatment group (P<0.05). Conclusion The electromyographic biofeedback stimulationtherapy in combination with rehabilitation functional training in the treatment for children with spastic hemiplegic CP is more effective onspasticity of the lower extremity, increasing the range of ankle motion, improving gross motor function of lower extremities.

Key words: cerebral palsy, spastic hemiplegic, electromyographic biofeedback, lower extremities motor function