《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1054-1055.

• 临床研究 • 上一篇    下一篇

渐进式抗阻训练系统治疗脑卒中偏瘫股四头肌的表面肌电图分析

黄臻1;黄芬2;李陶韬1;陈佩顺1;闵瑜1;黄志勇1   

  1. 1.广州番禺人民医院康复科，广州市 511400;2.珠海市九龙医院，广东珠海市 519002
  • 收稿日期:2009-08-10 修回日期:2009-10-14 出版日期:2009-11-01 发布日期:2009-11-01

Effects of Systems of Progressive Resistance Exercise on Quadriceps Femoris of Stroke Patients: a Surface Electromyography Analysis

HUANG Zhen,HUANG Fen,LI Tao-tao,et al   

  1. Department of Rehabilitation Medicine, Panyu People's Hospital, Guangzhou 511400, Guangdong, China
  • Received:2009-08-10 Revised:2009-10-14 Published:2009-11-01 Online:2009-11-01

PDF (PC)

被引次数

18

摘要： 目的 观察渐进式抗阻训练系统对脑卒中偏瘫下肢伸肌（股四头肌）训练的疗效。方法 89例脑卒中患者随机分为治疗组46例和对照组43例，共治疗4周。治疗前后分别采用徒手肌力评定及表面肌电图的肌电积分值(iEMG)和均方根振幅(RMS)分析股四头肌的肌力和表面肌电变化。结果 治疗组患者下肢伸肌肌力改善总有效率94.3%，对照组为63.8%（P<0.01）。治疗后，治疗组患者下肢伸肌平均iEMG和RMS明显高于对照组（P<0.01）。结论 渐进式抗阻训练系统能明显地改善脑卒中偏瘫下肢伸肌肌力。

关键词: 渐进式抗阻训练系统, 脑卒中, 股四头肌, 肌力, 表面肌电图

Abstract: Objective To observe the effects of systems of progressive resistance exercise on lower limb extensors （quadriceps femoris） of stroke patients. Methods 89 stroke patients with weak lower limbs were randomly divided into progressive resistance exercise group (n=46) and control group (n=43), both receiving corresponding treatment for 4 weeks. They were assessed with Manual Muscle Test (MMT), integrated electromyogram (iEMG) and root mean square (RMS) of surface electromyography on quadriceps femoris before and after the treatment. Results The incidence of improvement with MMT was 94.3% in progressive resistance exercise group, and 63.8% in control group （P<0.01）. The iEMG and RMS of the exercise group was significantly higher than that of the control （P<0.01）. Conclusion The systems of progressive resistance exercise could improve the muscle strength of lower limbs extensors of stroke patients more effectively.

Key words: systems of progressive resistance exercise, stroke, quadriceps femoris, muscle strength, surface electromyography