《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (3): 257-260.

• 论文 • 上一篇    下一篇

表面肌电图在脑性瘫痪康复中的应用

许晶莉,范艳萍,代早荣   

  1. 1.佳木斯大学康复医学院,佳木斯大学附属第三医院,黑龙江佳木斯市154002;2.广州康复实验学校,广东广州市510630。
  • 收稿日期:2012-09-18 修回日期:2012-10-15 出版日期:2013-03-25 发布日期:2013-03-25
  • 通讯作者: 范艳萍

Application of Surface Electromyography in Rehabilitation for Children with Cerebral Palsy

XU Jing-li, FAN Yan-ping, DAI Zao-rong.

  

  1. Rehabilitaion Medicine College, Jiamusi University, Jiamusi 154002, Heilongjiang, China
  • Received:2012-09-18 Revised:2012-10-15 Published:2013-03-25 Online:2013-03-25

摘要: 目的探讨表面肌电图(sEMG)在脑瘫患儿康复训练中的意义。方法痉挛型双瘫脑瘫患儿60 例分为治疗组(n=30)与对照组(n=30)。对照组采用常规综合康复,治疗组于康复前进行sEMG检查,在sEMG结果指导下制定康复方案。康复前后进行粗大运动功能测试量表(GMFM)检测。结果两组患儿康复治疗前后GMFM量表A、B、C区评分均无显著性差异(P>0.05),D、E 区评分及总分有显著改善(P<0.001)。治疗后治疗组与对照组A、B、C 区无显著性差异(P>0.05),D、E 区及总分有非常显著性差异(P<0.01)。结论表面肌电图可用于指导脑瘫患儿康复训练。

关键词: 脑性瘫痪, 康复, 表面肌电图

Abstract:

Objective To explore the surface electromyography (sEMG) assist for the rehabilitation training for children with cerebral palsy. Methods 60 children with spastic diplegia were divided into treatment group (n=30) and control group (n=30). All the children received comprehensive rehabilitation, while the rehabilitation program were designed with the assist of sEMG in the treatment group. They were assessed with Gross Motor Function Measure (GMFM) before and 3 months after rehabilitation. Results There was no statistically improvement in dimension A, B, and C of GMFM (P>0.05), but was in the total score and the dimension D and E (P<0.0001). There was no statistical difference in dimension A, B, and C between 2 groups (P>0.05), but was in the total score and the dimension D and E (P<0.01) after rehabilitation. Conclusion The sEMG might be helpful for the rehabilitation for children with cerebral palsy.

Key words: cerebral palsy, rehabilitation, surface electromyography