《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (1): 60-62.

• 论文 • 上一篇    下一篇

肌电触发电刺激疗法对脑卒中患者手功能的影响

江征，蔡素芳，王辉，刘雪枫   

  1. 1.福建中医药大学康复医学院，福建福州市350003；2.福建中医药大学附属康复医院，福建福州市350003。
  • 收稿日期:2012-07-25 修回日期:2012-10-19 出版日期:2013-01-25 发布日期:2013-01-25

Effects of Electromyography-triggered Stimulation on Hand Function Post Stroke

JIANG Zheng, CAI Su-fang, WANG Hui, et al.   

  1. College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China
  • Received:2012-07-25 Revised:2012-10-19 Published:2013-01-25 Online:2013-01-25

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摘要： 目的研究肌电触发电刺激疗法对脑卒中患者手功能的影响。方法脑卒中患者40 例分为肌电触发电刺激疗法组(肌电触发组)19 例，神经肌肉电刺激疗法组21 例(NMES 组)，比较两组治疗前后Fugl-Meyer 上肢功能评分、改良Barthel 指数、腕背伸主动关节活动度。结果两组患者治疗后各项评分均有显著提高(P<0.001)；与NMES 组比较，肌电触发组各项评分均有提高(P<0.05)。结论肌电触发电刺激疗法可有效改善偏瘫患者手功能障碍，疗效优于神经肌肉电刺激疗法。

关键词: 脑卒中, 手功能, 肌电触发电刺激疗法, 神经肌肉电刺激, 康复

Abstract:

Objective To investigate the effectiveness of electromyography-triggered stimulation on the hand function post stroke.Methods 40 stroke patients were divided into electromyography-triggered stimulation group and neuromuscular electric stimulation group.They were assessed with Fugl-Meyer Assessment (FMA), active range of motion of wrist extension (WE-AROM) and modified Barthel index (MBI) before and 6 weeks after treatment. Results The scores of all the assessments improved in both groups after treatment (P<0.001),and improved more in the electromyography-triggered stimulation group than in the neuromuscular electric stimulation group (P<0.05).Conclusion Compared with neuromuscular electrical stimulation, electromyography-triggered stimulation may further improve the hand function post stroke

Key words: stroke, hand function, electromyography-triggered stimulation, neuromuscular electric stimulation, rehabilitation