《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 256-259.

• 专题 • 上一篇    下一篇

肌电触发电刺激对脑卒中后痉挛性足下垂的影响

张梅莹1，毛世刚1，于洋1，王颖颖1，陈伟2   

  1. 1.青岛市立医院运动医学康复中心，山东青岛市266000；2.徐州市中心医院康复科，江苏徐州市221009。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Effect of EMG-Triggered Stimulation on Drop Foot after Hemiplegia

ZHANG Mei-ying1, MAO Shi-gang1, YU Yang1, WANG Ying-ying1, CHEN Wei2   

  1. 1. Sports Medicine Rehabilitation Centre of Qingdao Municipal Hospital, Qingdao, Shandong 266000, China; 2. Department of Rehabilitation, Xuzhu Central Hospital, Xuzhu, Jiangsu 221009, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

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被引次数

11

摘要： 目的探讨肌电触发电刺激对脑卒中偏瘫患者痉挛性足下垂的影响。方法36 例脑卒中偏瘫患者随机分为常规组和肌电触发电刺激组(触发组)，并于治疗前后分别采用常规临床评价方法和表面肌电仪进行评估。结果治疗后两组Fugl-Meyer 评分、关节活动度、最大用力背伸iEMG(integrated electromyography)和协同收缩率较治疗前均有所改善(P<0.05)，且触发组优于常规组(P<0.05)。结论肌电触发电刺激可增强脑卒中患者肌力，改善协同收缩率，纠正足下垂。

关键词: 脑卒中, 肌电触发电刺激, 表面肌电, 积分肌电值

Abstract: Objective To investigate the effect of EMG-triggered stimulation on drop foot for poststroke hemiplegia. Methods 36 hemiplegic patients were randomized into routine group (n=18) and EMG-triggered stimulation group (triggered group, n=18). 2 groups were assessed by Fugl-Meyer Assessment (FMA), range of motion (ROM) of ankle dorsiflexion and iEMG values before and after treatment. Results The scores of FMA, degrees of ROM, iEMG values of the tibialis anterior, and co-contraction ratio improved in 2 groups after treatment (P<0.05), and the triggered group had better effect than the routine group (P<0.05). Conclusion EMG-triggered stimulation can improve muscle strength, and decrease co-contraction ratio.

Key words: stroke, electromyography-triggered stimulation, surface electromyography, integrated electromyography