半月板损伤患者膝周肌肉的表面肌电图分析

doi:10.3969/j.issn.1006-9771.2019.05.016

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (5): 586-589.doi: 10.3969/j.issn.1006-9771.2019.05.016

半月板损伤患者膝周肌肉的表面肌电图分析

卢惠苹¹, 陈瑞华¹, 张高飞², 陈昕¹

1.厦门大学附属福州第二医院康复科，福建福州市 350007
2.福建中医药大学，福建福州市 350122

收稿日期:2018-08-14 修回日期:2018-10-30 出版日期:2019-05-25 发布日期:2019-05-29
通讯作者: 陈瑞华，女，主任医师。E-mail: a18344985598@163.com
作者简介:卢惠苹(1975-)，女，汉族，福建福州市人，副主任医师，副教授，硕士研究生导师，主要研究方向：神经电生理。
基金资助:
1.福州市卫生计生系统科技计划项目(No. 2015-S-wt3)；2.福建省卫计委省级临床重点专科建设项目(No. 【2018】145)

Disorder of Muscles around Knee with Meniscus Injury: Study with Surface Electromyography

LU Hui-ping¹, CHEN Rui-hua¹, ZHANG Gao-fei², CHEN Xin¹

1.Department of Rehabilitation, Fuzhou 2nd Hospital, Xiamen University, Fuzhou, Fujian 350007, China
2.Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China

Received:2018-08-14 Revised:2018-10-30 Published:2019-05-25 Online:2019-05-29
Contact: CHEN Rui-hua, E-mail： a18344985598@163.com
Supported by:
Fuzhou Health and Family Planning System Science and Technology Plan (No. 2015-S-wt3) and Fujian Health Planning Commission Health Key Speciality Construction Project (No. 【2018】145)

摘要/Abstract

摘要： 目的探讨半月板损伤对膝周肌肉功能的影响。方法 2017年2月至2018年2月，单侧半月板损伤患者22例，记录下蹲、站起和屈膝70°最大等长收缩时，健、患侧股外侧肌、股直肌、股内侧肌和股二头肌的表面肌电图。结果下蹲和站起时，患侧股外侧肌和股二头肌的平均肌电值显著低于健侧(t > 3.945, Z > 3.847, P < 0.001)，腘绳肌共同活动比率明显高于健侧(t > 3.650, P < 0.01)。在70°最大等长收缩时，患侧股外侧肌、股直肌、股内侧肌和股二头肌平均肌电值均明显小于健侧(t > 2.907, Z = 4.107, P < 0.01)。结论 sEMG能定量评价半月板损伤患者不同运动状态下膝屈伸肌功能。半月板损伤患者患肢膝周肌肉功能下降，协调性异常，应在康复治疗过程中加以纠正。

关键词: 半月板损伤, 膝, 肌肉, 表面肌电图

Abstract: Objective To investigate the influence of meniscus injury on the function of muscles around knee in patients with meniscus injury.Methods From February, 2017 to February, 2018, the suface electromyography of vastus lateralis (VL), rectus femoris (RF), vastus medialis (VM) and biceps femoris (BF) were recorded and analyzed in 22 patiens with unilateral meniscus injury, during squatting down-standing up test and maximal isometric voluntary contraction at knee flexing 70°. Results During squatting down-standing up test, the average electromyography (AEMG) of VL and BF was less in affected knee than in unaffected knee (t > 3.945, Z > 3.847, P < 0.001), and the coactivity ratio of hamstrings in affected knee was higher (t > 3.650, P < 0.01). The AEMG of VL, RF, VM and BF was less in affected knee than in unaffected knee (t > 2.907, Z = 4.107, P < 0.01) during maximal isometric voluntary contraction at knee flexing 70°. Conclusion sEMG can be used to quantitatively evaluate the muscle function around knee for patients with meniscus injury in different motion states. Patients with meniscus injury demonstrate impaired muscular function and altered muscle balance around knee, which need to be corrected during rehabilitation.

Key words: meniscus injury, knee, muscle, suface electromyography

中图分类号:

R684

卢惠苹, 陈瑞华, 张高飞, 陈昕. 半月板损伤患者膝周肌肉的表面肌电图分析[J]. 《中国康复理论与实践》, 2019, 25(5): 586-589.

LU Hui-ping, CHEN Rui-hua, ZHANG Gao-fei, CHEN Xin. Disorder of Muscles around Knee with Meniscus Injury: Study with Surface Electromyography[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(5): 586-589.

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半月板损伤患者膝周肌肉的表面肌电图分析

Disorder of Muscles around Knee with Meniscus Injury: Study with Surface Electromyography

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