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肌电生物反馈治疗对脑卒中偏瘫患者上肢功能的影响 预览 被引量:36

Effect of electromygraphic biofeedback on upper extremity function in patients with hemiplegia after stroke
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摘要 目的探讨肌电生物反馈治疗对脑卒中偏瘫患肢上肢功能的影响.方法将79例脑卒中偏瘫患者随机分成治疗组40例和对照组39例,两组均常规进行神经内科药物治疗和运动疗法,治疗组加以电生物反馈治疗.对每例患者在入组时和病程3个月分别测定腕背伸时主动关节活动范围(AROM)、腕背伸时肌肉最大收缩时肌电(EMG)幅值和用Fugl-Meyer评估表(FMA)对患侧上肢功能进行评定.结果两组治疗前后比较和组间比较均有显著性差异(P<0.05);两组的变化均数比较,治疗组3个月后AROM、EMG幅值和FMA积分恢复优于对照组(P<0.01).结论肌电生物反馈治疗有助于改善偏瘫患者上肢功能. ObjectiveTo study the effect of electromygraphic biofeedback on upper extremity function in patients with hemiplegia after stroke.Methods79 patients were randomly divided into experimental group(40 cases) and control group(39 cases).Patients in each group were given clinical treatment and regularly physical therapy, while those in experimental group were given electromygraphic biofeedback training. All patients were evaluated with electromyography amplitude and active range of motion(AROM) of wrist dorsiflexion and upper extremity Fugl-Meyer assessment pre-treatment and 3 months after stroke.ResultsAll the patients gained improvement after treating(P<0.05). Compared with the controls, patients in experimental group significantly improved their function in all measured item (P<0.01).ConclusionThe electromygraphic biofeedback can improve the arm function of hemiplegic patients. [
作者 韩瑞 倪朝民 HAN Rui, NI Chao-min.Department of Rehabilitation Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui,China
出处 《中国康复理论与实践》 CSCD 2005年第3期 209-210,共2页 Chinese Journal of Rehabilitation Theory and Practice
关键词 肌电生物反馈 脑卒中 偏瘫 上肢功能 electromygraphic biofeedback stroke hemiplegia upper extremity function
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