表面肌电生物反馈结合本体感觉神经肌肉促进技术治疗脑卒中患者足下垂的临床观察

发布时间：2018-07-07 12:23

本文选题：肌电生物反馈 + 本体感觉神经肌肉促进技术　；参考：《中国康复医学杂志》2016年08期

【摘要】：目的:观察肌电生物反馈疗法结合本体感觉神经肌肉促进技术(proprioceptive neuromuscular facilitation,PNF)治疗脑卒中患者足下垂的临床疗效。方法:30名脑卒中患者随机分为PNF组、肌电生物反馈组和联合组,分别给予PNF手法治疗、肌电生物反馈治疗、肌电生物反馈联合PNF手法治疗足下垂,共治疗6周。治疗前后分别测试踝背伸活动度、胫骨前肌徒手肌力、胫骨前肌积分肌电值(i EMG)、均方根振幅(RMS)、简化Fugl-Meyer(FMA)评估量表评价疗效。结果:联合组在改善踝背伸主动活动度方面较肌电生物反馈组有显著性差异(2.78±8.73°,P0.05),B组踝背伸被动活动度较A组有显著性差异(10.00±4.87,P0.05);i EMG值:联合组较肌电生物反馈组和PNF组有显著性差异(854.14±606.37,P0.05);RMS指标:肌电生物反馈组和联合组较PNF组有显著性差异(43.99±29.20,56.93±22.60,P0.05);胫骨前肌肌力:PNF组、联合组较肌电生物反馈组有显著性差异(3.50±0.46,3.39±0.69,P0.05);FMA:联合组较肌电生物反馈组和PNF组有非常显著性差异(24.56±5.36,P0.01)。结论:肌电生物反馈结合PNF手法治疗脑卒中患者足下垂疗效显著,可明显改善患侧下肢运动功能。
[Abstract]:Objective: to observe the clinical effect of electromyoelectric biofeedback therapy (EMG) combined with proprioceptive neuromuscular facilitation (proprioceptive neuromuscular) in the treatment of foot drooping in stroke patients. Methods 30 stroke patients were randomly divided into three groups: PNF group, EMG biofeedback group and combined group. They were treated with PNF manipulation, myoelectric biofeedback combined with PNF manipulation for 6 weeks. The extension of malleolus, the muscle strength of the tibial anterior muscle, the integral myoelectric value of the anterior tibial muscle (I EMG), the mean square amplitude (RMS), and the simplified Fugl-Meyer (FMA) were measured before and after treatment. Results: compared with the electromyoelectric biofeedback group (2.78 卤8.73 掳P05), the combined group had significant difference in improving the active activity of the malleolus dorsiflexion (2.78 卤8.73 掳/ kg). The passive activity of malleolus extension in the combined group was significantly higher than that in the group A (10.00 卤4.87 P05). The EMG value of the combined group was higher than that of the EMG biofeedback group and the PNF group. There was significant difference (854.14 卤606.37) between the EMG biofeedback group and the combined group (43.99 卤29.20 卤56.93 卤22.60 P05), the muscle strength of the anterior tibial muscle was the same as that of the control group. There was a significant difference between the combined group and the EMG biofeedback group (3.50 卤0.46n3.39 卤0.69P05). The FMAs of the combined group were significantly higher than those of the EMG biofeedback group and the PNF group (24.56 卤5.36, P0.01). Conclusion: EMG biofeedback combined with PNF manipulation is effective in the treatment of foot droop in stroke patients, and can obviously improve the motor function of the affected lower extremities.
【作者单位】：武汉体育学院体能中心武汉体育学院健康科学学院;武汉体育学院研究生院;武汉大学中南医院康复医学科;
【分类号】：R743.3

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