水中步行训练对脊髓损伤患者下肢表面肌电和神经功能的效果

发布时间：2018-04-15 20:03

本文选题：不完全性脊髓损伤 + 水中步行训练　；参考：《中国康复理论与实践》2017年05期

【摘要】：目的探讨水中步行训练对不完全性脊髓损伤患者下肢肌肉表面肌电(s EMG)和神经功能的效果。方法 2014年6月至2016年5月,42例胸腰段不完全性脊髓损伤患者随机分成对照组(n=21)和实验组(n=21)。两组均采用常规康复训练,实验组另加水中步行训练,共6周。训练前后测量股四头肌及胫前肌平均肌电值(AEMG),采用美国脊柱损伤学会(ASIA)下肢运动功能、感觉指数评分进行评定。结果治疗后,两组ASIA下肢运动、感觉功能评分显著改善(t10.871,P0.001),股四头肌及胫前肌AEMG明显改善(t5.763,P0.01);实验组均明显优于对照组(t4.036,P0.01)。结论水中步行训练能进一步改善不完全性胸腰段脊髓损伤患者下肢肌力和神经功能。
[Abstract]:Objective to investigate the effect of water walking training on muscle surface electromyography (EMG) and nerve function in patients with incomplete spinal cord injury (sci).Methods from June 2014 to May 2016, 42 patients with thoracolumbar incomplete spinal cord injury were randomly divided into control group (n = 21) and experimental group (n = 21).Both groups were treated with routine rehabilitation training, and the experimental group were treated with water walking training for 6 weeks.The average electromyography (EMG) of quadriceps femoris and anterior tibialis muscle was measured before and after training. The motor function and sensory index of lower limbs were evaluated by ASIA.Results after treatment, the lower limb motor and sensory function scores of ASIA group were significantly improved, while the AEMG of quadriceps femoris muscle and tibial anterior muscle were significantly improved, and the experimental group was significantly better than the control group.Conclusion Water walking training can further improve lower limb muscle strength and nerve function in patients with incomplete thoracolumbar spinal cord injury.
【作者单位】：宁波市康复医院骨、关节与脊髓损伤康复科;宁波市康复医院水疗室;宁波市康复医院康复评定科;
【分类号】：R493;R651.2

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