肌电生物反馈联合康复训练对脊髓损伤患者运动功能及功能独立性的影响

发布时间：2018-06-06 22:20

本文选题：肌电生物反馈 + 脊髓损伤　；参考：《中国康复》2016年06期

【摘要】：目的:观察肌电生物反馈疗法联合康复训练对脊髓损伤(SCI)患者运动功能障碍的康复疗效。方法:60例胸腰段不完全性脊髓损伤患者随机分为观察组和对照组,每组30例。2组均进行常规康复治疗,观察组加用双下肢肌电生物反馈治疗。治疗前及治疗后8周、12周进行下肢肌肉最大收缩时表面肌电(sEMG)信号采集、运动功能评定及功能独立性(FIM)评定,比较临床疗效。结果:治疗8周后,2组患者股四头肌、胫前肌最大收缩时的sEMG信号均较治疗前明显提高(P0.05),治疗后12周继续提高(P0.01);观察组sEMG信号增幅高于对照组(P0.05)。治疗8周后,2组患者ASIA运动功能评分及FIM评分亦较治疗前提高(P0.05),组间比较差异无统计学意义;治疗12周后,2组ASIA运动功能及FIM评分较治疗8周后提高更明显(P0.01),观察组更高于对照组(P0.05)。结论:肌电生物反馈疗法联合康复训练对胸腰段不完全性脊髓损伤患者运动功能有促进作用,能明显提高患者的股四头肌、胫前肌表面肌电信号及肌力,并能提高功能独立水平,减少并发症。
[Abstract]:Objective: to observe the effect of electromyoelectric biofeedback therapy combined with rehabilitation training on motor dysfunction in patients with spinal cord injury (sci). Methods 60 cases of thoracolumbar incomplete spinal cord injury were randomly divided into two groups: observation group (n = 30) and control group (n = 30). Surface electromyography (EMG) signal acquisition, motor function evaluation and functional independence (FIMM) were performed before and 8 weeks and 12 weeks after treatment to compare the clinical efficacy. Results: after 8 weeks of treatment, the signal of SEMG in quadriceps femoris and the maximal contraction of tibial anterior muscle in both groups were significantly higher than that before treatment, and the signal of SEMG in the observation group was higher than that in the control group at 12 weeks after treatment, and the increase of SEMG signal in the observation group was higher than that in the control group. After 8 weeks of treatment, the Asia motor function score and FIM score of the two groups were also higher than that before treatment (P 0.05), and there was no significant difference between the two groups. After 12 weeks of treatment, Asia motor function and FIM score of the two groups were significantly higher than that of the control group (P 0.01), and that of the observation group was higher than that of the control group (P 0.05). Conclusion: electromyoelectric biofeedback therapy combined with rehabilitation training can promote motor function in patients with incomplete thoracolumbar spinal cord injury, and can significantly improve the surface electromyography and muscle strength of quadriceps femoris and anterior tibial muscles. It can improve the level of functional independence and reduce complications.
【作者单位】：遂宁市中心医院;四川省康复医院(四川省八一康复中心);
【基金】：四川省卫生厅科研基金资助项目(130494)
【分类号】：R651.2;R49

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