推拿手法对脑卒中患者表面肌电信号的影响

发布时间：2018-05-28 17:42

本文选题：脑卒中 + 偏瘫　；参考：《中国康复理论与实践》2017年07期

【摘要】：目的比较不同推拿手法作用于脑卒中患者偏瘫肢体所产生的肌电效应。方法 2016年1月至5月,脑卒中偏瘫住院患者20例,由同一高年资推拿治疗师对患者双侧股直肌实施滚、拍、揉、搓、抖、按手法,每种手法持续1 min,间隔1 min。采集静息状态和实施手法过程中积分肌电值(iEMG)、均方根(RMS)和中值频率(MF)。结果静息状态下,两侧iEMG、RMS和MF均无显著性差异(t1.147,P0.05)。手法过程中,拍法iEMG和RMS最高(F21.376,P0.001),按法MF最高(F11.772,P0.001),其他手法下各肌电值无显著性差异(P0.05)。拍法作用下,患侧iEMG、RMS低于健侧(P0.05),其他手法两侧无显著性差异(P0.05)。结论不同的推拿手法对脑卒中偏瘫侧和健侧的刺激作用不同,拍法更能刺激神经肌肉兴奋和募集更多运动单位。
[Abstract]:Objective to compare the myoelectric effects of different massage manipulation on hemiplegic limbs of stroke patients. Methods from January to May 2016, 20 inpatients with stroke hemiplegia were treated with rolling, patting, kneading, rubbing and shaking of bilateral rectus femoris by the same senior massage therapist. The integral electromyography (EMG), root-mean-square (RMS) and median frequency (MFN) were collected during resting state and manipulation. Results there was no significant difference in RMS and MF between the two sides under resting condition. In the manipulative process, iEMG and RMS had the highest value of F21.376U P0.001L, and the maximum value of MF was F11.772P0.001g. There was no significant difference in electromyoelectric value between other manipulations (P0.05g). The RMS of iEMGN in the affected side was lower than that in the normal side (P 0.05), but there was no significant difference between the two sides of other manipulations (P 0.05). Conclusion the stimulative effects of different massage manipulation on the hemiplegic side and the healthy side of stroke are different, and the beat method can stimulate neuromuscular excitability and recruit more motor units.
【作者单位】：湖南中医药大学;湖南中医药大学第一附属医院;湖南省人民医院;
【基金】：湖南省中医药科研计划项目(No.201492);湖南省中医药科研计划重点项目(No.201410;No.201604) 国家临床护理重点专科建设项目(No.湘财社指[2013]151号)
【分类号】：R244.1

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