肌电生物反馈在陈旧性颈脊髓损伤中的应用  

Effective analysis of electromyography biofeedback procedure responses in the long term patients with cervical spinal cord injury

作　　者：赵文汝[1] Bernard S Brucker 王秀汝[1] 刘金敬[3] 

机构地区：[1]首都医科大学宣武医院功能治疗科 [2]Biofeedback Laboratory,Department of Orthopedics and Rehabilitation,University of Miami School of Medicine,miamifl33101 [3]北京矿务局总医院神经内科

出　　处：《中国康复医学杂志》2003年第2期91-93,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的 :观察EMG生物反馈治疗是否能够恢复和增强陈旧性颈脊髓 (C1—C6)损伤患者上肢各肌的自主肌电信号和肌力。方法 :1 39例非完全性颈脊髓 (C1—C6)损伤患者 ,病程均在 6个月以上、伴有不同程度的上肢功能障碍和肌力缺陷 ,且经其它康复方法治疗而无进一步功能恢复者。全部患者均接受 1个疗程、1 5次、每次 50min的治疗。分别记录治疗前后的中三角肌、肱二头肌、肱三头肌、腕伸肌、腕屈肌、指伸肌和指屈肌肌电信号和肌力测定分级数据 ,进行统计学分析。结果 :治疗后患者自主肌电信号和肌力均较治疗前有明显提高 (P <0 .0 0 1 )。结论 :EMG生物反馈是治疗非完全性、陈旧性颈脊髓 (C1—C6)Objective:To determine if the electromyography(EMG) biofeedback can significantly increase the voluntary EMG signal and muscle strength of the upper extremities in patients with long term cervical (C1-C6) spinal cord injury (SCI). Method: All of the 139 patients with cervical (C1-C6) spinal cord injury had more than 6 month injured history, and had less than normal muscle strength and reached a plateau in function recovery by other rehabilitation methods. The entire patient had 1 course of treatment, which included 15 treatment sessions with 50mins for each session. The data of surface EMG and muscle strength before and after treatment were obtained on the middle deltoid, biceps, triceps, wrist extensor, wrist flexor, finger extensor and finger flexor respectively. The data were compared and analyzed statistically. Result: The increases of both voluntary EMG signal and muscle strength after the treatment were significant ( P <0.001). Conclusion: EMG biofeedback procedures using as an operble conditioning paradigm is an effective treatment method in restoring function of the long term incomplete cervical (C1-C6) SCI patients. Author′s address Functional Treament Dept, Xuanwu Hospital, Beijing, 100053

关 键 词：肌电生物反馈 颈脊髓损伤 自身调节 中枢神经系统 

分 类 号：R493[医药卫生—康复医学]