康复治疗对脑卒中患者腓肠肌表面肌电信号的影响  

Clinical Effects of Comprehensive Rehabilitation Treatment on Gastronimius Surface Electromyography in Stroke Patients

作　　者：史文红[1] 李雪萍[1] 王伟[1] 周俊[1] 陈安亮[1] 程凯[1] 

机构地区：[1]南京医科大学附属南京第一医院康复医学科,南京210006

出　　处：《中国康复》2010年第2期103-105,共3页Chinese Journal of Rehabilitation

摘　　要：目的:研究综合康复治疗对脑卒中患者腓肠肌表面肌电信号的影响。方法:脑卒中偏瘫患者40例,偏瘫侧下肢综合痉挛量表(CSS)评分均>12分,随机分为综合组、针刺组各20例,在常规治疗的基础上,2组分别配合综合康复(运动疗法、作业疗法等)与针刺治疗(取患者下肢穴)。治疗前、治疗10和20d时测定2组患者健患侧腓肠肌表面肌电均方根值(RMS),同时进行下肢CSS评分及下肢运动功能Lindmark评分。结果:治疗20d时,综合组患侧腓肠肌RMS值、CSS评分比治疗前和针刺组明显下降(P<0.01)。Lindmark评分与治疗前比较2组均有提高,综合组上升幅度高于针刺组(均P<0.01)。结论:综合康复治疗可明显改善脑卒中患者下肢的肌痉挛。表面肌电测试中RMS值可作为评价脑卒中患者腓肠肌痉挛的量化指标之一,具有一定的临床使用价值。Objective：To evaluate changes of gastronimius surface electromyography in stroke patients treated by comprehensive rehabilitation treatment.Methods：Forty stroke patients whose composite spasticity scale（CSS）score in lower extremity 12 were randomly divided into two groups：comprehensive rehabilitation（treatment group）and acupuncture therapy（control group）.Root mean square（RMS）of gastronimius surface electromyography on the unaffected side was tested before and 10 and 20 days after treatment.CSS score and Lindmark score were also performed.Results：RMS and CSS scores in treatment group were significantly improved after treatment for 20 days as compared with those before treatment and control group.There was significant difference in Lindmark score in treatment and control groups before and after treatment.Conclusion：Comprehensive rehabilitation treatment is an effective method to reduce spasm of lower extremity in stroke patients.RMS can be used as one of quantitative indicators to evaluate spasm in the course of surface electromyography testing.

关 键 词：康复治疗 脑卒中 腓肠肌 表面肌电 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]