电针配合肌电生物反馈治疗偏瘫患者踝关节功能障碍临床研究  

Acupuncture Combined with Biofeedback Treatment of Hemiplegia in Patients with Ankle Joint Dysfunction in Clinical Research

作　　者：张涛军[1] 朱黎明 冯克辉[3] 郝权[1] 

机构地区：[1]河南中医学院第一附属医院,河南郑州450000 [2]洛阳市第十人民医院中西医结合科,河南洛阳471002 [3]河南科技大学第三附属医院,河南洛阳471003

出　　处：《中医学报》2013年第3期457-458,共2页Acta Chinese Medicine

基　　金：河南省科技攻关计划项目(编号:921023/0204)

摘　　要：目的:观察电针结合生物反馈治疗仪治疗偏瘫患者踝关节功能障碍的临床疗效。方法:将60例患者随机分为治疗组30例和对照组30例,对照组给予肌电生物反馈治疗,治疗组在对照组的基础上辅以电针治疗,两组分别于治疗前和治疗6周后进行简式Fugl-Meyer下肢运动功能积分、踝关节主动活动范围评测(AROM-T)、测定踝关节最大背屈时胫前肌等长收缩的肌电积分值(iEMG)。结果:治疗后,两组简易Fugl-Meyer下肢运动积分、踝关节活动范围及iEMG较治疗前均有提高,治疗组各项指标均优于对照组,差异具有统计学意义(P<0.05)。结论:电针结合肌电生物反馈治疗仪能改善偏瘫患者踝关节背屈功能。Objective：To observe the effect of electroacupuncture combined with biofeedback therapy for the treatment of patients with hemiplegia rehabilitation effects of ankle joint dysfunction. Methods ：60 cases were randomly divided into the treatment group 30 cases and control group 30 cases,control group was given conventional rehabilitation therapy and biofeedback therapy biofeedback treatment, combined treatment group and in the control group on the basis of electroacupuncture,two groups respectively before treatment and simple Fugl-Meyer lower extremity functional integration, ankle active range of motion evaluation after 6 weeks （AROM-T）, determination of maximum dorsiflexion ankle anterior tibial EMG muscle isometric contraction integral value （iEMG）. Results： After treatment, two groups of simple Fugl-the lower limb motion of Meyer integral,the range of motion of the ankle and iEMG compared with those before treatment were increased, the index of the treatment group were superior to the control group, and have statistical significance （ P 〈 0. 05）. Conclusion： Electroacupuncture combined with EMG biofeedback treatment can improve the hemiplegic patients with ankle dorsiflexion function.

关 键 词：偏瘫 踝关节障碍 电针 生物反馈 

分 类 号：R259.84[医药卫生—中西医结合]