肌电生物反馈治疗分娩性臂丛神经麻痹术后腕背伸功能的疗效分析  

Electromyographic biofeedback improved wrist dorsiflexion in children with obstetrical brachial plexuspalsy： a preliminary report

作　　者：朱俞岚[1] 张备[1] 陈亮[2] 白玉龙[1] 

机构地区：[1]复旦大学附属华山医院康复医学科,上海200040 [2]复旦大学附属华山医院手外科,上海200040

出　　处：《中华手外科杂志》2013年第5期287-289,共3页Chinese Journal of Hand Surgery

摘　　要：目的初步评价肌电生物反馈电刺激对臂丛神经移位术后分娩性臂丛神经麻痹（产瘫）患儿腕背伸功能的疗效。方法根据纳入标准，选取30例行臂丛神经移位术后的产瘫患儿，在服用神经营养药物治疗和康复训练的基础上，给予患侧桡侧腕长伸肌肌电生物反馈电刺激治疗。在治疗前和治疗4周后评定患儿腕背伸主动关节活动度和桡侧腕长伸肌自发肌电均值，进行统计分析。结果30例患儿全部获得随访，腕背伸主动关节活动度治疗前为（0．00±14．20）°，治疗后为（24．57±13．79）°，两组差异有统计学意义（P〈0．01）。桡侧腕长伸肌自发肌电均值治疗前为（69．57±39．57）μV，治疗后为（529．30±293．17）μV，两组差异有统计学意义（P〈0．01）。结论肌电生物反馈电刺激有助于改善臂丛神经移位术后产瘫患儿的腕背伸功能。Objective To explore the effects of electromyographic biofeedback （EMG-BFB） on the wrist dorsiflexion recovery in children with obstetrical brachial plexus palsy （OBPP） who have undergone neurotization procedures. Methods According to the inclusive criteria of the study 30 children with OBPP were involved. After the nerve transfer surgeries all the patients received routine neurotrephie medication and rehabilitation interventions. In addition, all the children were given EMG-BFB on the affected extensor carpi radialis longus （ ECRL）. Active wrist extension and average EMG signal of the ECRL were recorded 4 weeks after the treatment and compared with the pre-treatment values. Remits All 30 patients were follow-up for evaluation. The post- treatment wrist extension active movement range was （24.57 ± 13.79）°, a significant improvement from the （0.00 ± 14.20）° pre-treatment value （ P 〈 0.01 ）. The average EMG of the ECRL increased from （69.57 ± 39.57） μV to （529.30 ± 293.17） μV （ P 〈 0.01 ）. Conclusion Eleetmmyographic biofeedback could improve wrist dorsiflexion function in children with OBPP.

关 键 词：臂丛 康复 肌电生物反馈 腕背伸 

分 类 号：R714.4[医药卫生—妇产科学]