镜像疗法结合肌电生物反馈对脑卒中患者手功能的影响  

Effect of mirror therapy combined with electromyographic biofeedback on hand function in patients with stroke

作　　者：陈进[1] 吴隽松[1] 顾铭星 陆建霞[1] 

机构地区：[1]盐城卫生职业技术学院,224006 [2]盐城市第一人民医院康复科

出　　处：《神经疾病与精神卫生》2015年第6期602-604,共3页Journal of Neuroscience and Mental Health

摘　　要：目的研究基于镜像疗法（MT）结合肌电生物反馈（EMGBF）对脑卒中患者手功能的治疗效果。方法脑卒中偏瘫患者60例，随机分为对照组和治疗组各30例。两组患者均接受常规康复训练及EMGBF治疗，治疗组在此基础上加用MT，治疗8周。分别于治疗前后测定桡侧腕伸肌主动收缩时的最大肌电（EMG）值、手指（除拇指）共同屈伸总主动关节活动范围（TAM）、Fugl—Meyer评估表（FMA）的手功能评分（包括腕背伸、屈曲、环转运动、勾状抓握、侧屈等）。结果治疗前两组患者的各项评价指标评定差异无统计学意义（P〉0．05）；治疗8周后，两组患者上述指标较治疗前均有所改善（P〈0．01），且治疗组的改善程度较对照组更明显（P〈0．05）。结论MT结合EMGBF有助于改善脑卒中偏瘫患者的手功能。Objective To investigate the effects of mirror therapy （MT） combined with electro- myographic biofeedback （EMGBF） on hand function in patients with stroke. Methods Sixty stroke pa- tients with hemiplegia were randomly divided into control group （n = 30） and treatment group （n = 30）. All patients received routine comprehensive rehabilitation treatment and EMGBF for 8 weeks. The treat- ment group received MT in addition. The maximum EMG values of extensor contraction of wrist dorsi- flexion activity, total active movement（TAM） of finger （except the thumb） joint, Fugl--Meyer Assess- ment（FMA） used to assess hand function （include wrist dorsiflexion, flexion, rotation movement, hook grip, lateral bending, etc. ） were assessed before and 8 weeks after treatment. Results There was no significant difference on all scores between two groups before treatment. After treatment for 8 weeks, EMG, TAM and FMA scores were significantly increased in two groups as compared with pretreatment （P 〈 0.01）. Moreover, the scores in the treatment group were increased more significantly （P 〈 0.05）. Conclusions The treatment of MT combined with EMGBF contributes to the improvement of hand func- tion in hemiplegic patients.

关 键 词：卒中 镜像疗法 肌电生物反馈 手功能 

分 类 号：R493[医药卫生—康复医学]