表面肌电信号对脑卒中患者远程居家康复指导的效果研究  

Effect of surface electromyogram signal on home-based rehabilitation for stroke patients

作　　者：陶勇军 陈静[2] 高春燕 翁东承 金燕[2] 任传成[2] 

机构地区：[1]上海市闵行区吴泾社区卫生服务中心,上海市200240 [2]复旦大学附属上海市第五人民医院神经内科,上海市200240

出　　处：《国际神经病学神经外科学杂志》2016年第5期422-426,共5页Journal of International Neurology and Neurosurgery

基　　金：上海市科委项目(2013MW80)

摘　　要：目的探讨表面肌电信号对指导脑卒中患者居家远程康复的效果。方法筛选2014年7月至2015年6月在上海市第五人民医院神经内科住院治疗的脑卒中患者78例,78例患者通过SPSS统计软件按1:1的比例分成两组,分别为表面肌电信号指导进行居家康复的治疗组(39例)与无表面肌电信号指导居家康复的常规组(39例)。采用简化FuglMeyer运动功能量表(FMA)评定上肢功能,通过均方根值(RMS)测定肌肉收缩时的收缩强度。结果康复治疗前,两组患者上肢FMA评分与RMS评分比较,差异无统计学意义(P>0.001)。康复治疗后,两组患者上肢FMA评分与RMS评分均较康复治疗前增加,差异具有统计学意义(P<0.001)。康复治疗后,治疗组上肢FMA评分与RMS评分均较常规组增加,差异具有统计学意义(FMA:P=0.02;RMS:P=0.018)。结论康复过程中进行表面肌电信号调整康复方案可增强运动功能康复的效果。Objective To investigate the effect of surface electromyogram signal （SES） on home-based rehabilitation for stroke pa- tients. Methods A total of 78 stroke inpatients who were treated in our hospital from July 2014 to June 2015 were enrolled and equally divided into treatment group and conventional group using the SPSS software. The treatment group received SES-guided home-based rehabilitation, while the conventional group received non-SES-gnided home-based rehabilitation. The simplified Fugl-Meyer Motor Function Scale （FMA） and root mean square （RMS） were used to assess upper limb function and muscle contraction strength, respectively. Results There were no significant differences in FMA or RMS score between the two groups before rehabilitation （P 〉 0.001 ）. After rehabilitation, both FMA and RMS scores were significantly elevated in the two groups （P 〈 0.001 ） ; the treatment group had significantly higher FMA and RMS scores than the conventional group （ P = 0.02 and P = 0.018）. Conclusions SES-guided adjustment of rehabilitation plan during treatment can improve motor function recovery.

关 键 词：表面肌电信号 脑卒中 康复 远程医疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]