肌电生物反馈疗法结合运动再学习方案在脑卒中运动功能障碍患者中的应用价值  

The application value of myobiofeedback therapy combined with motor relearning program in stroke patients with motor dysfunction

作　　者：徐杰 孟宪忠[1] XU Jie;MENG Xianzhong △(Department of Rehabilitation Medicine,Shanghai Pudong New AreaPeople′s Hospital,Shanghai 201299,China)

机构地区：[1]上海市浦东新区人民医院康复医学科,上海201299

出　　处：《检验医学与临床》2018年第15期2207-2210,共4页Laboratory Medicine and Clinic

基　　金：上海市浦东新区人民医院重点学科建设基金资助项目(PDRYZDXK2016-03)

摘　　要：目的探究肌电生物反馈疗法结合运动再学习方案在脑卒中运动功能障碍患者中的应用价值。方法选取该院2015年10月至2017年10月收治的98例脑卒中运动功能障碍患者作为研究对象,按照随机数字表法分为观察组与对照组,对照组患者(49例)采取常规临床干预,观察组患者(49例)则在常规临床护理干预基础上实施肌电生物反馈疗法及运动再学习方案,比较2组患者治疗前后《美国国立卫生研究院卒中量表》(NIHSS)、积分肌电值(iEMG)、简化Fugl-Meyer功能(FMA)、功能独立性(FIM)、步行能力等级及关节活动度,比较干预后满意度。结果干预前2组患者NIHSS、iEMG、FMA、FIM评分,步行能力等级及关节活动度比较,差异无统计学意义(P>0.05);干预后2组患者上述各项指标均较干预前明显改善,差异有统计学意义(P<0.05);且观察组改善程度优于对照组,差异有统计学意义(P<0.05);观察组满意度高达97.96%,高于对照组的83.67%,差异有统计学意义(P<0.05)。结论肌电生物反馈疗法结合运动再学习方案可明显改善脑卒中运动功能障碍患者神经功能缺损程度,改善患者运动功能、日常生活能力,提升患者满意度,值得推广应用。Objective To explore the value of myobiofeedback therapy combined with motor relearning program in stroke patients with motor dysfunction. Methods A total of 98 patients with stroke movement dysfunction from October 2015 to October 2017 were selected as the research objects,and divided into the observation group and control group according to random number table method,patients in the control group （49 cases） received routine clinical intervention,while patients in the observation group （49 cases） received the electromyographic biofeedback therapy and motor relearing program on the basis of routine clinical nursing intervention.National Institute of Health Stroke Scale （NIHSS）,Integrated Electromygoram （iEMG）,Fugl-Meyer （FMA） and Functional Independence Measure （FIM） score,walking ability,motion of joint were compared in the two groups before and after intervention,and compared patients′ satisfaction after intervention. Results Before intervention,the NIHSS,iEMG,FMA,FIM,walking ability,motion of joint in the two groups had no significant differences （ P 〉 0.05 ）.After intervention,these indicators in the two groups improved significantly compared those before intervention （ P 〈0.05）,and the degree of improvement in the observation group were more than those in the control group （ P 〈0.05）.The satisfaction rate of observation group was 97.96%,which was higher than 83.67% in control group （ P 〈0.05）. Conclusion The myobiofeedback therapy combined with motor relearning program could significantly improve nerve function defect,motor function,daily life ability,satisfaction in patients with stroke movement dysfunction,which is worthy of popularization and application.

关 键 词：脑卒中 运动功能障碍 肌电生物反馈疗法 运动再学习方案 

分 类 号：R454.1[医药卫生—治疗学]