微电子肌电桥技术对颈脊髓损伤患者桡侧腕长伸肌运动功能康复的效果  

Effect of Microelectronic Electromyography Bridge on Motor Function of Extensor Carpi Radialis Longus in Patients with Cervical Spinal Cord Injury

作　　者：王冲[1,2,4] 杜良杰 王志功[5] 李建军 李军[1,3,4] 刘宏炜[1,3,4] 丛芳 林歆[1,2,4] WANG Chong;DU Liang-jie;WANG Zhi-gong;LI Jian-jun;LI Jun;LIU Hong-wei;CONG Fang;LIN Xin(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Physiotherapy,China Rehabilitation Research Center,Beijing 100068,China;Department of Spinal and Neural Function Reconstruction,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Institute of Nerve Injury and Repair,Beijing Key Laboratory of Nerve Injury and Rehabilitation,Beijing Institute of Brain Diseases,Chinese Institute of Rehabilitation Sciences,Beijing 100068,China;Institute of Radiofrequency and Optoelectronic Integrated Circuits,Southeast University,Nanjing,Jiangsu 210000,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院理疗科,北京市100068 [3]中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市100068 [4]中国康复科学所,神经损伤与康复北京市重点实验室,北京脑重大疾病研究院神经损伤与修复研究所,北京市100068 [5]东南大学射频与光电集成电路研究所,江苏南京市210000

出　　处：《中国康复理论与实践》2021年第6期698-705,共8页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2015-4-48-1)。

摘　　要：目的观察微电子肌电桥(EMGB)技术对C5完全性脊髓损伤患者桡侧腕长伸肌运动功能的康复疗效。方法2016年3月至2017年3月,选择本院C5完全性脊髓损伤患者20例,随机分为对照组(n=10)和试验组(n=10)。对照组进行常规腕背伸训练,试验组在此基础上增加EMGB训练,共180 d。以桡侧腕长伸肌表面肌电图(sEMG)、徒手肌力检查(MMT)、Wolf运动功能评定量表(WMFT)、脊髓损伤独立性量表(SCIM)评价各组治疗前后的患肢运动功能。结果治疗后,两组桡侧腕长伸肌表面肌电峰值和平均值均提高(t>2.510,P<0.05);试验组左侧桡侧腕长伸肌表面肌电峰值和平均值均优于对照组(t>2.759,P<0.05);试验组右侧桡侧腕长伸肌表面肌电峰值优于对照组(t=2.691,P<0.05);试验组右侧桡侧腕长伸肌表面肌电平均值与对照组比较无显著性差异(t=2.063,P=0.054)。两组治疗后MMT均提高(t>2.569,P<0.05),且试验组优于对照组(t>2.278,P<0.05)。两组治疗后WMFT、SCIM评分均明显提高(t>3.839,P<0.01),但两组间无显著性差异(t<1.498,P>0.05)。结论EMGB训练能够提高C5完全性脊髓损患者桡侧腕长伸肌的运动功能。Objective To observe the effect of microelectronic EMG bridge(EMGB)training on the motor function of extensor carpi radialis longus in patients with complete cervical 5 spinal cord injury.Methods From March,2016 to March,2017,20 patients with complete cervical 5 spinal cord injury were randomly divided into control group(n=10)and experimental group(n=10).The control group received routine wrist extensor muscle training,and the experimental group received EMGB training in addition,for 180 days.The motor function of the affected limb was evaluated by sEMG of extensor carpi radialis longus,Manual Muscle Test(MMT),Wolf Motor Function Test(WMFT)and Spinal Cord Lesion Independence Measure(SCIM).Results After treatment,the peak value and average value of sEMG of extensor carpi longus of both sides increased in both groups(t>2.510,P<0.05),the peak value and average value of the left side were higher(t>2.759,P<0.05),and the peak value of the right side was higher(t=2.691,P<0.05)in the experiment group than in the control group,however,there was no significant difference in average value of the right side between two groups(t=2.063,P=0.054).The scores of MMT increased in both groups(t>2.569,P<0.05),and were higher in the experimental group than in the control group(t>2.278,P<0.05).The scores of WMFT and SCIM increased in both groups(t>3.839,P<0.05),however,there was no significant difference between two groups(t<1.498,P>0.05).Conclusion EMGB training could improve the motor function of extensor carpi radialis longus in patients with complete cervical 5 spinal cord injury.

关 键 词：脊髓损伤 微电子肌电桥 桡侧腕长伸肌 康复 

分 类 号：R651.2[医药卫生—外科学]