肌电生物反馈联合膝关节控制训练对脑卒中偏瘫患者下肢运动功能的临床疗效  

Clinical effectiveness of EMG biofeedback combined with knee joint control training on lower limb motor function in stroke patients with hemiplegia

作　　者：崔显超 贺道远[2] 肖文武 李伟[1] 黄肖群[1] Cui Xianchao;He Daoyuan;Xiao Wenwu(The People’s Hospital of China Three Gorges University,the First Hospital of Yichang,Yichang 443000,China)

机构地区：[1]三峡大学人民医院宜昌市第一人民医院康复医学科,湖北宜昌443000 [2]三峡大学体育学院,湖北宜昌443000 [3]中山大学附属第一医院康复医学科,广州510080

出　　处：《中国康复》2022年第9期528-531,共4页Chinese Journal of Rehabilitation

摘　　要：目的:探讨肌电生物反馈联合膝关节控制训练对脑卒中偏瘫患者下肢运动功能的临床疗效。方法:选取符合标准的脑卒中偏瘫患者60例随机分为观察组和对照组,各30例。2组患者均接受常规康复治疗,观察组在对照组的基础上,另行肌电生物反馈联合膝关节控制训练,每日1次,每周5次,治疗4周。于治疗前和治疗4周后分别采用简化Fugl-Meyer量表评定患者下肢运动功能,Berg平衡量表(BBS)评定平衡功能,Holden步行功能分级(FAC)评估步行能力。结果:治疗4周后,2组患者的Fugl-Meyer、BBS、FAC评分较治疗前比较均显著提高(P<0.05),观察组上述评分均显著高于对照组(P<0.05)。结论:肌电生物反馈联合膝关节控制训练能够改善脑卒中患者的下肢运动功能,提高平衡能力和步行能力。Objective:To investigate the clinical effectiveness of EMG biofeedback combined with knee joint control training on lower limb motor function in stroke patients with hemiplegia.Methods:Totally,60 hemiplegic patients with stroke were randomly divided into observation group(n=30)and control group(n=30).Patients in both groups received routine rehabilitation treatment.Patients in the observation group received EMG biofeedback combined with knee joint control training once a day,5 times a week for 4 weeks on the basis of the control group.Before and 4 weeks after treatment,the motor function of lower extremities was evaluated by simplified Fugl-Meyer scale(Fugl-Meyer),balance function was assessed by Berg balance scale(BBS),and walking ability was evaluated by Holden walking function classification(FAC).Results:After 4 weeks of treatment,the scores of Fugl-Meyer,BBS and FAC in the two groups were significantly higher than those before treatment,and the scores of Fugl-Meyer,BBS and FAC in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:EMG biofeedback combined with knee joint control training can improve lower limb motor function,balance ability and walking ability of stroke patients.

关 键 词：肌电生物反馈 控制训练 脑卒中 运动功能 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]