肌电生物反馈治疗早期脑卒中偏瘫患者上肢功能障碍的疗效分析  

Effect of electromyographic biofeedback on upper limb dysfunction in patients with hemiplegia after early stroke

作　　者：杨辉[1] 刘威[1] 李欣怡[1] 汤利波 刘泰源[1] 刘忠良[1] YANG Hui;LIU Wei;LI Xinyi;TANG Libo;LIU Taiyuan;LIU Zhongliang(Department of Rehabilitation Medicine,the Second Hospital of Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院康复医学科,吉林长春130041

出　　处：《机器人外科学杂志（中英文）》2024年第2期148-152,共5页Chinese Journal of Robotic Surgery

基　　金：吉林省财政厅省直卫生专项项目(3D518S603429);吉林大学横向课题项目(3R218FR23429)。

摘　　要：目的:探讨肌电生物反馈治疗早期脑卒中偏瘫患者上肢功能障碍的疗效。方法:选取2019年11月—2020年1月于吉林大学第二医院康复医学科早期脑卒中偏瘫后上肢功能障碍患者42例,随机分为对照组20例和观察组22例,所有患者均接受常规康复治疗(物理治疗、作业治疗、针灸治疗),观察组在常规康复治疗的基础上,加用上肢腕伸肌群肌电生物反馈治疗。两组于治疗前、治疗后分别采用日常生活活动(ADLs)评分、肌电生物反馈(EMG)波幅、Brunnstrom分期、Fugl-Meyer运动功能量表(FMA)对偏瘫患者的上肢功能进行评定。结果:观察组治疗后ADLs评分、EMG波幅、Fugl-Meyer评分均高于治疗前(P<0.05),且均高于对照组(P<0.01);观察组Brunnstrom分期上肢功能达到IV级及以上者多于对照组(P<0.05)。结论:肌电生物反馈疗法有助于早期脑卒中偏瘫患者上肢运动功能恢复,提高患者日常生活能力。Objective:To investigate the effect of electromyographic biofeedback on upper limb dysfunction in early stroke patients with hemiplegia.Methods:A total of 42 patients with upper limb dysfunction after hemiplegia in the Second Hospital of Jilin University from November 2019 to January 2020 were selected and randomly divided into the control group(20 cases)and observation group(22 cases).All patients were given conventional rehabilitation treatment.The observation group was treated with electromyographic biofeedback on the basis of conventional rehabilitation treatment.Activities of Daily Living(ADLs)scores,EMG amplitudes,Brunnstrom stages,and Fugl-Meyer Assessment(FMA)were used to assess upper limb function of hemiplegia patients in both groups before and after treatment.Results:After treatment,the ADLs scores,EMG amplitude and FMA scores in the observation group were higher than those before treatment(P<0.05),and higher than those in the control group(P<0.01).There were more patients with Brunnstrom stage of IV or above in the observation group than that in the control group(P<0.05).Conclusion:Electromyographic biofeedback therapy could help restore upper limb motor function and improve ADLs of patients with hemiplegia after early stroke.

关 键 词：肌电生物反馈疗法 上肢功能 偏瘫 康复治疗 

分 类 号：R496[医药卫生—康复医学]