肌电生物反馈治疗中枢神经系统损伤所致腕、踝关节异常运动模式的临床研究  

Clinical research on the treatment of EMG biofeedback response in abnormity motion style of the wrist and ankle joint resulted from central nervous system lesions

作　　者：王秀汝[1] 赵文汝[1] 刘金敬[2] 霍速[1] 孙丽[1] 

机构地区：[1]首都医科大学宣武医院功能治疗科,脑,脊髓,神经功能治疗室,北京100053 [2]北京矿务局总医院神经内科

出　　处：《中国康复医学杂志》2004年第2期108-110,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:通过EMG生物反馈仪提供的肌电信号,确定中枢神经系统损伤后造成腕、踝关节异常运动模式的肌肉原因,制定适宜的治疗方案,观察EMG生物反馈对该异常关节运动的治疗效果。方法:对异常运动模式的29个腕、踝关节进行一个疗程的(15次,每次50min)EMG生物反馈治疗。比较分析治疗前后腕伸肌、腕屈肌,胫前肌、腓肠肌两组拮抗肌的肌电信号、肌力,以及治疗前后的关节运动情况。结果:治疗前后腕关节背伸与掌屈,踝关节背屈与跖屈的肌电信号、肌力和关节异常运动模式均得到明显改善。结论:通过EMG生物反馈能够准确了解导致关节异常运动的肌肉原因,并有效治疗该异常运动模式。Objective:To determine the muscle tension and abnormal motion of the wrist and ankle joint that resulted from central nervous system lesions by analyzing the muscle signal that provided by the EMG Neuroeductor Ⅲ. To observe its therapeutic effectiveness on the treatment of the abnormity motion style joint. Method:All of the 29 wrists and ankle joints with abnormal motion style had 1 course treatment which including 15 treatment sessions and 50 minutes for each session. Interventions: The data of surface EMG and muscle strength before and after treatment were obtained on the wrist extensor, wrist flexor, anterior tibialis and gastrocenemius. The improvement of the abnormity motion style of the joint was also obtained and analyzed.Result:The increase of EMG signal, muscle strength and the improvement of the joint motion after the treatment were significant(P<0.01). Conclusion: The EMG biofeedback can accurately explore the muscle problem that caused the abnormity motion style of the joints, and the abnormity motion style of the wrist and ankle joints can be improved by this procedure.Author′s address Dept. of Functional Treatment, Xuanwu Hospital, The Capital University of Medicine Science, Beijing,100053

关 键 词：肌电生物反馈 治疗 中枢神经系统 神经损伤 踝关节 异常运动模式 腕关节 

分 类 号：R741.05[医药卫生—神经病学与精神病学]