CAJ | 학술논문

目的初步评价肌电生物反馈电刺激对臂丛神经移位术后分娩性臂丛神经麻痹(产瘫)患儿腕背伸功能的疗效.方法根据纳入标准,选取30例行臂丛神经移位术后的产瘫患儿,在服用神经营养药物治疗和康复训练的基础上,给予患侧桡侧腕长伸肌肌电生物反馈电刺激治疗.在治疗前和治疗4周后评定患儿腕背伸主动关节活动度和桡侧腕长伸肌自发肌电均值,进行统计分析.结果 30例患儿全部获得随访,腕背伸主动关节活动度治疗前为(0.00±14.20)°,治疗后为(24.57± 13.79)°,两组差异有统计学意义(P＜0.01).桡侧腕长伸肌自发肌电均值治疗前为(69.57±39.57)μV,治疗后为(529.30±293.17)μV,两组差异有统计学意义(P＜0.01).结论肌电生物反馈电刺激有助于改善臂丛神经移位术后产瘫患儿的腕背伸功能.
목적 초보평개기전생물반궤전자격대비총신경이위술후분면성비총신경마비(산탄)환인완배신공능적료효.방법 근거납입표준,선취30례행비총신경이위술후적산탄환인,재복용신경영양약물치료화강복훈련적기출상,급여환측뇨측완장신기기전생물반궤전자격치료.재치료전화치료4주후평정환인완배신주동관절활동도화뇨측완장신기자발기전균치,진행통계분석.결과 30례환인전부획득수방,완배신주동관절활동도치료전위(0.00±14.20)°,치료후위(24.57± 13.79)°,량조차이유통계학의의(P＜0.01).뇨측완장신기자발기전균치치료전위(69.57±39.57)μV,치료후위(529.30±293.17)μV,량조차이유통계학의의(P＜0.01).결론 기전생물반궤전자격유조우개선비총신경이위술후산탄환인적완배신공능.
Objective To explore the effects of electromyographic biofeedback (EMG-BFB) on the wrist dorsiflexion recovery in children with obstetrical brachial plexus palsy (OBPP) who have undergone neurotization procedures.Methods According to the inclusive criteria of the study 30 children with OBPP were involved.After the nerve transfer surgeries all the patients received routine neurotrophic medication and rehabilitation interventions.In addition,all the children were given EMG-BFB on the affected extensor carpi radialis longus (ECRL).Active wrist extension and average EMG signal of the ECRL were recorded 4 weeks after the treatment and compared with the pre-treatment values.Results All 30 patients were follow-up for evaluation.The posttreatment wrist extension active movement range was (24.57 ± 13.79)°,a significant improvement from the (0.00 ± 14.20)° pre-treatment value (P ＜ 0.01).The average EMG of the ECRL increased from (69.57 ± 39.57) μV to (529.30 ± 293.17) μV (P ＜ 0.01).Conclusion Electromyographic biofeedback could improve wrist dorsiflexion function in children with OBPP.