CAJ | 학술논문

目的探讨肌电生物反馈对于合并患肢感觉障碍的脑卒中患者肢体功能恢复及日常生活活动能力（ADL）的影响。方法将61例脑卒中所致肢体瘫痪同时合并患肢感觉障碍患者分为治疗组（30例）和对照组（31例）。对照组采取各种促通技术治疗8周；治疗组除采取各种促通技术外，利用肌电生物反馈治疗8周。治疗前、后及出院后4周末，采用Fugl-Meyer量表、改良巴氏指数（MBI）对该61例患者进行评定。利用SPSS11．5软件进行分析，比较治疗前后功能评定的差异。结果经治疗8周后及出院后4周末，61例患者Fugl-Meyer量表评分及改良巴氏指数较前均提高（P＜0．05）；治疗组效果优于对照组（P＜0．05）。结论肌电生物反馈对于合并患肢感觉障碍的脑卒中患者肢体功能的恢复及日常生活活动能力的提高有积极作用。
목적탐토기전생물반궤대우합병환지감각장애적뇌졸중환자지체공능회복급일상생활활동능력（ADL）적영향。방법장61례뇌졸중소치지체탄탄동시합병환지감각장애환자분위치료조（30례）화대조조（31례）。대조조채취각충촉통기술치료8주；치료조제채취각충촉통기술외，이용기전생물반궤치료8주。치료전、후급출원후4주말，채용Fugl-Meyer량표、개량파씨지수（MBI）대해61례환자진행평정。이용SPSS11．5연건진행분석，비교치료전후공능평정적차이。결과경치료8주후급출원후4주말，61례환자Fugl-Meyer량표평분급개량파씨지수교전균제고（P＜0．05）；치료조효과우우대조조（P＜0．05）。결론기전생물반궤대우합병환지감각장애적뇌졸중환자지체공능적회복급일상생활활동능력적제고유적겁작용。
Objective To explore the influence of electromyography biofeedback on recovery of limb function and activities of daily living ( ADL) in post-stroke patients with limb sensory disturbance .Methods A total of 61 post-stroke patients with limb paralysis and sensory disturbance were included and divided into treatment group ( n=30) and control group (n=31).All the patients was treated with a variety of facilitation techniques ,while the patients in the treatment group ,was additionally treated by electromyography biofeedback for 8 weeks .Fugl-Meyer Scale and Modified Barthel Index ( MBI) were used to assess all the patients before and after the treatment and 4 weeks after dis-charge.SPSS 11.5 was applied to analyze the assessment results .Results After the treatment of 8 weeks and 4 weeks from discharge ,the Fugl-Meyer score and Modified Barthel index were significantly increased of all the patients (P<0.05),the treatment group performed a better outcome to the controll group (P<0.05).Conclusion Electro-myography biofeedback has a positive effect in improving the limb function and ADL of post -stroke patients with limb sensory disturbance .