中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
9期
712-715
,共4页
任云萍%李玥莹%李长江%熊道海
任雲萍%李玥瑩%李長江%熊道海
임운평%리모형%리장강%웅도해
任务导向性训练%肌电生物反馈%腕背伸%脑卒中
任務導嚮性訓練%肌電生物反饋%腕揹伸%腦卒中
임무도향성훈련%기전생물반궤%완배신%뇌졸중
Task-oriented training%Electromyographic biofeedback%Wrist extension%Stroke
目的 探讨任务导向性训练结合肌电生物反馈治疗对脑卒中偏瘫患者上肢手背伸功能的影响.方法 将36例脑卒中偏瘫患者按随机数字表法分为对照组和实验组,每组18例.对照组进行常规康复治疗和肌电生物反馈疗法治疗,实验组在上述治疗的同时增加患侧上肢任务导向训练,即训练时结合日常实物并完成明确指令动作,如手背伸抓握及够物等训练.由不知分组的同一治疗师分别于治疗前和治疗8周后(治疗后)评定2组患者的患侧腕关节背伸主动活动度(AROM)、手腕Fugl-Meyers运动功能评定(FMA)和腕背伸表面肌电图(sEMG)值,并进行统计学分析比较.结果 治疗前,实验组和对照组患者腕关节AROM、手腕FMA评分和腕背伸sEMG值分别为(4.17 ±2.68)°和(3.11±2.85)°、(11.11±3.69)分和(13.72±4.46)分、(42.83±16.48)μV和(37.28±18.48)1μV,组间差异无统计学意义(P＞0.05),具有可比性.治疗后,实验组和对照组患者上述指标分别为(6.39±4.22)°和(3.83±4.02)°、(27.72±8.84)分和(22.05±7.81)分、(102.5 ±53.11)μV和(72.17±32.65) μV,均较治疗前有所改善(P＜0.05),且实验组明显优于对照组(P＜0.05).结论 任务导向性训练结合肌电生物反馈治疗能明显促进偏瘫患者上肢腕背伸功能改善.
目的 探討任務導嚮性訓練結閤肌電生物反饋治療對腦卒中偏癱患者上肢手揹伸功能的影響.方法 將36例腦卒中偏癱患者按隨機數字錶法分為對照組和實驗組,每組18例.對照組進行常規康複治療和肌電生物反饋療法治療,實驗組在上述治療的同時增加患側上肢任務導嚮訓練,即訓練時結閤日常實物併完成明確指令動作,如手揹伸抓握及夠物等訓練.由不知分組的同一治療師分彆于治療前和治療8週後(治療後)評定2組患者的患側腕關節揹伸主動活動度(AROM)、手腕Fugl-Meyers運動功能評定(FMA)和腕揹伸錶麵肌電圖(sEMG)值,併進行統計學分析比較.結果 治療前,實驗組和對照組患者腕關節AROM、手腕FMA評分和腕揹伸sEMG值分彆為(4.17 ±2.68)°和(3.11±2.85)°、(11.11±3.69)分和(13.72±4.46)分、(42.83±16.48)μV和(37.28±18.48)1μV,組間差異無統計學意義(P＞0.05),具有可比性.治療後,實驗組和對照組患者上述指標分彆為(6.39±4.22)°和(3.83±4.02)°、(27.72±8.84)分和(22.05±7.81)分、(102.5 ±53.11)μV和(72.17±32.65) μV,均較治療前有所改善(P＜0.05),且實驗組明顯優于對照組(P＜0.05).結論 任務導嚮性訓練結閤肌電生物反饋治療能明顯促進偏癱患者上肢腕揹伸功能改善.
목적 탐토임무도향성훈련결합기전생물반궤치료대뇌졸중편탄환자상지수배신공능적영향.방법 장36례뇌졸중편탄환자안수궤수자표법분위대조조화실험조,매조18례.대조조진행상규강복치료화기전생물반궤요법치료,실험조재상술치료적동시증가환측상지임무도향훈련,즉훈련시결합일상실물병완성명학지령동작,여수배신조악급구물등훈련.유불지분조적동일치료사분별우치료전화치료8주후(치료후)평정2조환자적환측완관절배신주동활동도(AROM)、수완Fugl-Meyers운동공능평정(FMA)화완배신표면기전도(sEMG)치,병진행통계학분석비교.결과 치료전,실험조화대조조환자완관절AROM、수완FMA평분화완배신sEMG치분별위(4.17 ±2.68)°화(3.11±2.85)°、(11.11±3.69)분화(13.72±4.46)분、(42.83±16.48)μV화(37.28±18.48)1μV,조간차이무통계학의의(P＞0.05),구유가비성.치료후,실험조화대조조환자상술지표분별위(6.39±4.22)°화(3.83±4.02)°、(27.72±8.84)분화(22.05±7.81)분、(102.5 ±53.11)μV화(72.17±32.65) μV,균교치료전유소개선(P＜0.05),차실험조명현우우대조조(P＜0.05).결론 임무도향성훈련결합기전생물반궤치료능명현촉진편탄환자상지완배신공능개선.
Objective To study the effects of task-oriented training combined with electromyographic biofeedback on wrist and finger extension after stroke.Methods Thirty-eight stroke patients were assigned randomly into either an experimental group (18 cases) or a control group (18 cases).Both groups received routine rehabilitation treatment and electromyographic biofeedback training.In addition,the experimental group was given task-oriented training in wrist and finger extension.Myoelectricity values,the active range of wrist dorsiflexion and the FuglMeyer upper extremity assessment (FMA) were assessed before and after 8 weeks of training.Results All of the patients showed significant improvements after 8 weeks of training,but compared with the controls,the patients in the experimental group improved significantly more in terms of all of the measures.Conclusion Task-oriented training with electromyographic biofeedback can improve upper extremity function,particularly wrist extension,among hemiplegic stroke survivors.
