CAJ | 학술논문

目的观察神经训导技术(中医导引反馈技术)在脑卒中偏瘫合并肩关节半脱位患者康复治疗中的临床疗效.方法选取国家康复辅具研究中心附属康复医院30例脑卒中偏瘫合并肩关节半脱位患者,采用神经训导系列技术进行治疗,包括神经训导仪治疗、上肢潜能开发训练、神经训导式作业疗法训练、干扰电治疗等,1次/d,20 min/次,共治疗40次.采用自身对照的研究方法,治疗前后分别采集患侧耸肩肌、肩外展肌表面肌电信号数据；分别摄取双侧肩关节X线片及进行物理诊断检查,并进行患侧上肢运动功能(采用简化Fugl-Meyer量表)评定.结果治疗后患侧上肢运动功能评分及三角肌、斜方肌表面肌电信号数据与治疗前比较均有明显改善[分别为(25±11)分比(8±4)分,(56±26)μV比(10±10) μV,(76±24)μV比(13±12)μV],差异均有统计学意义(均P＜0.01).其中,治疗后上肢肩关节半脱位恢复正常者9例,恢复至轻度17例,显效率30％ (9/30),有效率70％(21/30).结论神经训导康复技术治疗脑卒中偏瘫合并肩关节半脱位疗效显著,是恢复脑卒中偏瘫合并肩关节半脱位患者中枢神经功能的有效方法.
목적 관찰신경훈도기술(중의도인반궤기술)재뇌졸중편탄합병견관절반탈위환자강복치료중적림상료효.방법 선취국가강복보구연구중심부속강복의원30례뇌졸중편탄합병견관절반탈위환자,채용신경훈도계렬기술진행치료,포괄신경훈도의치료、상지잠능개발훈련、신경훈도식작업요법훈련、간우전치료등,1차/d,20 min/차,공치료40차.채용자신대조적연구방법,치료전후분별채집환측용견기、견외전기표면기전신호수거；분별섭취쌍측견관절X선편급진행물리진단검사,병진행환측상지운동공능(채용간화Fugl-Meyer량표)평정.결과 치료후환측상지운동공능평분급삼각기、사방기표면기전신호수거여치료전비교균유명현개선[분별위(25±11)분비(8±4)분,(56±26)μV비(10±10) μV,(76±24)μV비(13±12)μV],차이균유통계학의의(균P＜0.01).기중,치료후상지견관절반탈위회복정상자9례,회복지경도17례,현효솔30％ (9/30),유효솔70％(21/30).결론 신경훈도강복기술치료뇌졸중편탄합병견관절반탈위료효현저,시회복뇌졸중편탄합병견관절반탈위환자중추신경공능적유효방법.
Objective To observe the effectiveness of the neurological training technique of threating shoulder subluxation after stroke.Methods We had treated 30 cases of shoulder subluxation paralysis,using neurological training technique including neurological training type OT 20 minutes/time,shoulder neurological training 20 minutes/time,the upper potential development 20 minutes/time and shoulder muscle electrical stimulation 20 minutes/time.Results After treatment of upper limb motor function and deltoid,trapezius surface EMG data before and after treatment were significantly improved (all P ＜ 0.01).Among them,the upper shoulder subluxation after treatment returned to normal in nine cases,recovered to mild in 17 cases.Conclusion Neurological training technology is the effective method to treat shoulder subluxation paralysis.