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
2014年
12期
924-927
,共4页
杨年煜%任亚锋%王磊%张伟%冯晓东
楊年煜%任亞鋒%王磊%張偉%馮曉東
양년욱%임아봉%왕뢰%장위%풍효동
手指点穴%脑卒中%痉挛%表面肌电
手指點穴%腦卒中%痙攣%錶麵肌電
수지점혈%뇌졸중%경련%표면기전
Finger-pressing therapy%Stroke%Spasticity%sEMG
目的 观察手指点穴结合常规康复治疗对脑卒患者上肢痉挛及功能恢复的疗效.方法 将60例脑卒中患者按随机数字表法分为实验组和对照组,每组30例.2组患者均给予常规药物对症治疗,且未给予抗痉挛的药物;在此基础上,实验组给予常规康复治疗结合手指点穴治疗,对照组仅给予单纯常规康复治疗.实验组在第1次手指点穴结束后,采用Fugl-Meyer运动功能上肢部分(FMA)评分及肱二头肌、桡侧腕屈肌表面肌电的平均积分肌电值(iEMG)测试,观察手指点穴的即刻效应.且在治疗1个月后,2组再分别进行上述指标的测试,观察手指点穴的持续疗效.结果 第1次手指点穴后,实验组FMA评分(12.63±4.64)高于组内治疗前(12.13±4.88)(P＜0.05),肱二头肌iEMG(41.64±9.22)、桡侧腕屈肌iEMG(37.06±7.02)均低于组内治疗前(43.67±9.56)、(39.17±7.56)(P＜0.01).治疗1个月后,两组间比较,实验组FMA评分(25.17±5.93)、肱二头肌iEMG(34.42±7.55)、桡侧腕屈肌iEMG(30.63±5.54)改善程度大于对照组(P＜0.01).结论 手指点穴改善脑卒中患者上肢痉挛的即刻效应较好;手指点穴结合常规康复治疗可有效降低脑卒中患者上肢痉挛,明显改善患者上肢运动功能,效果要优于单纯的常规康复治疗.
目的 觀察手指點穴結閤常規康複治療對腦卒患者上肢痙攣及功能恢複的療效.方法 將60例腦卒中患者按隨機數字錶法分為實驗組和對照組,每組30例.2組患者均給予常規藥物對癥治療,且未給予抗痙攣的藥物;在此基礎上,實驗組給予常規康複治療結閤手指點穴治療,對照組僅給予單純常規康複治療.實驗組在第1次手指點穴結束後,採用Fugl-Meyer運動功能上肢部分(FMA)評分及肱二頭肌、橈側腕屈肌錶麵肌電的平均積分肌電值(iEMG)測試,觀察手指點穴的即刻效應.且在治療1箇月後,2組再分彆進行上述指標的測試,觀察手指點穴的持續療效.結果 第1次手指點穴後,實驗組FMA評分(12.63±4.64)高于組內治療前(12.13±4.88)(P＜0.05),肱二頭肌iEMG(41.64±9.22)、橈側腕屈肌iEMG(37.06±7.02)均低于組內治療前(43.67±9.56)、(39.17±7.56)(P＜0.01).治療1箇月後,兩組間比較,實驗組FMA評分(25.17±5.93)、肱二頭肌iEMG(34.42±7.55)、橈側腕屈肌iEMG(30.63±5.54)改善程度大于對照組(P＜0.01).結論 手指點穴改善腦卒中患者上肢痙攣的即刻效應較好;手指點穴結閤常規康複治療可有效降低腦卒中患者上肢痙攣,明顯改善患者上肢運動功能,效果要優于單純的常規康複治療.
목적 관찰수지점혈결합상규강복치료대뇌졸환자상지경련급공능회복적료효.방법 장60례뇌졸중환자안수궤수자표법분위실험조화대조조,매조30례.2조환자균급여상규약물대증치료,차미급여항경련적약물;재차기출상,실험조급여상규강복치료결합수지점혈치료,대조조부급여단순상규강복치료.실험조재제1차수지점혈결속후,채용Fugl-Meyer운동공능상지부분(FMA)평분급굉이두기、뇨측완굴기표면기전적평균적분기전치(iEMG)측시,관찰수지점혈적즉각효응.차재치료1개월후,2조재분별진행상술지표적측시,관찰수지점혈적지속료효.결과 제1차수지점혈후,실험조FMA평분(12.63±4.64)고우조내치료전(12.13±4.88)(P＜0.05),굉이두기iEMG(41.64±9.22)、뇨측완굴기iEMG(37.06±7.02)균저우조내치료전(43.67±9.56)、(39.17±7.56)(P＜0.01).치료1개월후,량조간비교,실험조FMA평분(25.17±5.93)、굉이두기iEMG(34.42±7.55)、뇨측완굴기iEMG(30.63±5.54)개선정도대우대조조(P＜0.01).결론 수지점혈개선뇌졸중환자상지경련적즉각효응교호;수지점혈결합상규강복치료가유효강저뇌졸중환자상지경련,명현개선환자상지운동공능,효과요우우단순적상규강복치료.
Objective To observe the effect of finger-pressing combined with conventional rehabilitation therapy on the recovery of upper limb function after stroke.Methods A total of 60 cerebral stroke patients were randomly divided into an experimental group (n =30) and a control group (n =30).All patients were treated with conventional anti-symptomatic drugs but no anti-spasticity ones.The experimental group was given conventional rehabilitation and finger-pressing therapy,while the control group was given conventional rehabilitation only.Both groups were measured the motor function,using the upper-extremity portion of the Fugl-Meyer Scale,and the mean integrated electromyography (iEMG) output of biceps and flexor carpi radialis after the first finger-pressing treatment and 1 month later,so as to observe the immediate and continuous effects of finger-pressing therapy respectively.Results After the first session of finger-pressing therapy,the average Fugl-Meyer score(FMA) (12.63 ± 4.64) of the experimental group was significantly higher than in a pretest (12.13 ± 4.88) (P ＜ 0.05),while the iEMG of biceps (41.64 ± 9.22) and flexor carpi radialis (37.06 ± 7.02) were lower than before (P ＜ 0.01).One month after the treatment,compared with the control group,the average FMA (25.17 ± 5.93) and iEMG of biceps(34.42 ± 7.55) and flexor carpi radialis sEMG(30.63 ± 5.54) in the experimental group were significantly improved (P ＜ 0.01).Conclusions Finger-pressing therapy has significant and immediate effects in improving the upper extremity spasticity of stroke survivors.Combined with conventional rehabilitation therapy it can effectively reduce the upper extremity spasticity in stroke patients and significantly improve the upper extremity function.The combination is superior to conventional rehabilitation alone.
