CAJ | 학술논문

目的：研究镜像视觉反馈(MVF)、任务导向训练和肌电生物反馈(EMGBF)对脑卒中偏瘫患者上肢功能的恢复的作用。方法90例脑卒中偏瘫患者采用随机数字表法分为对照组(n=30)、EMGBF组(n=30)和MVF组(n=30)。所有患者均接受常规康复治疗和任务导向性训练，EMGBF组在此基础上加EMGBF，MVF组在EMGBF组的基础上加MVF，共8周。治疗前后进行Fugl-Mey-er运动功能评定(FMA)、Carroll手功能评定(UEFT)，并测定偏瘫上肢相关肌电积分。结果治疗后，所有患者上肢FMA评分， UEFT评级和上肢肌肉肌电积分均较治疗前改善(P<0.05)。组间比较，EMGBF组各项指标均优于对照组(P<0.05)，MVF组优于其他两组(P<0.05)。结论镜像视觉反馈结合肌电生物反馈可以更有效地促进脑卒中偏瘫患者上肢功能的改善。
목적：연구경상시각반궤(MVF)、임무도향훈련화기전생물반궤(EMGBF)대뇌졸중편탄환자상지공능적회복적작용。방법90례뇌졸중편탄환자채용수궤수자표법분위대조조(n=30)、EMGBF조(n=30)화MVF조(n=30)。소유환자균접수상규강복치료화임무도향성훈련，EMGBF조재차기출상가EMGBF，MVF조재EMGBF조적기출상가MVF，공8주。치료전후진행Fugl-Mey-er운동공능평정(FMA)、Carroll수공능평정(UEFT)，병측정편탄상지상관기전적분。결과치료후，소유환자상지FMA평분， UEFT평급화상지기육기전적분균교치료전개선(P<0.05)。조간비교，EMGBF조각항지표균우우대조조(P<0.05)，MVF조우우기타량조(P<0.05)。결론경상시각반궤결합기전생물반궤가이경유효지촉진뇌졸중편탄환자상지공능적개선。
Objective To investigate the effects of mirror visual feedback (MVF) and electromyographic biofeedback (EMGBF) on up-per extremity function in hemiplegic patients after stroke based on task-oriented training. Methods 90 patients with hempiplegia after stroke were randomly divided into control group (n=30), EMGBF group (n=30) and MVF group (n=30). All patients accepted routine rehabilitation and task-oriented training once a day for 8 weeks. The EMGBF group also accepted EMGBF, and the MVF group accepted MVF in addi-tion. They were assessed with Fugl-Meyer Assessment (FMA) and the Upper Extremity Function Test (UEFT), and their integrated electro-myogram (iEMG) of affected upper extremities were recorded before and after treatment. Results All the groups improved in scores of FMA and UEFT, as well as the iEMG after treatment (P<0.05), and ranked as the MVF group, the EMGBF group and the control group from im-proving more to less (P<0.05). Conclusion Mirror visual feedback combined with electromyographic biofeedback may further promote the recovery of upper limb function in patients with hemiplegia after stroke based on task-oriented training.