CAJ | 학술논문

目的:观察肌电生物反馈疗法联合康复训练对脊髓损伤(SCI)患者下肢运动功能障碍的康复疗效.方法:60例胸腰段不完全性脊髓损伤患者随机分为试验组和对照组,每组30例.两组均进行常规康复治疗,试验组加用下肢肌电生物反馈治疗.治疗前及治疗后8周进行下肢肌肉最大收缩时表面肌电(surface electro myogram,sEMG)信号采集及肌力评定,比较临床疗效.结果:治疗后8周,两组患者股四头肌、胫前肌最大收缩时的sEMG信号及肌力均有提高(P<0.05),试验组sEMG信号和肌力分别由治疗前15.57±2.31μV、1.04±1.38级提高到治疗后110.38±68.20μV、4.20±0.82级;对照组sEMG信号和肌力分别由治疗前16.35±4.30μV、1.64±1.47级提高到治疗后62.34±4.29μV、3.10±0.40级.治疗后试验组sEMG信号和肌力均高于对照组(P<0.05).结论:肌电生物反馈疗法联合康复训练对胸腰段不完全性脊髓损伤患者下肢运动功能有促进作用,能明显提高患者的股四头肌、胫前肌表面肌电信号及肌力.
목적:관찰기전생물반궤요법연합강복훈련대척수손상(SCI)환자하지운동공능장애적강복료효.방법:60례흉요단불완전성척수손상환자수궤분위시험조화대조조,매조30례.량조균진행상규강복치료,시험조가용하지기전생물반궤치료.치료전급치료후8주진행하지기육최대수축시표면기전(surface electro myogram,sEMG)신호채집급기력평정,비교림상료효.결과:치료후8주,량조환자고사두기、경전기최대수축시적sEMG신호급기력균유제고(P<0.05),시험조sEMG신호화기력분별유치료전15.57±2.31μV、1.04±1.38급제고도치료후110.38±68.20μV、4.20±0.82급;대조조sEMG신호화기력분별유치료전16.35±4.30μV、1.64±1.47급제고도치료후62.34±4.29μV、3.10±0.40급.치료후시험조sEMG신호화기력균고우대조조(P<0.05).결론:기전생물반궤요법연합강복훈련대흉요단불완전성척수손상환자하지운동공능유촉진작용,능명현제고환자적고사두기、경전기표면기전신호급기력.
Objective:To observe the rehabilitation effect of electromyographic biofeedback therapy combined with rehabilitation training on the low-er extremity motor function of patient with spinal cord injury (SCI). Methods:60 cases of patients with thoracolumbar incomplete lesion of spinal cord were randomly divided into experimental group (30 cases) and control group (30 cases), both of them treated by conventional rehabilitation ther-apy, while experimental group combined with electromyographic biofeedback therapy. Collected the surface electromyography (sEMG) when maxi-mum contraction of lower limb muscle and evaluated the muscle strength before and 8 weeks after treatment to compare the efficacy of two groups. Results:8 weeks after treatment, the sEMG signal when maximum contraction and muscle strength of musculi quadriceps femoris and anterior tibial muscle were both increased (P<0.05), the sEMG and muscle strength of experimental group were increased from 15.57±2.31μV, level 1.04±1.38 be-fore treatment to 110.38 ± 68.20μV, level 4.20 ± 0.82 after treatment; the sEMG and muscle strength of control group were increased from 16.35 ± 4.30μV, level 1.64±1.47 before treatment to 62.34±4.29μV, level 3.10±0.40 after treatment. After treatment, the sEMG and muscle strength of experi-mental group were both higher than those of control group (P<0.05). Conclusion:The treatment of electromyographic biofeedback therapy combined rehabilitation training which can significantly improve the sEMG and muscle strength of musculi quadriceps femoris and anterior tibial muscle has promoting effect on the lower extremity motor function of patients wtih thoracolumbar incomplete lesion of spinal cord.