《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 568-570.

• 论文 • 上一篇    下一篇

肌电触发神经肌肉刺激对偏瘫患者腕指背伸功能的影响

侯勇伦1a,2，丛芳1a,2，桑德春1b,2，朱迎九1a,2，王莉莉1a,2，张立颖1a,2，林歆1a,2   

  1. 1.中国康复研究中心北京博爱医院，a: 理疗科；b: 综合病房，北京市 100068；2.首都医科大学康复医学院，北京市 100068。
  • 收稿日期:2010-01-25 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25

Effect of Electromyography-triggered Neuromuscular Stimulation on Wrist/finger Extension after Stroke

HOU Yong-lun, CONG Fang, SANG De-chun, et al.   

  1. Department of Physiotherapy, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-01-25 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

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摘要： 目的探讨肌电触发神经肌肉刺激对脑卒中偏瘫患者腕指背伸功能的影响。方法对20例脑卒中偏瘫患者进行常规运动疗法、作业疗法和肌电触发神经肌肉刺激治疗，在治疗前、后分别测量患者腕指背伸时的肌电均值、腕背伸的主动活动度（active range of motion, AROM）、上肢Fugl-Meyer评分(FMA)等指标。结果与治疗前相比，治疗后腕指背伸时的肌电均值、腕背伸AROM与FMA评分均增加(P＜0.05)。结论肌电触发神经肌肉刺激治疗有助于偏瘫上肢功能的恢复。

关键词: 肌电生物反馈, 电刺激, 偏瘫, 上肢

Abstract: ObjectiveTo investigate the effect of electromyography-triggered neuromuscular stimulation on rehabilitation of hemiplegia patient.Methods20 stroke patients following hemiplegia were treated with electromyography-triggered neuromuscular stimulation on base of routine physical therapy, occupational therapy. Myoelectricity value, active range of motion (AROM) of wrist dorsiflexion, and Fugl-Meyer Assessment(FMA) of upper extremity were assessed before and after the treatment.ResultsThe value of myoelectricity, AROM of wrist dorsiflexion, and FMA of upper extremity have significant statistical improvement (P<0.05) after the treatment.ConclusionElectromyography-triggered neuromuscular stimulation has positive effect on recovery of hemiplegic upper extremity.

Key words: electromyography biofeedback, electrical stimulation, hemiplegia, upper extremity