《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

肌电生物反馈治疗痉挛型脑性瘫痪患儿尖足的效果①

王利江，刘秋燕，于晓明，侯梅   

  1. 青岛市妇女儿童医院，山东青岛市266034。
  • 出版日期:2016-10-25 发布日期:2016-12-05

Effect of Electromyographic Biofeedback on Pointed Foot in Children with Spastic Cerebral Palsy

WANG Li-jiang, LIU Qiu-yan, YU Xiao-ming, HOU Mei   

  1. Women and Children Hospital of Qingdao City, Qingdao, Shandong 266034, China
  • Published:2016-10-25 Online:2016-12-05

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摘要： 目的探讨肌电生物反馈技术治疗痉挛型脑瘫患儿尖足的临床疗效。方法2014 年6 月~2015 年12 月，本院80 例痉挛型脑瘫尖足患儿，分为常规治疗组(n=40)和肌电生物反馈组(n=80)。常规治疗组接受运动疗法结合推拿治疗，肌电生物反馈组加用生物反馈治疗。比较治疗前及治疗8 周后踝关节被动背屈角度(PROM)、表面肌电评价结果和选择性控制评定结果。结果治疗后，两组患儿踝关节PROM较治疗前显著减小(t>9.142, P<0.001)，胫前肌积分肌电值(iEMG)、均方根值(RMS)及踝关节选择性运动控制评分均较治疗前明显增大(t>3.456, Z>3.178, P<0.01)；且肌电生物反馈组均明显优于常规治疗组(t>3.737, Z=-2.748, P<0.01)。结论肌电生物反馈治疗能更好改善痉挛型脑瘫患儿足背曲，改善其尖足步态。

关键词: 脑性瘫痪, 痉挛型, 尖足, 生物反馈技术, 表面肌电图, 推拿

Abstract: Objective To explore the clinical curative effect of electromyographic biofeedback on pointed foot in children with spastic cerebral palsy. Methods From June, 2014 to December, 2015, 80 children with spastic cerebral palsy and pointed foot were divided into conventional group (n=40) and electromyographic biofeedback group (n=40). The conventional group received exercise and massage, while the electromyographic biofeedback group received electromyographic biofeedback in addition. The passive range of motion (PROM) of ankle, the surface electromyographic results and the selective control results were compared before and eight weeks after treatment. Results After treatment, the PROM significantly decreased in both groups (t>9.142, P<0.001); the integrated electromyography and root mean square, and the selective control increased in both groups (t>3.456, Z>3.178, P<0.01), which were better in the electromyographic biofeedback group than in the conventional group (t>3.737, Z=-2.748, P<0.01). Conclusion Electromyographic biofeedback can further improve the foot dorsal flexure and pointed foot gait of spastic cerebral palsy children.

Key words: cerebral palsy, spasm, pointed foot, biofeedback technology, surface electromyography, massage