《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 767-768.

• 临床研究 • 上一篇    下一篇

肌电生物反馈疗法治疗脑瘫患儿腕背屈功能障碍疗效观察

姜艳; 赵琳蕾   

  1. 甘肃省康复中心医院康复治疗科,甘肃兰州市 730030
  • 收稿日期:2008-06-25 出版日期:2008-08-01 发布日期:2008-08-01

Effect of Electromyographic Biofeedback Therapy on Upper Extremity Function in Children with Cerebral Palsy

JIANG Yan, ZHAO Lin-lei   

  1. The Department of Rehabilitation, Rehabilitation Hospital of Gansu Province, Lanzhou 730030, Gansu, China
  • Received:2008-06-25 Published:2008-08-01 Online:2008-08-01

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被引次数

32

摘要： 目的观察肌电生物反馈疗法治疗脑瘫患儿腕背屈功能障碍的疗效。方法20例脑瘫患儿随机分为治疗组和对照组,每组10例,所有患儿均接受Bobath技术、作业治疗、ADL功能训练。治疗组在此基础上应用AM800型神经功能重建仪,对患侧上肢腕伸肌群进行20min/d肌电触发的神经肌肉电刺激。每次治疗前后均进行测评并记录。在疗程开始与结束时,应用Fugl-Mey-er上肢运动功能评定法(FMA)等评定上肢运动功能。结果治疗后,两组患儿的观察指标均有不同程度改善(P<0.05～0.01),但治疗组的疗效优于对照组(P<0.05～0.01)。结论肌电生物反馈神经肌肉电刺治疗能明显提高脑瘫患儿的伸腕功能和肌电信号,改善其上肢运动功能。

关键词: 肌电生物反馈, 神经肌肉电刺激, 脑性瘫痪, 腕背屈

Abstract: Objective To investigate the effect of electromyographic biofeedback therapy on upper extremity function in children with cerebral palsy(CP).Methods 20 CP children were randomly divided into the treatment group and control group with 10 cases in each group.All children of two groups were treated with Bobath therapy and regularly training of activities of daily living(ADL),physical therapy and occupational therapy,while those of the treatment group were given electromyographic biofeedback therapy with EMG-electrical stimulation.The active range of motion(AROM)of wrist dorsiflexion was evaluated and upper extremity function was assessed by Fugl-Meyer Assessment(FMA).Results The upper extremity function of all children in two groups improved and the effect of the children of the treatment group were superior to those of the control group(P<0.05).Conclusion The electromyographic biofeedback therapy with EMG-electrical stimulation can improve the upper extremity function of CP children.

Key words: electromyographic biofeedback, neuromuscular electrical stimulation, cerebral palsy, wrist dorsiflexion