《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (04): 360-362.

• 临床研究 • 上一篇    下一篇

带电刺激的肌电反馈疗法对痉挛型双瘫患儿足背屈功能康复的疗效观察

陈先辉;程健;朱华;张希玲;余丹;兰华   

  1. 成都市第三人民医院儿科，四川成都市，610031
  • 收稿日期:2008-08-13 出版日期:2009-04-01 发布日期:2009-04-01
  • 通讯作者: 程健

Effect of Electromyographic Biofeedback with Electric Stimulation Training on Dorsiflexion of Foot of Children with Spastic Diplegia

CHEN Xian-hui, CHENG Jian, ZHU Hua, et al   

  1. The Department of Pediatrics, the 3rd People's Hospital of Chengdu, Chendu 610031, Sichuan, China
  • Received:2008-08-13 Published:2009-04-01 Online:2009-04-01

PDF (PC)

被引次数

9

摘要： 目的 探讨带电刺激的肌电反馈疗法对痉挛型双瘫患儿足背屈功能康复的疗效。方法 将66例痉挛型双瘫患儿随机分为治疗组和对照组，各33例。对照组给予常规康复训练，治疗组在此基础上给予带电刺激的肌电反馈治疗(Est-EMGBFT)。两组患儿均于治疗前及治疗4个疗程后进行胫前肌徒手肌力测定(MMT)及踝关节主动关节活动范围（I-ROM）测定，治疗组患儿同时经表面肌电图测定肌电积分值（iEMG）及均方根值（RMS）。结果 疗程结束后，治疗组患儿肌力提高明显高于对照组（ P<0.01），iEMG及RMS增加（ P<0.05），主动关节活动度较对照组增加（ P<0.05）。结论 Est-EMGBFT疗法对痉挛型双瘫患儿的足背屈功能康复有明显疗效。

关键词: 带电刺激的肌电反馈疗法, 肌力, 主动关节活动范围, 肌电积分, 均方根值, 脑性瘫痪, 痉挛型双瘫

Abstract: Objective To investigate the effect of electromyographic biofeedback with electric stimulation (Est-EMGBFT) training on dorsiflexion of foot of cerebral palsy children with spastic diplegia type.Methods 66 cerebral palsy children with spastic diplegia type were randomly divided into the treatment group and control group with 33 cases in each group. The treatment group was treated with rehabilitation training plus Est-EMGBFT, while the control group with rehabilitation training only. The manual muscle test (MMT) of tibial muscle and the ankle joint initiative range of motion (I-ROM) were performed before and after 4 courses of treatment, and the treatment group was assessed by electromyographic (EMG) apparatus additionally.Results After treatment, the muscular force of children in the treatment group was higher than those in the control group significantly ( P<0.01) and the level of integrated electromyography (iEMG) and root mean square (RMS) assessed by sEMG increased significantly ( P<0.05), the I-ROM of the treatment group was higher than the control group significantly ( P<0.05).Conclusion Est-EMGBFT training can provide a satisfactory rehabilitation effect for the dorsiflexion of foot of cerebral palsy children with spastic diplegia type.

Key words: electromyographic biofeedback with electric stimulation (Est-EMGBFT), muscular force, initiative range of motion (I-ROM), integrated electromyography (iEMG), root mean square (RMS), cerebral palsy, spastic diplegia