《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (7): 646-649.

• 论文 • 上一篇    下一篇

肌电生物反馈对肝豆状核变性患者下肢肌张力障碍的影响

韩永升，毛玉强，韩咏竹，李钦潘，李凯   

  1. 安徽中医学院神经病学研究所附属医院，安徽合肥市 230061。
  • 收稿日期:2011-04-08 修回日期:2011-05-18 出版日期:2011-07-25 发布日期:2011-07-25
  • 通讯作者: 韩咏竹

Effects of Electromyography Biofeedback on Dystonia after Hepatolenticular Degeneration

HAN Yong-sheng, MAO Yu-qiang, HAN Yong-zhu, et al.   

  1. Institute of Neurology, Anhui Traditional Chinese Medical College, Hefei 230061, Anhui, China
  • Received:2011-04-08 Revised:2011-05-18 Published:2011-07-25 Online:2011-07-25

PDF (PC)

被引次数

4

摘要： 目的观察肌电生物反馈对肝豆状核变性患者下肢肌张力障碍的疗效。方法40 例肝豆状核变性并发肌张力障碍患者分为治疗组和对照组，每组20 例。所有患者均接受正规驱铜治疗、改善肌张力药物治疗及针刺治疗。治疗组在此基础上对双下肢进行肌电触发生物反馈治疗。治疗前后用改良Ashworth 量表及改良Barthel 指数对患者进行评定，并测量踝背屈主动关节活动度变化。结果治疗后，两组患者的观察指标均有不同程度改善(P<0.05)，治疗组疗效优于对照组(P<0.05)。结论肌电生物反馈能够改善肝豆状核变性患者下肢肌张力障碍，提高患者日常生活能力。

关键词: 肝豆状核变性, 肌张力障碍, 肌电生物反馈, 针刺, 下肢运动功能

Abstract: Objective To study the clinical efficacy of electromyography biofeedback on dystonia after hepatolenticular degeneration.Methods 40 patients with dystonia after hepatolenticular degeneration were divided into treatment group (n=20) and control group (n=20).All patients were treated with copper-cleaning, clonazepam and benzhexol hydrochloride etc., and acupuncture. The treatment group wastreated with electromyographic biofeedback in addition. They were assessed with modified Ashworth scale, modified Barthel index, and ankledorsiflexion active range of motion. Results The lower extremities function of all patients improved after treatment (P<0.05) and thetreatment group improved more than the control group (P<0.05). Conclusion Electromyography biofeedback is more effective to improvethe lower extremities function and activity of daily living in patients with hepatolenticular degeneration following dystonia.

Key words: hepatolenticular degeneration, dystonia, electromyography biofeedback, acupuncture, lower extremities function