《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 761-763.

• 论文 • 上一篇    下一篇

A型肉毒毒素治疗痉挛型双瘫患儿疗效的表面肌电分析

周平秋，张惠佳，王跑球，胡继红，郭春光，李惠枝   

  1. 湖南省儿童医院康复一科，湖南长沙市 410007。
  • 收稿日期:2011-03-16 修回日期:2011-05-09 出版日期:2011-08-25 发布日期:2011-08-25

Evaluation of Botulinum Toxin A for Spastic Dipledia by Surface Electromyography

ZHOU Ping-qiu, ZHANG Hui-jia, WANG Pao-qiu, et al.   

  1. Rehabilitation Centre of Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2011-03-16 Revised:2011-05-09 Published:2011-08-25 Online:2011-08-25

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被引次数

7

摘要： 目的观察A 型肉毒毒素(BTX-A)注射治疗痉挛型双瘫前后表面肌电图(sEMG)的变化。方法50 例痉挛型双瘫患儿于小腿三头肌注射BTX-A，治疗前后分别用临床方法和sEMG进行评价。结果治疗后患儿功能位测试小腿三头肌的肌电积分值降低，测试足背屈角减小。结论sEMG可以客观评价BTX-A注射后痉挛型双瘫患儿肌张力的变化。

关键词: 脑性瘫痪, 痉挛型双瘫, A型肉毒毒素, 表面肌电, 痉挛

Abstract: Objective To evaluate the effect of Botulinum Toxin A (BTX-A) on spastic diplegia by surface electromyography (sEMG). Methods 50 children with cerebral palsy following spastic diplegia were recruited and injected with BTX-A in triceps surae. They were assessed with the clinical test and the sEMG before and after the treatment. Results After the treatment, the integrated electromyography(iEMG) of triceps surae and foot dorsiflexion angle all decreased. Conclusion sEMG is an objective tool to assess the change of spasticity in children with diplegia after BTX-A injection.

Key words: cerebral palsy, spastic diplegia, Botulinum Toxin A, surface electromyography, spasm