目的比较不同推拿手法作用于脑卒中患者偏瘫肢体所产生的肌电效应。方法2016年1月至5月,脑卒中偏瘫住院患者20例,由同一高年资推拿治疗师对患者双侧股直肌实施滚、拍、揉、搓、抖、按手法,每种手法持续1 min,间隔1 min。采集静息状态和实施手法过程中积分肌电值(iEMG)、均方根(RMS)和中值频率(MF)。结果静息状态下,两侧iEMG、RMS和MF均无显著性差异(t<1.147, P>0.05)。手法过程中,拍法iEMG和RMS最高(F>21.376, P<0.001),按法MF最高(F>11.772, P<0.001),其他手法下各肌电值无显著性差异(P>0.05)。拍法作用下,患侧iEMG、RMS低于健侧(P<0.05),其他手法两侧无显著性差异(P>0.05)。结论不同的推拿手法对脑卒中偏瘫侧和健侧的刺激作用不同,拍法更能刺激神经肌肉兴奋和募集更多运动单位。
廖若夷
,
张婷
,
蔡华安
,
张月娟
,
彭廷云
,
陈芊妤
,
樊冰倩
,
桂一莎
,
尹臻臻
. 推拿手法对脑卒中患者表面肌电信号的影响[J]. 中国康复理论与实践, 2017
, 23(7)
: 807
-810
.
DOI: 10.3969/j.issn.1006-9771.2017.07.015
ObjectiveTo compare the effect of various manipulation of Tuina on surface electromyogram (sEMG) in hemiplegics after stroke. MethodsFrom January to May, 2016, 20 inpatients with hemiplegia after stroke accepted Tuina on bilateral rectus femoris by the same therapist, with the techniques of rolling, patting, rubbing, shaking, kneading and pressing, one minute a manipulation and interval one minute. Integrated electromyography (iEMG), root mean square (RMS) and median frequency (MF) of sEMG were compared, both in rest and during Tuina. ResultsThere was no significant difference of iEMG, RMS and MF between affected and unaffected sides in rest (t<1.147, P>0.05). iEMG and RMS were the most under patting (F>21.376, P<0.001), and MF was the highest under pressing (F>11.772, P<0.001). iEMG, RMS and MF were not very different under other manipulation (P>0.05). iEMG and RMS were less in the affected side than in the unaffected side under patting (P<0.05). ConclusionVarious manipulation of Tuina may be different in neuromuscular stimulation, that patting may stimulate more muscles and motor units.
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