不同上肢限制法对脑卒中偏侧肘屈肌活跃性和平衡的影响

doi:10.3969/j.issn.1006-9771.2021.05.015

Abstract

Abstract: Objective

To observe the affected elbow flexor activities and balance of stroke patients in standing and walking as fixing the affected upper extremity with different methods.

Methods

From September to December, 2018, 14 stroke patients from Affiliated Suzhou Science ＆ Technology Town Hospital of Nanjing Medical University were included. They were measured elbow flexor contraction ratio (integrated electromyogram of flexor/integrated electromyogram of antagonist) with wireless surface electromyography as standing and walking in normal speed, and sway index with Biodex as standing, in four conditions: the affected arm without fixing, and fixed with elbow orthosis, and with unaffected hand backwards and forwards.

Results

The contraction ratio was the most as the arm fixed with elbow orthosis in both standing and walking (F > 2.687, P < 0.05). The sway index was the most as the arm fixed with unaffected hand forwards (F = 21.091, P < 0.05).

Conclusion

The elbow orthosis restraint may lead to increased contraction of the affected elbow flexor, which is unsatisfactory to inhibit flexor activity of the upper extremities; while restraint of unaffected hand forwards may lead to instable balance.

Key words: stroke, upper extremity restraint, balance, flexor

CLC Number:

R743.3

Xin CHEN,Sheng WANG,Tong WANG,Qin-feng WU,Xiang-zhe LI. Effects of Different Upper Extremity Fixing Approaches on Elbow Flexor Activities and Balance for Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 609-614.

Figures/Tables 2

References 33

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限制方法	n	摆动指数	站立肘屈肌收缩率	步行肘屈肌收缩率
无限制	14	0.51±0.22	1.38±0.51	2.01±1.03
限制方法1	14	0.69±0.26	1.80±1.11^c	3.06±1.16^a,c,d
限制方法2	14	0.93±0.32^a	1.11±0.24	1.21±0.46
限制方法3	14	1.50±0.51^a,b,c	1.37±0.44	1.78±1.02
F值		21.091	2.687	9.135
P值		< 0.001	0.023	< 0.001

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Effects of Different Upper Extremity Fixing Approaches on Elbow Flexor Activities and Balance for Stroke Patients

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编号	性别	偏瘫侧	年龄 (岁)	体质量(kg)	身高 (cm)	脑卒中类型	病程 (月)	Fulg-Meyer评定量表上肢部分	Berg平衡量表	改良Barthel指数
1	男	左	57	65	165	脑出血	6	22	40	80
2	男	左	40	81	176	脑出血	3	19	54	65
3	男	右	22	64	175	脑出血	8	29	54	95
4	男	左	65	76	175	脑梗死	2	15	37	55
5	男	右	55	63	172	脑梗死	2	24	40	40
6	女	左	37	40	153	脑出血	7	24	42	60
7	女	左	41	43	145	脑出血	2	20	45	65
8	男	右	41	75	175	脑梗死	1	42	50	75
9	男	右	48	88	172	脑出血	6	27	54	90
10	女	左	22	68	172	脑出血	4	37	53	80
11	男	左	45	60	161	脑梗死	3	54	56	100
12	男	右	30	72	172	脑出血	9	35	53	95
13	男	右	51	55	168	脑出血	6	28	43	75
14	女	左	48	49	156	脑出血	3	40	54	95