微电子肌电桥技术对颈脊髓损伤患者桡侧腕长伸肌运动功能康复的效果

doi:10.3969/j.issn.1006-9771.2021.06.011

Abstract

Abstract: Objective

To observe the effect of microelectronic EMG bridge (EMGB) training on the motor function of extensor carpi radialis longus in patients with complete cervical 5 spinal cord injury.

Methods

From March, 2016 to March, 2017, 20 patients with complete cervical 5 spinal cord injury were randomly divided into control group (n = 10) and experimental group (n = 10). The control group received routine wrist extensor muscle training, and the experimental group received EMGB training in addition, for 180 days. The motor function of the affected limb was evaluated by sEMG of extensor carpi radialis longus, Manual Muscle Test (MMT), Wolf Motor Function Test (WMFT) and Spinal Cord Lesion Independence Measure (SCIM).

Results

After treatment, the peak value and average value of sEMG of extensor carpi longus of both sides increased in both groups (t > 2.510, P < 0.05), the peak value and average value of the left side were higher (t > 2.759, P < 0.05), and the peak value of the right side was higher (t = 2.691, P < 0.05) in the experiment group than in the control group, however, there was no significant difference in average value of the right side between two groups (t = 2.063, P = 0.054). The scores of MMT increased in both groups (t > 2.569, P < 0.05), and were higher in the experimental group than in the control group (t > 2.278, P < 0.05). The scores of WMFT and SCIM increased in both groups (t > 3.839, P < 0.05), however, there was no significant difference between two groups (t < 1.498, P > 0.05).

Conclusion

EMGB training could improve the motor function of extensor carpi radialis longus in patients with complete cervical 5 spinal cord injury.

Key words: spinal cord injury, microelectronic electromyography bridge, extensor carpi radialis longus, rehabilitation

CLC Number:

R651.2

Chong WANG,Liang-jie DU,Zhi-gong WANG,Jian-jun LI,Jun LI,Hong-wei LIU,Fang CONG,Xin LIN. Effect of Microelectronic Electromyography Bridge on Motor Function of Extensor Carpi Radialis Longus in Patients with Cervical Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 698-705.

Figures/Tables 5

References 48

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组别	n	性别(n)		年龄(岁)	病程(d)
组别	n	男	女	年龄(岁)	病程(d)
试验组	10	10	0	36.70±10.18	56.90±50.66
对照组	10	10	0	41.50±6.22	65.60±43.74
t值				1.272	0.411
P值				0.219	0.686

组别	n	治疗前				治疗后
		峰值		平均值		峰值		平均值
		左	右	左	右	左	右	左	右
对照组	10	66.46±36.34	63.01±31.41	61.21±34.50	51.28±30.09	115.51±42.22^a	108.77±37.39^b	104.15±41.66^c	99.14±33.33^d
试验组	10	77.99±36.18	62.99±27.84	66.36±33.72	51.05±25.32	160.04±55.80^e	136.29±50.06^f	144.04±54.11^g	121.12±50.26^h
t值		0.711	0.002	0.337	0.018	2.994	2.691	2.759	2.063
P值		0.486	0.999	0.740	0.985	0.008	0.015	0.013	0.054

组别	n	治疗前		治疗后		t值^a	P值^a	t值^b	P值^b
组别	n	左	右	左	右	t值^a	P值^a	t值^b	P值^b
对照组	10	0.8±0.79	0.8±0.79	1.9±1.10	1.9±0.88	2.569	0.019	2.941	0.009
试验组	10	0.8±0.79	0.7±0.67	2.6±1.35	2.6±1.35	3.639	0.002	3.987	0.001
t值		0	0.305	2.278	2.717
P值		> 0.999	0.763	0.035	0.014

组别	n	治疗前	治疗后	t值	P值
对照组	10	18.20±5.83	31.30±9.08	3.839	0.001
试验组	10	23.00±4.86	33.70±6.20	4.295	0.001
t值		2.000	0.854
P值		0.061	0.404

组别	n	治疗前	治疗后	t值	P值
对照组	10	10.50±0.85	20.70±2.58	11.87	< 0.001
试验组	10	10.80±1.40	33.70±6.20	11.39	< 0.001
t值		0.579	1.498
P值		0.569	0.152

Effect of Microelectronic Electromyography Bridge on Motor Function of Extensor Carpi Radialis Longus in Patients with Cervical Spinal Cord Injury

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