徒手感觉刺激对脑卒中偏瘫患者手指痉挛效果的表面肌电图观察

doi:10.3969/j.issn.1006-9771.2022.05.004

Abstract

Abstract:

Objective To investigate the changes of surface electromyography (sEMG) of the flexors and extensors of the affected fingers after manual digitorum sensory stimulation (MDSS) in the hemiplegic patients after stroke. Methods From April to August, 2020, 50 stroke patients in Department of Rehabilitation Medicine, the Second Hospital of Anhui Medical University accepted MDSS on the nail beds and the third knuckles of affected fingers, until the fingers extended actively. The tension of affected flexor pollicis brevis, flexor digitorum superficialis and extensor digitorum were assessed with modified Ashworth Scale (MAS) before and immediately after stimulation; while the root mean square (RMS) of sEMG of bilateral flexor pollicis brevis, flexor digitorum superficialis and extensor digitorum were recorded. Results The MAS score of all the muscles decreased after stimulation (|Z| > 2.699, P < 0.01), while the RMS of affected extensor digitorum increased (t = -2.069, P < 0.05). Compared with the unaffected ones, RMS of affected flexor pollicis brevis and extensor digitorum decreased before and after stimulation (t > 2.450, P < 0.05). Conclusion MDSS may immediately relieve the spasm of flexors of hemiplegic fingers after stroke, which associates with the promoting muscle strength of the extensors.

Key words: stroke, hemiplegia, manual digitorum sensory stimulation, surface electromyography, muscle strength, spasticity

CLC Number:

R743.3

TIAN Yaxing,HONG Yongfeng,KAN Xiuli,SHEN Xianshan,MAO Jing,JIANG Yan,HE Ziyan,WU Yu,HU Wei,SUN Xiaoning,HU Shunyin. Effects of manual digitorum sensory stimulation on spasticity of fingers for stroke patients: a surface electromyography study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 515-519.

Figures/Tables 6

References 31

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侧别	n	刺激前	刺激后	t值	P值
健侧	50	22.625±16.634	22.699±18.391	-0.038	0.970
患侧	50	5.254±7.136	6.164±6.134	-1.688	0.098
t值		6.786	6.031
P值		< 0.001	< 0.001

侧别	n	刺激前	刺激后	t值	P值
健侧	50	4.960±4.747	5.148±4.632	-0.293	0.770
患侧	50	3.020±5.778	3.831±2.967	-0.862	0.393
t值		1.834	1.693
P值		0.070	0.094

侧别	n	刺激前	刺激后	t值	P值
健侧	50	22.866±56.705	21.321±38.519	0.197	0.845
患侧	50	3.179±3.621	3.912±3.742	-2.069	0.044
t值		2.450	3.181
P值		0.018	0.003

Effects of manual digitorum sensory stimulation on spasticity of fingers for stroke patients: a surface electromyography study

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时间	n	-1	0	1	1⁺	2	3	4
刺激前	50	2	10	18	8	11	1	0
刺激后	50	2	29	15	1	3	0	0

时间	n	-1	0	1	1⁺	2	3	4
刺激前	50	4	8	12	5	14	7	0
刺激后	50	4	22	16	4	4	0	0

时间	n	-1	0	1	1⁺	2	3	4
刺激前	50	4	19	17	7	3	0	0
刺激后	50	4	33	11	1	1	0	0