文章摘要
胡可慧,李阳安,熊高华,冯庆奎,李信明,梁瑞歌.康复训练联合肌电生物反馈治疗对脑卒中偏瘫患者运动功能的影响[J].中国康复,2013,(1):37-38
康复训练联合肌电生物反馈治疗对脑卒中偏瘫患者运动功能的影响
Clinical effects of electromyographic biofeedback combined with balance-developmental training on walking ability of children with hemiplegic cerebral palsy
  
DOI:
中文关键词: 肌电生物反馈  康复训练  脑卒中
英文关键词: hemiplegic cerebral palsy  tip foot  walking ability  electromyographic biofeedback  balance developmental training
基金项目:
作者单位
胡可慧 遂宁市中心医院康复科四川 遂宁 629000 
李阳安 遂宁市中心医院急诊科四川 遂宁 629000 
熊高华 遂宁市中心医院康复科四川 遂宁 629000 
冯庆奎 遂宁市中心医院康复科四川 遂宁 629000 
李信明 遂宁市中心医院康复科四川 遂宁 629000 
梁瑞歌 遂宁市中心医院康复科四川 遂宁 629000 
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中文摘要:
      目的:探讨康复训练联合肌电生物反馈治疗对脑卒中偏瘫患者的运动功能的影响。方法:脑卒中偏瘫患者62例,随机分为观察组32例和对照组30例。2组均给予神经内科药物及早期康复训练,观察组再加用肌电生物反馈治疗。采用简化Fugl-Meyer评分(FMA)、Barthel指数评分评定。结果:治疗4周后,观察组FMA及Barthel指数评分均较治疗前及对照组明显提高(P<0.05);对照组各项评分治疗前后比较差异无统计学意义。结论:康复训练联合肌电生物反馈治疗能明显改善脑卒中偏瘫患者的肢体运动功能及日常生活活动能力。
英文摘要:
      Objective:To approach the clinical effects of electromyographic biofeedback combined with balance-de velopmental training on tip foot and walking ability of children with hemiplegic cerebral palsy. Methods:Forty cases of bemiplegic cerebral palsy were randomly divided into observation group and control group, 20 cases in each group. All the patients received balance-developmental training,and the observation group was given electromyographic biofeedback in addition. Before and after training, foot dorsiflexion angle, the EMG maximum contraction of anterior tibialis muscle and (GMFM-88)-E scores were assessed. Results:After treatment for 12 weeks, the scores of foot dorsiflexion angle of both groups were markedly reduced as compared with those before treatment, more significantly in observation group than in control group(all P〈0.05). The EMG maximum contraction of anterior tibialis muscle and (GMFM-88)-E scores were notably increased in both groups as compared with those before treatment (all P〈0.05 ), more significantly in observation group than in control group (P〈0.05). Conclusion: Electromyographic biofeedback combined with balance-developmental training can significantly improve the tip foot and walking ability of children with hemiplegic cerebral palsy.
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