| 郑盛惠,吴玉娟,常洁,崔韶阳,许明珠,连纪伟,魏林林.赤凤迎源针法治疗脑卒中后肩手综合征的疗效观察[J].中国康复,2013,28(1):40-41 |
| 赤凤迎源针法治疗脑卒中后肩手综合征的疗效观察 |
| Application of surface electromyography in the assessment of rehabilitation effect in children with cerebral palsy |
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| DOI： |
| 中文关键词: 肩手综合征 脑卒中 赤凤迎源 针刺手法 |
| 英文关键词: cerebral palsy surface electromyography time domain frequency domain rehabilitation effect assess-ment |
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| 中文摘要: |
| 目的：观察赤凤迎源针法治疗脑卒中后肩手综合征的疗效。方法：脑卒中后肩手综合征患者77例，分为观察组39例和对照组38例。2组均给予脑卒中常规药物治疗，观察组加用赤凤迎源针法治疗，对照组加用康复训练。治疗前后采用VAS量表、FMA量表及Barthel（BI）指数量表评分，并比较临床疗效。结果：治疗4周后，2组VAS量表评分均明显降低（P<0.05,0.01），观察组更低于对照组（P<0.01）；治疗后2组FMA及Bl评分均较治疗前明显升高（P<0.05,0.01），观察组更高于对照组（P<0.05）。2组临床疗效比较，观察组总有效率明显高于对照组（P<0.05）。结论：赤凤迎源针法能更好地减轻疼痛、改善上肢活动及日常生活活动能力，取得更好的临床疗效。 |
| 英文摘要: |
| Objective：To explore the application value of surface electromyography （sEMG） in the assessment of school-age children with cerebral palsy. Methods：Sixty children with spastic diplegia received comprehensive rehabilitation treatment. All patients were evaluated by gross motor function measure （GMFM） scale and sEMG before and after training. Integrated electromyography （iEMG）, root mean square （RMS）, mean power frequeney（MPF） ,median frequency（MF） and average EMG （AEMG） were recorded. Results：Three months after the training, the scores of seetions A,B and C of GMFM had no statistical change,while the total scores and scores of the sections D and E were increased significantly （P〈0.01）. The iEMG values of quadriceps and gastrocnemius muscles at functional motion were decreased significantly（P〈0.01）, while the values of RMS, AEMG, MF and MPF had not significant changed, iEMG values of quadriceps and gastrocnemius muscles, RMS and AEMG were increased significantly at MIVC（P〈0.01） ;the value of MF and MPF had no statistical change. Conclusion：The sEMG measurement can reflect the states of muscle function quantitatively,and the sEMG is feasible to assess the rehabilitation effect in children with cerebral palsy. |
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