| 袁松,刘飞,张保,李梦莹,王俊华,高峰.基于表面肌电探讨蝶形浴对脑卒中偏瘫患者上肢痉挛的影响[J].中国康复,2019,34(5):231-234 |
| 基于表面肌电探讨蝶形浴对脑卒中偏瘫患者上肢痉挛的影响 |
| Effects of butterfly bath on upper limb spasticity after stroke |
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| DOI： |
| 中文关键词: 脑卒中 痉挛 蝶形浴 表面肌电图 |
| 英文关键词: stroke spasticity butterfly bath surface electromyography |
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| 摘要点击次数: 7394 |
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| 中文摘要: |
| 目的：基于表面肌电（sEMG）观察蝶形浴对脑卒中偏瘫患者上肢痉挛的影响。方法：采用随机数字表法将60例脑卒中偏瘫患者分为观察组和对照组各30例。2组患者均给予常规的康复治疗，观察组患者在此基础上进行蝶形浴治疗。分别于治疗前、治疗4周后采用表面肌电图记录肘关节屈曲最大等长收缩时肱二头肌与肱三头肌积分肌电值（IEMG）、改良Ashworth量表（MAS）来评估2组患者患侧肘关节及腕关节的肌张力大小，采用简易Fugl-Meyer上肢运动功能评分（FMA-U）评估2组患者的上肢运动功能。结果：治疗4周后，2组患者肘关节屈曲最大等长收缩时肱二头肌IEMG均较治疗前明显降低（均P<0.05），且观察组更低于对照组（P<0.05）；肱三头肌IEMG均较治疗前明显增高（均P<0.05），且观察组更高于对照组（P<0.05）；2组患侧肘、腕关节屈肌MAS评分均较治疗前下降（均P<0.05），且观察组明显低于对照组（P<0.05）；2组患侧FMA U评分均较治疗前明显提高（P<0.05），且观察组明显高于对照组（P<0.05）。结论：蝶形浴疗法可以有效地缓解脑卒中偏瘫患者的上肢痉挛，减轻因痉挛导致的上肢运动功能障碍，值得在临床推广应用。 |
| 英文摘要: |
| Objective:To observe the effect of butterfly bath on spasticity of upper limb in patients with post-stroke hemiplegia by surface electromyography (sEMG).Methods:Sixty patients with post-stroke hemiplegia were assigned to treatment group (n=30) with conventional rehabilitation and butterfly bath treatment, and control group (n=30) just given conventional rehabilitation by random number table. IEMG of the biceps and triceps muscle in two groups was assessed by sEMG when the elbow joint crooked into maximum isometric contraction, muscle tension by the modified Ashworth scale (MAS), and motor function score of upper limb (FMA-U) by the simple Fugl Meyer before and after treatment for 4 weeks respectively.Results:After 4 weeks of treatment, both the IEMG of the biceps muscle when the elbow joint crooked into maximum isometric contraction and the MAS scores of the elbow and wrist flexors of the hemiplegic side in the two groups were significantly lower than pre-treatment (P<0.05), and those in the treatment group were significantly reduced as compared with control group (P<0.05). Conversely, both the IEMG of triceps muscle and FMA-U scores of the hemiplegic side in the two groups significantly increased after 4 weeks of treatment (P<0.05), and those in the treatment group were significantly increased as compared with control group (P<0.05).Conclusion:The butterfly bath therapy can effectively relieve the spasm and its complicated motor dysfunction of upper limb in patients with post stroke hemiplegia, and it is worthy of being applied in clinical treatment. |
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