文章摘要
黄墩兵,姜财,林忠华,贾小飞,郑绍敏,陈雨翔,全俊,林坚.表面肌电生物反馈在功能性踝关节不稳康复中的应用[J].中国康复,2021,36(5):286-289
表面肌电生物反馈在功能性踝关节不稳康复中的应用
Application of surface electromyographic biofeedback in rehabilitation of functional ankle instability
  
DOI:
中文关键词: 表面肌电  生物反馈  功能性踝关节不稳
英文关键词: surface electromyography  biofeedback  functional ankle instability  eversion  rehabilitation
基金项目:国家自然科学基金项目(81904271);福建省科技创新联合资金项目资助(2019Y9026);福建省卫生健康科技计划项目(2019-ZQNB-2)
作者单位
黄墩兵 浙江医院康复中心杭州 310013 
姜财 2.福建医科大学省立临床医学院福州350001 3.福建省立医院康复二科福州 350001 
林忠华 2.福建医科大学省立临床医学院福州350001 3.福建省立医院康复二科福州 350001 
贾小飞 宁夏回族自治区人民医院康复医学科,银川 750002 
郑绍敏 浙江医院康复中心杭州 310013 
陈雨翔 浙江医院康复中心杭州 310013 
全俊 浙江医院康复中心杭州 310013 
林坚 浙江医院康复中心杭州 310013 
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中文摘要:
      目的:观察表面肌电生物反馈(sEMGBF)疗法对于功能性踝关节不稳(FAI)患者踝外翻功能恢复的影响。方法:选取符合标准的FAI患者50例,随机分为对照组和观察组各25例。2组患者均采用常规康复训练,对照组在常规康复训练基础上增加肌力训练,观察组在常规康复训练基础上增加sEMGBF治疗。在康复治疗前和治疗8周后,采用通过等速肌力测试评估患者的患侧踝关节腓侧肌群肌力和关节稳定性同时采用Pro-Kin 254评估其姿势稳定性。结果:治疗8周后,2组患者在60°/s和120°/s角速度下,踝外翻PT值和E/I值均较治疗前明显提高(均P<0.05),且观察组在60°/s和120°/s角速度下踝外翻峰值力矩和E/I值均显著优于对照组(均P<0.05);治疗8周后,2组患者运动长度、运动椭圆面积、总偏移指数和ATE值均较治疗前明显下降(均P<0.05);且观察组运动长度、运动椭圆面积、总偏移指数和ATE值均低于对照组(均P<0.05)。结论:sEMGBF治疗可提高FAI患者患侧踝关节腓侧肌群肌力和关节稳定性,进而改善FAI患者姿势控制能力。
英文摘要:
      Objective: To investigate the influence of surface electromyographic biofeedback (sEMGBF) on eversion function in patients with functional ankle instability. Method: A total of 50 patients with functional ankle instability were selected in the outpatient and inpatient department of the rehabilitation department, and randomly divided into two groups: the control group (25 cases) and the experimental group (25 cases). Both groups received conventional rehabilitation treatment (joint range of motion training, balance function training and muscle strength training), and the experimental group was given sEMGBF additionally. All patients were evaluated before and 8 weeks after treatment. The peak torque of fibular muscle and joint stability were assessed through isokinetic myodynamia, and postural stability was evaluated through Pro-Kin 254. Results: After 8 weeks of treatment, the PT of ankle valgus and E/I values increased significantly in the two groups compared with those before treatment at 60°/s and 120°/s angular velocities(all P<0.05), and the PT of ankle valgus and E/I values in the experimental group were significantly better than those in the control group at 60°/s and 120°/s angular velocities (all P<0.05);after 8 weeks of treatment, the movement length, movement ellipse area, total offset index and ATE value increased significantly in the two groups compared with those before treatment (all P<0.05), and movement length, movement ellipse area, total offset index and ATE value in the experimental group were significantly better than those in the control group (all P<0.05). Conclusion: The sEMGBF can improve fibular muscle myodynamia and point stability, thereby improving postural control ability of FAI patients.
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