文章摘要
许晶莉,范艳萍,代早荣.表面肌电图在脑瘫患儿疗效评估中的应用研究[J].中国康复,2013,28(1):29-32
表面肌电图在脑瘫患儿疗效评估中的应用研究
Application of surface electromyography in the assessment of rehabilitation effect in children with cerebral palsy
  
DOI:
中文关键词: 脑性瘫痪  表面肌电图  时域  频域  康复疗效评估
英文关键词: cerebral palsy  surface electromyography  time domain  frequency domain  rehabilitation effect assessment
基金项目:
作者单位
许晶莉 1.广州康复实验学校广州 5106302.佳木斯大学康复医学院黑龙江 佳木斯 154002 
范艳萍 佳木斯大学康复医学院黑龙江 佳木斯 154002 
代早荣 广州康复实验学校广州 510630 
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中文摘要:
  目的:探讨表面肌电图(sEMG)在学龄期脑瘫患儿疗效评估中的应用价值。方法:对60例痉挛型双瘫型脑瘫患儿进行综合康复治疗。治疗前后分别采用粗大运动功能测试量表(GMFM)和表面肌电仪对患儿进行测试,分析肌电积分值(iEMG)、均方根值(RMS)、平均功率频率(MPF)、中位频率(MF)、平均肌电值(AEMG)。结果:60例患儿治疗前后GMFM量表A、B、C区评分比较差异无统计学意义,治疗3个月后D、E区及总分均较治疗前明显提高(P<0.01)。60例患儿治疗3个月后功能位腓肠肌、股四头肌iEMG值均较治疗前明显下降(P<0.01),RMS、AEMG、MF及MPF值治疗前后差异无统计学意义;最大等长收缩(MIVC)状态下腓肠肌、股四头肌iEMG、RMS及AEMG值均较治疗前明显提高(P<0.01),MF及MPF值治疗前后差异无统计学意义。结论:sEMG能够定量反映肌肉功能的水平,可作为脑瘫患儿疗效评估的电生理学方法。
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 frequency(MPF),median frequency(MF) and average EMG (AEMG) were recorded.Results:Three months after the training,the scores of sections 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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