王小伟，吴庆文，郭瑞玉，董胜莲，刘广天，刘浩.表面肌电在脑卒中患者双侧肢体训练中的应用[J].中华物理医学与康复杂志,2017,39(9):664-667
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| 表面肌电在脑卒中患者双侧肢体训练中的应用 |
| Applying surface electromyography in limb function rehabilitation after stroke |
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| DOI： |
| 中文关键词: 脑卒中 双侧肢体训练 运动功能 表面肌电图 |
| 英文关键词: Stroke Limb function Motor function Surface electromyography |
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| 中文摘要: |
| 目的 采用表面肌电评定双侧肢体训练治疗脑卒中患者运动功能障碍的疗效。 方法 选取60例脑卒中偏瘫患者，按随机数字表法将其分为双侧组和单侧组，每组30例。两组患者均进行常规康复训练，双侧组在此基础上联合健侧肢体训练，共4周。治疗前及治疗4周后（治疗后），利用Delsys表面肌电图仪测试患者三角肌、肱二头肌、肱三头肌、股直肌、股二头肌和胫前肌的相关指标，对其最大自主收缩（MVC）、随意收缩状态下的积分肌电值（iEMG）和均方根值（RMS）等指标进行比较，评估患者疗效。 结果 治疗前，2组患者三角肌、肱二头肌、肱三头肌、股直肌、股二头肌、胫前肌的MVC、iEMG、RMS比较，差异均无统计学意义（P>0.05）。2组患者治疗后三角肌、肱二头肌、肱三头肌、股直肌、股二头肌、胫前肌的MVC、iEMG、RMS均较组内治疗前提高，且双侧组MVC、iEMG、RMS较单侧组明显提高，差异有统计学意义（P<0.05）。 结论 双侧肢体训练较常规康复训练能更好地改善脑卒中患者的运动功能。 |
| 英文摘要: |
| Objective To evaluate the effect of surface electromyography (sEMG) applied bilaterally to the limbs in the rehabilitation of motor dysfunction among stroke survivors. Methods Sixty stroke survivors were randomized into a bilateral group (n=30) and a control group (n=30). Both groups received routine rehabilitation for 4 weeks, but the bilateral group accepted additional limb rehabilitation training for the uninjured side. Before and after the intervention, motor function was assessed using sEMG during maximal voluntary contraction of the deltoid, biceps, triceps, rectus femoris, biceps femoris and tibialis anterior muscles. Integrated EMG (iEMG) and root mean square (RMS) values were computed. Results Before the training there was no significant difference in any of the measurements between the two groups. After the training both groups had significantly improved the average strength of their maximum contractions and their average iEMG and RMS values. The bilateral group, though, demonstrated significantly better results than the control group. Conclusion Bilateral limb rehabilitation training is superior to the conventional unilateral procedure in improving the motor function of stroke survivors. |
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