电刺激治疗痉挛型双瘫患儿疗效的表面肌电分析.pdfVIP

·247‘ 史垦鏖复堡迨皇塞堕!塑!堡!旦筮!!鲞筮i塑堡堕i!!垦!!!业!!!!!!￡!!垡：坚!!：!塑!：∑!!：!!：塑!：i ·临床研究· 电刺激治疗痉挛型双瘫患儿疗效的表面肌电分析 许晶莉，李林 [摘要]目的应用表面肌电图对脑瘫患儿电刺激前后的肌电活动进行分析。方法对20例痉挛型双瘫患儿进行功能性电刺 激，并于治疗前后分别用临床方法和表面肌电仪进行评估。结果治疗后患儿功能位测试肱二头肌、股四头肌的肌电积分降低，而 自主收缩测试的肌电积分升高。结论经电刺激治疗可使患儿肌张力降低，肌力增强。表面肌电仪可以作为电刺激治疗痉挛型双 瘫患儿的疗效客观评估方法。 [关键词]痉挛型双瘫；电刺激；表面肌电 EffectsofFunctionalElectricalStimulationoil XU SpasticDiplegia：SurfaceElectromyographyJing—li·LI Study Rehabilitation School，Guangzhou510630，Cruangdong，China Abstract： Tovaluethe ofsurface thefunctionalelectricalstimu— Objective application assessing electromyography(sEMG)in in with with with lation(FES)usedchildren 20children weretreated wereas— spasticdiplegia．Methods spasticdiplegia FEs．They sessedwiththesEMGandtheclinicalassessmentbeforeandaftertreatment．ResultsAftertreatment，theiEMGofthe biceps brachiiand decreased onthefunctional increased whenthemusclescontracted． quadriceps significantly position，butsignificantly ConclusionFEScanreducethe andincreasethe ofthelimbsinchildrenwith sEMGcanbe spasticity strength spasticdiplegia．The usedasan assessmentt001． objective WOldS： electrical Key spasticdiplegia+functionalstimulation；surfaceeleetromyography(sEMG) [中图分类号]R742．3[文献标识码]A[文章编号]1006—9771(2008)03-0247-02 247—248． electricalstimulation， 功能性电刺激(functional FES)是使用电刺激的手段，用精确的刺激顺序和强度 激活瘫痪或轻瘫的肌肉来帮助患者