肌电生物反馈联合针刺对脑卒中偏瘫患者上肢功能影响.docVIP

肌电生物反馈联合针刺对脑卒中偏瘫患者上肢功能影响 　　摘要：目的 研究肌电生物反馈联合针刺对脑卒中后偏瘫患者上肢运动功能的影响。方法 将60例脑卒中偏瘫患者分为对照组（30例）和治疗组（30例），两组患者均接受常规康复，对照组在此基础上加用针刺治疗，治疗组（肌电生物反馈组）在对照组的基础上加用肌电生物反馈治疗，共治疗8周。治疗前、治疗后8周，测定偏瘫侧腕关节的主动背伸活动范围（AROM）,检测腕背伸肌最大收缩时EMG波幅，采用Fugl Meyer运动功能量表(FMA)评估上肢运动功能。结果 两组患者经过治疗后，偏瘫侧腕关节的AROM、腕背肌最大收缩时EMGG波幅、FMA评分均明显改善（P0.01）,且治疗组功能改善优于对照组（P0.05）。结论 肌电生物反馈联合针刺能显著促进脑卒中偏瘫患者上肢运动功能的恢复。 　　关键词：脑卒中；针刺；肌电生物反馈；偏瘫；上肢运动功能 　　中图分类号：R743.3 R246.6 文献标识码：B doi:10.3969/j.issn.1672 1349.2014.05.010 文章编号：1672 1349（2014）05 0535 03 　　Effect of Electromyographic Biofeedback Combined with Acupuncture on Upper Limb Function in Stroke Patients with Hemiplegia 　　Tang Xihui,Shang Shumei,Li Chunling,et al// De Zhou Hospilal of Traditional Chinese Medicinec Dezhou 253013) 　　 　　Abstract:Objective To observe the effect of electromyographic biofeedback combined with Acupuncture on upper limb function of patients with hemiplegia after stroke.Methods Sixty patients with stroke were divided into control group (n=30) treated with conventional rehabilitation and acupuncture treatment,and the treatment group (EMG biofeedback group,n=30) treated with conventional rehabilitation,acupuncture treatment and EMG biofeedback treatment.After treatment,hemiplegic side wrist active dorsiflexion range of motion (AROM) and dorsal carpal extensor contraction amplitude of EMG were detected.The upper extremity motor function was assessed by Fugl Meyer motor function scale (FMA).Results After treatment,the maximum contraction of AROM,dorsal muscle paralysis side wrist,the amplitude of EMGG,FMA scores were significantly improved (P0.01) in all patient and that in treatment group was better than the that in control group (P0.05).Conclusion The electromyographic biofeedback combined with acupuncture could significantly promote the upper limb movement function recovery in stroke patients with hemiplegia. 　　Key words:stroke;acupuncture;electromyographic biofeedback;hemiplegia;upper extremity function 　　 　　国内外学者对脑卒中的早期康复治疗进行了大量研究,希望以减少残疾对