上海针灸杂志2017，Vol.36Issue(4)：379-382,4.DOI:10.13460/j.issn.1005-0957.2017.04.0379
电针肱二头肌起止点对偏瘫痉挛肢体表面肌电变化的影响
Effect of Electroacupuncture at the Beginning and Ending Points of Bicipital Muscle on the Superficial Electromyography of the Spastic Limb in Hemiplegia
摘要
Abstract
Objective To observe the effect of electroacupuncture at the beginning and ending points of bicipital muscle on the superficial electromyography (sEMG) of the spastic limb in hemiplegia.Method Forty patients with spastic hemiplegia after cerebral stroke were divided by the random number table into a group of electroacupuncture at the beginning and ending points (group A) and a group of electroacupuncture at antagonistic muscles (group B). The former selected Ashi points at the beginning and ending points of bicipital muscle, while the latter selected points at the antagonistic muscles [Tianjing (TE10), Qinglingyuan (TE11), etc.], to receive perpendicular puncturing. The needles were retained for 30 min, and the sEMG of bicipital muscles in resting state was detected after the removal of the needles. The spastic bicipital muscle was examined by sEMG prior to the acupuncture treatment, and respectively after 2-week and 4-week acupuncture treatment, and the detected parameters included root mean square (RMS) and integrated electromyography (IEMG).ResultThe EMG and IEMG declined gradually in the two groups after the acupuncture treatment; the intra-group comparisons of the RMS and IEMG values at three time points, e.g. prior to acupuncture treatment, after 2-week acupuncture treatment and after 4-weekacupuncture treatment, showed that the values changed significantly compared to those at the previous time point (P<0.05); the between-group comparisons showed that there were no significant differences in comparing the RMS and IEMG values regardless of different time points (P>0.05). The RMS and IEMG values presented same changing tendencies after 4-week acupuncture treatment in the two groups.ConclusionAcupuncture at the beginning and ending points and at the points on antagonistic muscles both can decrease the resting-state muscle tension in hemiplegia patients; sEMG is of certain significance in evaluating the treatment of hemiplegia.关键词
针刺/电针/中风后遗症/选穴,邻近/偏瘫/起止点/肌痉挛/表面肌电Key words
Acupuncture/Electroacupuncture/Apoplectic sequela/Point selection/Proximal/Hemiplegia/Beginning-ending point/Musclespasticity/Superficial electromyography分类
医药卫生引用本文复制引用
颜婷婷,李响,张洪蕊,范焕青,张稳,郭环,徐子莉..电针肱二头肌起止点对偏瘫痉挛肢体表面肌电变化的影响[J].上海针灸杂志,2017,36(4):379-382,4.基金项目
山东省中医药科技发展计划项目(2013ZDZK-095) （2013ZDZK-095）
