中国康复理论与实践2017，Vol.23Issue(7)：807-810,4.DOI:10.3969/j.issn.1006-9771.2017.07.015
推拿手法对脑卒中患者表面肌电信号的影响
Variation of Surface Electromyogram with Manipulation of Tuina for Stroke Hemiplegics
摘要
Abstract
Objective To compare the effect of various manipulation of Tuina on surface electromyogram (sEMG) in hemiplegics after stroke. Methods From January to May, 2016, 20 inpatients with hemiplegia after stroke accepted Tuina on bilateral rectus femoris by the same therapist, with the techniques of rolling, patting, rubbing, shaking, kneading and pressing, one minute a manipulation and interval one minute. Integrated electromyography (iEMG), root mean square (RMS) and median frequency (MF) of sEMG were compared, both in rest and during Tuina. Results There was no significant difference of iEMG, RMS and MF between affected and unaffected sides in rest (t<1.147, P>0.05). iEMG and RMS were the most under patting (F>21.376, P<0.001), and MF was the highest under pressing (F>11.772, P<0.001). iEMG, RMS and MF were not very different under other manipulation (P>0.05). iEMG and RMS were less in the affected side than in the unaffected side under patting (P<0.05). Conclusion Various manipulation of Tuina may be different in neuromuscular stimulation, that patting may stimulate more muscles and motor units.关键词
脑卒中/偏瘫/推拿/手法/表面肌电图Key words
stroke/hemiplegia/Tuina/manipulation/surface electromyogram分类
医药卫生引用本文复制引用
廖若夷,张婷,蔡华安,张月娟,彭廷云,陈芊妤,樊冰倩,桂一莎,尹臻臻..推拿手法对脑卒中患者表面肌电信号的影响[J].中国康复理论与实践,2017,23(7):807-810,4.基金项目
1.湖南省中医药科研计划项目(No.201492) （No.201492）
2.湖南省中医药科研计划重点项目(No.201410 （）
No.201604) （）
3.国家临床护理重点专科建设项目(No.湘财社指[2013]151号). （No.湘财社指[2013]151号）
