神经损伤与功能重建2019,Vol.14Issue(7):346-348,3.DOI:10.16780/j.cnki.sjssgncj.2019.07.006
生物反馈联合神经松动术改善脑卒中恢复期患者手功能
Effects of Electromyographic Biofeedback Combined with Nerve Mobilization on Hand Function in Recovery-Stage Stroke Patients
朱元霄 1章志超 1孙瑞 1肖府庭 1王国军 1马艳1
作者信息
- 1. 武汉市第一医院康复医学科武汉 430030
- 折叠
摘要
Abstract
To investigate the efficacy of surface electromyographic biofeedback (sEMGBF) therapy combined with nerve mobilization (NM) on hand function improvement in recovery-stage stroke patients. Methods: Total 84 recovery-stage stroke patients were enrolled and were randomly divided into groups control and treatment with 42 patients in each group. All patients received routine upper extremities function therapy, and treatment group received additional sEMGBF therapy combined with NM. Treatments were performed once per day; sEMGBF was used 20 min per treatment and NM applied 15 min per treatment. Therapies in both groups were given 5 days per week for 6 consecutive weeks. The upper extremities Fugl-Meyer (U-FMA) score, active range of motion (AROM), muscle strength of wrist stretching (MMT), and modified Bathel Index (MBI) before and after treatment were evaluated. Results: Compared to before treatment, improvements in U-FMA, AROM, wrist stretch muscle strength, and MBI was observed in both groups after 6 weeks of treatment, and results were statistically significant (P<0.05); in addition, improvements in the treatment group were greater than in the control group (P<0.05). Conclusion: sEMGBF combined with NM strategy can improve the hand function of recovery-stage stroke patients leading to improvement in upper extremities function and improved self-care in activities of daily living.关键词
表面肌电生物反馈/神经松动术/脑卒中/手功能Key words
surface electromyographic biofeedback/ nerve mobilization/ stroke/ hand function分类
医药卫生引用本文复制引用
朱元霄,章志超,孙瑞,肖府庭,王国军,马艳..生物反馈联合神经松动术改善脑卒中恢复期患者手功能[J].神经损伤与功能重建,2019,14(7):346-348,3.