解放军医学杂志2023，Vol.48Issue(12)：1433-1438,6.DOI:10.11855/j.issn.0577-7402.1997.2023.0628
表面肌电图在先天性肌性斜颈儿童中的诊断价值及临床应用
Diagnostic value and clinical application of surface electromyography in children with congenital muscular torticollis
冯雪菲 1刘苑 2龚德志 1成少华 1陈玉霞2
作者信息
- 1. 成都市双流区第一人民医院/四川大学华西空港医院儿科,四川成都 610200
- 2. 重庆医科大学附属儿童医院康复科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室,重庆 400014
- 折叠
摘要
Abstract
Objective To investigate the EMG characteristics and clinical application value of surface EMG in cervical muscle group of children with congenital muscular torticollis(CMT).Methods A retrospective analysis was performed on 478 children diagnosed as CMT from January 2018 to August 2022 in Rehabilitation Center of the Children's Hospital Affiliated to Chongqing Medical University.The torticollis side of the same case was included in observation group and the healthy side was included in control group.Surface EMG was used to record the electromyography root-mean-square values of bilateral sternocleidomastoid muscles,platysma muscles and upper trapezius muscles in the rest and different exercise states.The difference of root-mean-square values between the affected side and the healthy side muscle groups at rest and under different exercise states and the diagnostic value were compared.Spearman correlation analysis was used to evaluate the relationship between the severity of congenital muscular torticollis on the affected side and the root mean square value of each cervical muscle group.Results The root-mean-square value of sternocleidomastoid muscle on the affected side of CMT children was higher than that on the healthy side during relaxation and lower than that on the healthy side during contraction,and the differences were statistically significant(P<0.05),the abnormal root-mean-square value of the affected side in the resting position and in all motion state has higher diagnostic value.The root-mean-square value of platysma muscle on the affected side was higher than that on the healthy side when it was in the resting position and the reverse neck rotation relaxed state(P<0.05),and lower than that on the healthy side when it was in the same neck rotation contraction state(P<0.05),abnormal values detected in resting sitting position and elevation of head have higher value.Root-mean-square value of upper trapezius muscle on the affected side was higher than that on the healthy side in the relaxed state(P<0.05).The abnormal values in sitting position,turning neck and bending head have high diagnostic value.The severity of CMT was positively correlated with the root-mean-square values of sternocleidomastoid muscle,platysma muscle,and upper trapezius muscle(r was 0.721,0.612,0.655,P<0.001).Conclusion sEMG could be used as a good method for the clinical diagnosis and evaluation of congenital muscular torticollis in children.关键词
先天性肌性斜颈/胸锁乳突肌/颈阔肌/斜方肌(上)/表面肌电图/均方根值Key words
congenital muscular torticollis/sternocleidomastoid muscle/platysma muscle/upper trapezius muscle/surface electromyography/root-mean-square value分类
临床医学引用本文复制引用
冯雪菲,刘苑,龚德志,成少华,陈玉霞..表面肌电图在先天性肌性斜颈儿童中的诊断价值及临床应用[J].解放军医学杂志,2023,48(12):1433-1438,6.
