| 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].神经损伤功能重建,2019,14(7):346-348 |
| 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 HandFunction in Recovery-Stage Stroke Patients |
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| DOI： |
| 中文关键词: 表面肌电生物反馈 神经松动术 脑卒中 手功能 |
| 英文关键词: surface electromyographic biofeedback nerve mobilization stroke hand function |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨表面肌电生物反馈（sEMGBF）疗法联合上肢神经松动术对脑卒中恢复期患者手功能的
疗效。方法：脑卒中恢复期患者84 例，随机分为对照组和治疗组各42 例，2 组患侧上肢给予常规康复治
疗，治疗组另给予sEMGBF疗法和神经松动术。每天治疗1 次，其中表面肌电生物反馈20 min/次，神经松
动术15 min/次，每周治疗5 d，连续治疗6 周；于治疗前、治疗6 周后评估2 组Fugl-Meyer 上肢运动功能评分
（U-FMA）、患侧腕关节主动背伸关节活动度（ROM）、患侧伸腕肌力（MMT评定法）及改良Bathel指数（MBI）
评分。结果：治疗6 周后，2 组U-FMA评分、患侧腕关节主动ROM、伸腕肌力、MBI评分均较治疗前提高（P<
0.05），且治疗组提高幅度大于对照组（P<0.05）。结论：肌电生物反馈联合神经松动术可改善脑卒中恢复期
患者手功能，提高上肢运动功能及日常生活自理能力。 |
| 英文摘要: |
| 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. |
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