文章摘要
肌电生物反馈联合分级运动想象对脑卒中患者上肢运动功能影响的随机对照研究
A Randomized Controlled Study of the Effect of Electromyographic Biofeedback Combined with Graded Motor Imagery on the Upper Limb Motor Function of Stroke Patients
投稿时间:2025-04-07  修订日期:2025-04-07
DOI:
中文关键词: 脑卒中  分级运动想象  肌电生物反馈  上肢运动功能
英文关键词: Stroke  Graded Motor Imagery  Electromyographic Biofeedback  Upper Limb Motor Function
基金项目:
作者单位邮编
陈禹 西安体育学院 710068
温晓妮 西安体育学院 710068
王亚婻 西安体育学院 
徐诺 西安体育学院 
张靖晗 西安体育学院 
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中文摘要:
      目的:探究肌电生物反馈联合分级运动想象对脑卒中患者上肢运动功能的影响。 方法:本研究选取2023年12月至2024年7月期间就诊于西安市工会医院45例符合纳入标准的脑卒中住院患者作为研究对象,采用随机数字表法分为常规组(n=15)、肌电反馈组(n=15)、联合组(n=15);三组均接受常规治疗,联合组采用肌电生物反馈联合分级运动想象干预,每周5次,干预周期均为6周,并于治疗前后采用Brunnstrom上肢、Fugl-Meyer上肢运动功能(FMA-UE)、箱块测试(BBT)、改良Barthel指数(MBI)进行干预效果评估。 结果:治疗后,3组患者Brunnstrom上肢分期、FMA-UE评分、BBT评分、MBI评分与治疗前比较,均显著提高(P<0.05);联合组比常规组在Brunnstrom上肢分期、FMA-UE评分和BBT评分方面,提高更为显著(P<0.05),联合组比肌电反馈组在FMA-UE评分方面,亦出现显著提高(P<0.05);3组患者MBI评分与治疗前相比,均有显著提高(P<0.05),但组间比较均无显著性差异(P>0.05)。 结论:相较于肌电生物反馈而言,肌电生物反馈联合分级运动想象可进一步改善脑卒中患者上肢运动功能。
英文摘要:
      Objective: To investigate the effects of EMG biofeedback combined with graded motor imagery on upper limb motor function in stroke patients. Methods: In this study, 45 stroke inpatients who met the inclusion criteria and attended the Xi'an Trade Union Hospital between December 2023 and July 2024 were selected as the study subjects, and were divided into the conventional group (n=15), the myoelectric feedback group (n=15), and the combined group (n=15) by using the random number table method; each group was intervened for 6 consecutive weeks, 5 times a week, and before and after the treatment, they were treated with the Brunnstrom upper extremity, Fugl-Meyer upper extremity motor function (FMA-UE), box block test (BBT), and modified Barthel index (MBI) to assess the intervention effect. RESULTS: After treatment, the Brunnstrom upper extremity staging, FMA-UE score, BBT score, and MBI score of the three groups of patients were significantly improved compared with those of the pre-treatment group (P < 0.05); the combined group showed more significant improvement than the conventional group in Brunnstrom upper extremity staging, FMA-UE score, and BBT score (P < 0.05), and the combined group showed more significant improvement than the myoelectric feedback The combined group also showed significant improvement in FMA-UE score (P<0.05), and the MBI scores of patients in the three groups showed significant improvement compared with the pre-treatment period (P<0.05), but there was no significant difference in the comparison between the groups (P>0.05). Conclusion: Compared with EMG biofeedback, EMG biofeedback combined with graded motor imagery can further improve upper limb motor function in stroke patients.
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