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首页> 中文期刊> 《新医学》 >步态诱发功能性电刺激同步减重平板训练对脑卒中患者下肢表面肌电信号的影响

步态诱发功能性电刺激同步减重平板训练对脑卒中患者下肢表面肌电信号的影响

         
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摘要

Objective To evaluate the effect of gait-triggered functional electrical stimulation com-bined with weight loss treadmill exercise on the surface electromyography signal of the hemiplegic lower limbs in patients diagnosed with stroke.Methods Ninety hemiplegic patients after stroke were chosen and randomly divided into the synchronous (group A),separate (group B)and weight loss treadmill exercise groups (group C)(n =30 for each group).Patients in group A received gait evoked functional electrical stimulation com-bined with weight loss treadmill exercise simultaneously.Participants in group B underwent gait-triggered func-tional electrical stimulation,subsequently followed by weight loss treadmill exercise.Those in group C received weight loss treadmill exercise alone.All therapies endured for three weeks.The integrated electromyogram (iEMG)value and co-contraction ratio (CR)of the anterior tibial muscle and the lateral head of the gastrocne-mius muscle,walking speed,stride difference,ankle joint range of motion (AROM),Fugl-Meyer movement function scale (FMA)of lower extremity,modified Barthel index (MBI)and functional walking score (FAC) score before and after treatment among three groups were statistically compared.Results After corresponding treatment,iEMG value of the anterior tibial muscle and the lateral head of the gastrocnemius muscle,CR of an-kle dorsiflexion and plantar flexion,walking speed,stride difference,AROM,FMA,MBI and FAC scores were all significantly improved among three groups (all P <0.05).The parameters above in groups A and B were superior to those in group C following respective therapy (all P <0.05).The iEMG of the anterior tibial muscle,CR and AROMof the ankle dorsiflexion in group A were significantly improved compared with those in group B (all P <0.05).Conclusions Synchronous application of gait-triggered functional electrical stimula-tion and weight loss treadmill exercise can regulate the surface electromyography signal of the hemiplegic lower limbs in patients diagnosed with stroke.Synchronous treatment exerts higher effect upon the surface electromyo-graphy signal compared with separate therapy and weight loss treadmill exercise alone.%目的：探讨步态诱发功能性电刺激与减重平板训练同步治疗对脑卒中患者偏瘫下肢表面肌电信号的影响。方法选择90例脑卒中后偏瘫患者，随机分为同步组（A 组）、分离组（B组）和减重平板组（C 组），每组各30例患者。A 组采用步态诱发功能性电刺激与减重平板训练同步进行治疗，B 组采用步态诱发功能性电刺激与减重平板训练分离进行治疗，C 组仅单纯采用减重平板治疗，共治疗3周，观察对比3组治疗前后患侧胫骨前肌和腓肠肌外侧头的积分肌电值（iEMG）及协同收缩率（CR）、步速、左右步幅差、踝关节活动度（AROM）、Fugl-Meyer 运动功能量表（FMA）下肢部分、改良 Barthel 指数（MBI）和功能性步行分级（FAC）评分。结果治疗后，3组患者胫骨前肌和腓肠肌 iEMG 值、踝背伸及跖屈 CR、步速、左右步幅差、踝关节活动度、FMA 评分、MBI 评分、FAC 评分均较治疗前改善（P 均＜0.05），治疗后 A、B 组前述各项指标均优于 C 组（P 均＜0.05），A 组胫骨前肌 iEMG、踝关节背伸 CR 及 AROM优于 B 组（P 均＜0.05）。结论诱发功能性电刺激与减重平板训练同步治疗可以调节脑卒中偏瘫患者患侧下肢表面肌电信号，两者同步治疗改善表面肌电信号的作用明显优于两者分离治疗及单用减重平板训练治疗。

著录项

  • 来源
    《新医学》 |2016年第10期|686-690|共5页
  • 作者

    程华军; 陈尚杰; 许琼瑜; 朱芬; 焦睿; 高文芳; 黄石钊; 刘恒; 王单;

  • 作者单位

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

    518100 深圳;

    南方医科大学附属深圳市宝安区人民医院;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类
  • 关键词

    表面肌电信号; 脑卒中; 同步; 诱发功能性电刺激; 减重平板训练;

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