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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The effect of electromyographic biofeedback treatment in improving upper extremity functioning of patients with hemiplegic stroke
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The effect of electromyographic biofeedback treatment in improving upper extremity functioning of patients with hemiplegic stroke

机译：肌电生物反馈治疗对偏瘫性卒中患者上肢功能的改善作用

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摘要

This study evaluated the effect of electromyographic biofeedback (EMG-BF) treatment on wrist flexor muscle spasticity, upper extremity motor function, and ability to perform activities of daily living in patients with hemiplegia following stroke. A total of 40 patients were enrolled and were randomly assigned to two groups: a group treated with EMG-BF (study group) and a untreated (control) group. Both groups participated in a hemiplegia rehabilitation program consisting of neurodevelopmental and conventional methods and verbal encouragement to "relax" spastic wrist flexor muscles. In addition, the study group received 3 weeks of EMG-BF treatment, 5 times a week, for 20 minutes per session at hemiplegic side wrist flexors. Clinical findings were assessed before and after rehabilitation using the Ashworth scale (AS), Brunnstrom's stage (BS) of recovery for hemiplegic arm and hand, the upper extremity function test (UEFT), the wrist and hand portion of the Fugl-Meyer scale (FMS), goniometric measurements of wrist extension, surface EMG potentials, and the Barthel Index (BI). There was no statistically significant difference between the two groups in terms of age, sex, systemic disease, and the etiology, side, and duration of hemiplegia. There also was no statistically significant difference in the pretreatment values between two groups. We found statistically significant improvements posttreatment in the AS, BS, UEFT, goniometric measurements of wrist extension, and surface EMG potentials in the study group. We also noted statistically significant differences in the wrist and hand portion of the FMS and the BI in both groups, but with significantly greater improvements in the study group. Our findings indicate a positive effect of EMG-BF treatment in conjunction with neurodevelopmental and conventional methods in hemiplegia rehabilitation.
机译：这项研究评估了肌电生物反馈（EMG-BF）治疗对中风偏瘫患者腕屈肌痉挛，上肢运动功能以及日常生活活动能力的影响。共有40例患者入选，并随机分为两组：EMG-BF治疗组（研究组）和未治疗组（对照组）。两组均参加了由神经发育和常规方法以及口头鼓励“放松”痉挛性腕屈肌组成的偏瘫康复计划。此外，研究组在偏瘫侧腕屈肌上接受了3周的EMG-BF治疗，每周5次，每次20分钟。康复前后使用Ashworth量表（AS），Brunnstrom偏瘫手臂和手的康复阶段（BS），上肢功能测试（UEFT），Fugl-Meyer量表的腕部和手部对临床发现进行评估（ FMS），手腕伸展，表面EMG电位和Barthel指数（BI）的角度测量。两组在年龄，性别，全身性疾病以及偏瘫的病因，身旁和病程方面均无统计学差异。两组之间的预处理值也没有统计学上的显着差异。我们在研究组中发现了AS，BS，UEFT，手腕伸展的角度测量和表面EMG电位治疗后的统计学显着改善。我们还注意到两组FMS和BI的腕部和手部在统计学上均存在显着差异，但研究组的改善显着。我们的研究结果表明肌电BF疗法结合神经发育和常规方法在偏瘫康复中具有积极作用。

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