目的:探讨压力性尿失禁的初产妇和经产妇在电刺激联合生物反馈治疗后的表面肌电变化及治疗效果。方法:我们对接受电刺激联合生物反馈的压力性尿失禁的初产妇和经产妇进行了回顾性队列研究。运用SA9800治疗仪进行生物反馈联合电刺激治疗,分别测量治疗前后初产妇和经产妇盆底肌表面肌电信号进行客观评估,运用国际尿失禁简表(international consultation on incontinence questionnaire short form-Chinese,ICIQ-SF-Chinese),以及患者自觉症状改善情况进行主观评估。结果:盆底肌表面肌电变化:初产妇组治疗后前静息阶段表面肌电平均值,初产妇组和经产妇组的快肌测试阶段表面肌电最大值、慢肌测试阶段表面肌电平均值以及耐力评估阶段表面肌电平均值和后静息阶段表面肌电平均值较治疗前均明显升高(P0.05);初产妇组经产妇组疗效观察:初产妇组快肌测试阶段的表面肌电最大值、慢肌测试阶段的表面肌电平均值以及耐力评估阶段的表面肌电平均值变化比经产妇显著(P0.05);治疗前后两组的ICIQ-SFChinese评分均有显著性变化,且初产妇组的评分差高于经产妇组;初产妇组自觉症状好转率为91.96%,经产妇组自觉好转率为83.95%。结论:电刺激联合生物反馈治疗能有效治疗初产妇和经产妇压力性尿失禁,两者盆底肌表面肌电信号均升高。初产妇盆底肌功能恢复快,治疗效果优于经产妇。 相似文献
Rationale:Wrist-hand extension function rehabilitation is a vital and difficult part of hand function recovery in spastic stroke patients. Although botulinum toxin type A (BoNTA) injection plus post injection therapy was applied to the wrist-hand rehabilitation in previous reports, conclusion was inconsistent in promoting function. For this phenomenon, proper selection of patients for BoNTA injection and correct choice of post-injection intervention could be the crucial factors for the function recovery.Patient concerns:We reported a 46-year-old male suffered a spastic hemiplegia with wrist- hand extension deficit.Diagnoses:Computed tomography showed cerebral hemorrhage in the left basal ganglia region.Interventions:Four hundred units of BoNTA were injected into the spasticity flexors, and four-week post injection surface electromyography (sEMG) biofeedback therapy was applied to the patient.Outcomes:The patient exhibited post-intervention improvement in wrist-hand extensors performance (strength, range of motion, sEMG signals), the flexors spasticity, and upper extremity function.Lessons:The present case showed that 4-week of BoNTA injection plus sEMG biofeedback exercise improved the performance and function of wrist-hand extensors in the patient for short- and long-term. Proper selection of patients for BoNTA injection and correct choice of post injection exercise could play a vital role in the hand rehabilitation for patient with spastic hemiplegia. 相似文献
Qigong is a therapeutic method of traditional Chinese medicine (TCM) that combines slow, soft movements and postures with breath control and a special mental state of ‘awareness’. TCM holds that the practice of Qigong promotes the ‘circulation of qi’ in the human body, the ‘flow’ of upward yang qi and downward yin qi to establish ‘balance’. In Western terms, this may be generally equivalent to vegetative homeostasis and the emotionally balanced state induced thereby. Researchers have often attempted to evaluate the functional movements of qi using measurements of the skin's electrical resistance. However, these methodologies have proven difficult to gauge, validate, repeat, and interpret. We aimed to overcome these limitations by measuring the skin's electrical potential between two points of the same system. The main goal of this study was to assess the skin's electrical potential changes in acupoints from the Ren Mai and Du Mai conduits, or meridians, as well as in other points of interest, during Qigong practice. While participants performed a specific Qigong exercise called ‘White Ball’, we observed significant changes in the skin electrical potential on Mìngmén (GV 4), Shèndáo (GV 11) and Baihuì (GV 20), from the Du Mai conduit, as well as on Huiyin (CV 1), Qìhai (CV 6), Zhongwan (CV 12) and Dànzhong (CV 17), from Ren Mai. These observations are in accordance with TCM theory and may contribute to the explanation of the vegetative physiological changes that are associated with ‘qi flow’ in TCM. 相似文献
Background: Although auditory biofeedback (ABF) has proved to be effective in stroke rehabilitation, there are a variety of means by which to present information through sound.
Objectives: To examine if ABF sound design influences the motor performance of patients with stroke.
Methods: A total of four people with chronic stroke participated . They were asked to track target signals by their paretic ankle dorsiflexion. Half of the participants were assigned to one of the two groups. Those in the Error ABF group heard ABF that alerted them to the error between the target and the joint angle. Those in the Full ABF group heard ABF that presented both the target and the angle separately by modulating the frequencies of two sounds. Therefore, when there was no error, no sound or two sounds with the identical frequency were heard in the Error and Full ABF sessions, respectively. The same visual BF (VBF) was always present regardless of the group. The accuracy of the task was quantified via an accuracy index (AI, ranging from ?100 to 100). All participants were trained by repeating tracking, and the pre- and post-training AIs were obtained.
Results: The AIs of all participants increased after training, but the increase was greater for the Error ABF group (mean increase = 8.9 and 14.9 for the Full and Error groups, respectively).
Conclusions: The Full ABF was less effective than the Error ABF, probably because the VBF was present, and the information provided by the Full ABF was therefore redundant. 相似文献
Objective: To determine whether anorectal biofeedback therapy can improve the symptoms of fecal incontinence (FI) in patients with scleroderma when compared to patients with functional FI, and also whether there is any effect on anorectal physiology or quality of life (QOL). FI in patients with scleroderma is highly prevalent and is associated with significant loss of QOL. Biofeedback has been proven to be an effective treatment for functional FI, but there are no data to support its use in scleroderma.Materials and methods: 13 consecutive female patients (median age 59, IQR 47–65 years) with scleroderma, and 26 age- and parity-matched female patients with functional FI (disease controls, 2:1), underwent biofeedback therapy for management of FI. Fecal incontinence severity index (FISI), anorectal physiology, feeling of control and QOL were collected before and after 6 weeks of biofeedback therapy, with additional scoring repeated at 6-month follow-up.Results: After biofeedback treatment FISI, feeling of control and QOL significantly improved in both groups (p?0.005). There was no difference in the degree in improvement in physiology, FISI or QOL between scleroderma patients and functional FI patients. Long-term improvement in FISI and control were seen in both groups and for QOL only in the scleroderma cohort (p?0.05).Conclusions: Patients with scleroderma benefit from biofeedback therapy to the same extent as that achieved in patients with functional FI. There are significant improvements in symptoms, physiology and QOL. Biofeedback is an effective, low-risk treatment option in this patient group. 相似文献