肌电触发电刺激对偏瘫上肢功能的影响

目的探讨肌电触发电刺激对脑卒中偏瘫患者上肢功能的影响。方法将52例脑卒中偏瘫患者随机分成肌电触发电刺激组（27例）和对照组（25例）,两组均常规进行神经内科药物治疗、运动疗法和作业疗法治疗,肌电触发电刺激组加以肌电触发电刺激治疗。在患者入组时和治疗2个月时分别测定腕背屈时主动关节活动范围（AROM）,并用Fugl-Meyer评定法（FMA）评定患侧上肢功能。结果两组患者治疗前后组内比较和治疗后组间比较差异均有显著性意义（P〈0.05）;肌电触发电刺激组治疗后的AROM和FMA积分均优于对照组（P〈0.05）。结论肌电触发电刺激治疗联合常规康复治疗有助于改善偏瘫患者上肢的功能,其效果优于单独使用常规运动疗法和作业疗法治疗。

Effect of EMG-electrical Stimulation on Upper Extremity Function in Patients with Hemiplegia after Stroke

Objective To investigate the effect of EMG-electrical stimulation on upper extremity function in patients with hemiplegia after stroke.Methods52 stroke patients with hemiplegia were randomly divided into the EMG-electrical stimulation group (27 cases) and control group (25 cases). All patients of two groups were treated with routine therapy and regularly physical therapy and occupational therapy, while those of the EMG-electrical stimulation group were given EMG-electrical stimulation training. The active range of motion (AROM) of wrist dorsiflexion was evaluated and upper extremity function was assessed by Fugl-Meyer Assessment (FMA) pre-treatment and 2 months after treatment.ResultsThe upper extremity function of all patients in two groups improved and the patients of the EMG-electrical stimulation group were superior to those of the control group ( P<0.05). The AROM and FMA scores of the patients in the EMG-electrical stimulation group were significantly superior to that of the patients in the control group ( P<0.05).ConclusionThe EMG-electrical stimulation can improve the upper extremity function of hemiplegic patients after stoke.