肌电生物反馈对脑卒中偏瘫患者坐-站转移的影响

目的：探讨肌电生物反馈治疗联合常规康复治疗对偏瘫患者坐一站转移训练的疗效及临床意义。方法：偏瘫患者60例,随机分为观察组和对照组各30例,2组均采用常规康复治疗,观察组加用肌电生物反馈参与的坐一站转移训练。治疗前后比较2组患者患侧大腿的肌电值百分比及5m起立一行走时间。结果：治疗8周后,2组患者患侧下肢肌电值百分比较治疗前明显提高,且观察组更高于对照组（均P〈0．01）;2组患者的5m起立一行走时间较治疗前明显缩短,观察组更短于对照组（均P〈0．01）。结论：联合肌电生物反馈治疗对脑卒中偏瘫患者的改善效果优于单纯传统康复治疗。     

康复训练联合肌电生物反馈治疗对脑卒中偏瘫患者运动功能的影响

目的：探讨肌电生物反馈配合平衡发育训练在偏瘫型脑瘫尖足中的应用及其对患儿步行能力的影响。方法：偏瘫型脑瘫患儿40例随机分为观察组和对照组各20例。2组均给予平衡发育训练,观察组在此基础上加用肌电生物反馈治疗。治疗前后采用最大背屈位足一小腿夹角、胫前肌最大收缩时肌电（EMG）幅值、粗大运动母表（GMFM-88）代表步行能力的E区对2组患儿进行评定。结果：经过12周治疗,2组患儿患侧的最大背屈值足小腿夹角均较治疗前明显降低（均P〈0．05）,且观察组更低于对照组（P〈0．05）;胫前肌最大收缩EMG值7支GMFM-88 E区评分均较治疗前明显提高（均P〈0．05）,且观察组更高于对照组（P〈0．05）。结论：肌电生物反馈配合平衡发育训练能更好改善偏瘫型脑性瘫痪尖足步态,提高患儿的步行能力。     

血流量限制结合低强度抗阻训练对下肢骨科术后肌肉功能的影响

目的:探索血流量限制结合低强度抗阻训练对下肢骨科术后肌肉功能的影响.方法:选取下肢骨科术后4～12周患者39例,随机将患者分为观察组19例和对照组20例.2组患者均接受为期4周的康复训练,对照组根据渐进抗阻原则进行肌力训练,观察组使用血流量限制结合低强度抗阻肌力训练.等速伸膝峰力矩、超声下股四头肌肌肉形态、肢体围度、静...     

Effects of individual and group relaxation therapy on blood pressure in essential hypertensives.

To determine if progressive muscle relaxation could be taught as effectively in group situations as in individual situations and if progressive muscle relaxation reduced blood pressure, 15 essential hypertensives were taught progressive muscle relaxation. Nine were taught individually, whereas the remaining six were taught as a group. The sessions were once weekly for 4 weeks. Blood pressure measurements were made at the beginning and end of each session, as well as at the beginning of the first and last session. No differences were found between these methods of instruction. Decreases in both systolic and diastolic blood pressures from the beginning to the end of each session were found, as well as decreases in systolic pressure from session one to session four. It was concluded () that group instruction and individual instruction are equally effective, () that progressive muscle relaxation is effective in reducing blood pressure, and (c) that 4 weeks is inadequate for reducing diastolic blood pressure.     

tDCS联合肌电生物反馈改善脑卒中上肢运动功能障碍的疗效观察

目的:探讨经颅直流电(tDCS)联合肌电生物反馈对脑卒中上肢运动功能障碍的疗效。方法:60例脑卒中患者按随机数字表法分为对照组和联合组各30例,2组均进行常规康复训练,对照组在此基础上采用肌电生物反馈,联合组采用tDCS联合肌电生物反馈治疗。在治疗前和治疗6周后,分别采用Fugl-Meyer上肢评定量表(FMA-UE)、改良Barthel指数(MBI)对患者进行评定,并测定患侧肩外展及腕背伸时的表面肌电均值(sEMG)。结果:治疗6周后,2组患者FMA-UE、MBI评分及肩外展和腕背伸时的表面肌电均值较治疗前比较均明显提高(P<0.05,0.01),且联合组的上述指标较对照组均更高(均P<0.05)。结论:tDCS联合肌电生物反馈能较好地改善脑卒中患者的上肢功能障碍,治疗作用优于单一的肌电生物反馈疗法。     

生物反馈训练治疗慢性功能性便秘的临床研究

目的：随机对照研究、评估生物反馈训练治疗慢性功能性便秘的疗效。方法：60例慢性功能性便秘患者,随机分为治疗组30例和对照组30例。治疗组接受1个疗程（5周）生物反馈训练治疗（10次为一个疗程、一次30～45分钟、每周2次）。对照组患者接受聚乙二醇400010gBID口服,疗程5周。治疗前后作便秘症状评分、结肠通过试验检测、直肠肛门压力检测。结果：生物反馈训练和聚乙二醇4000均可使多数慢性功能性便秘患者的大便次数、大便性状及伴随症状恢复正常或缓解,总有效率分别为66.7%和80%（P〉0.05）。生物反馈训练和聚乙二醇4000口服治疗后,结肠通过试验72小时标志物排出率分别为75%及73%,均较治疗前明显增加。生物反馈训练治疗后力排时肛门压明显下降。结论：生物反馈训练对出口梗阻型、慢传输型便秘均有效,是一种有效的、新兴的治疗慢性功能性便秘的方法,可作为功能性便秘的一线治疗方法。     

Effects of progressive muscle relaxation training on anxiety and quality of life of inpatients with ectopic pregnancy receiving methotrexate treatment

We explored the effects of progressive muscle relaxation training on anxiety and health-related quality of life of patients with ectopic pregnancy receiving methotrexate treatment. Ninety inpatients receiving this treatment were randomly assigned to a progressive muscle relaxation group (n = 45) or a control group (n = 45). The control group received standard single-dose methotrexate treatment, and the experimental group received methotrexate and additional muscle relaxation training until hospital discharge. The patients were evaluated with the state form of the State-Trait Anxiety Inventory and SF-36 shortly after admission and before discharge from the hospital. Both covariance analysis and repeated measures ANOVA showed that muscle relaxation training can effectively improve the anxiety and health-related quality of life of patients with ectopic pregnancy receiving methotrexate treatment in an inpatient setting.     

Biofeedback-assisted relaxation in type 2 diabetes

OBJECTIVE: The objective of this randomized controlled study was to determine the effects of biofeedback and relaxation on blood glucose and HbA1c (A1C) in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS: Patients with type 2 diabetes were randomized to either 10 sessions of biofeedback (electromyograph and thermal) and relaxation or 3 sessions of education. All sessions were individual. A total of 39 participants were entered, and 30 completed the 3-month protocol. Average blood glucose, A1C, forehead muscle tension, and peripheral skin temperature were assessed, and inventories measuring depression and anxiety were administered pre-randomization and after completion of treatment/control. RESULTS: Biofeedback and relaxation were associated with significant decreases in average blood glucose, A1C, and muscle tension compared with the control group. At 3-month follow-up, the treatment group continued to demonstrate lower blood glucose and A1C. Both groups decreased scores on the depression and anxiety inventories. Patients with depression had higher blood glucose levels and tended to drop out of the study. CONCLUSIONS: This study supports the use of biofeedback and relaxation in patients with type 2 diabetes for up to 3 months after treatment. Further research is necessary to determine the long-term effects of biofeedback and the effects of mood on patients' responses to treatment.     

电刺激联合生物反馈治疗产后盆底功能障碍的临床效果

目的 探讨电刺激联合生物反馈治疗产后盆底功能障碍的临床效果.方法 回顾性选取2018年2月至2020年2月本院116例产后盆底功能障碍患者,依据治疗方法将其分为盆底肌训练组与联合治疗组,各58例.盆底肌训练组给予盆底肌训练,联合治疗组在盆底肌训练基础上给予电刺激联合生物反馈治疗.比较两组患者的尿失禁分级、盆底肌力分级、...     

Physiologic responses of clients with essential hypertension to progressive muscle relaxation training

The effects of progressive muscle relaxation on blood pressure of hypertensive clients were examined. After collection of baseline data, 22 clients received group relaxation training followed by individual monitoring sessions over a 6-week period. The 22 persons in the control group did not receive relaxation training. The group instructed in relaxation had a lower mean systolic blood pressure than the nontrained group at 4-month follow-up. While the relaxation-trained group showed a significant decrease in diastolic pressure from baseline to follow-up, the difference between trained and non-trained groups at follow-up was not significant. Relaxation, taught initially in group with individual follow-up visits, resulted in continued practice of relaxation and subsequent lowering of blood pressure in subjects with essential, uncomplicated hypertension.     

Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture

[Purpose] This study investigated the effects of deep cervical flexor training on maintaining forward head posture, muscular endurance, and cervical mobility. It also examined the effectiveness of deep cervical flexor training with a pressure biofeedback unit. [Subjects and Methods] Twenty college students were recruited and randomly assigned to groups that underwent either deep cervical flexor training with a pressure biofeedback unit (experimental group, n=10) or conventional deep cervical flexor training (control group, n=10). The craniovertebral angle of each subject was measured with a lateral-view picture. Neck mobility was assessed using a cervical range of motion device and muscular endurance was measured using a pressure biofeedback unit. Both groups performed conventional deep cervical flexor exercises three times a week for six weeks. The experimental group underwent a pressure biofeedback unit training was 5 to10 minutes/day, thrice a week. [Results] Cervical range of motion in the experimental group increased significantly between the end of training and the end of the four week detraining period, compared to that in control group. [Conclusion] Deep cervical flexor training with a pressure biofeedback unit is a useful method for maintaining neck mobility and muscular endurance in people with forward head posture.Key words: Forward head posture, Deep cervical flexor, Pressure biofeedback unit     

肌电生物反馈联合膝关节控制训练对脑卒中偏瘫患者下肢运动功能的临床疗效

目的：探讨肌电生物反馈联合膝关节控制训练对脑卒中偏瘫患者下肢运动功能的临床疗效。方法：选取符合标准的脑卒中偏瘫患者60例随机分为观察组和对照组,各30例。2组患者均接受常规康复治疗,观察组在对照组的基础上,另行肌电生物反馈联合膝关节控制训练,每日1次,每周5次,治疗4周。于治疗前和治疗4周后分别采用简化Fugl-Meyer量表评定患者下肢运动功能,Berg平衡量表（BBS）评定平衡功能,Holden步行功能分级（FAC）评估步行能力。结果：治疗4周后,2组患者的Fugl-Meyer、BBS、FAC评分较治疗前比较均显著提高（P＜0.05）,观察组上述评分均显著高于对照组（P＜0.05）。结论：肌电生物反馈联合膝关节控制训练能够改善脑卒中患者的下肢运动功能,提高平衡能力和步行能力。     

肌电生物反馈联合康复训练对脊髓损伤患者运动功能及功能独立性的影响

目的:观察肌电生物反馈疗法联合康复训练对脊髓损伤(SCI)患者运动功能障碍的康复疗效。方法:60例胸腰段不完全性脊髓损伤患者随机分为观察组和对照组,每组30例。2组均进行常规康复治疗,观察组加用双下肢肌电生物反馈治疗。治疗前及治疗后8周、12周进行下肢肌肉最大收缩时表面肌电(sEMG)信号采集、运动功能评定及功能独立性(FIM)评定,比较临床疗效。结果:治疗8周后,2组患者股四头肌、胫前肌最大收缩时的sEMG信号均较治疗前明显提高(P0.05),治疗后12周继续提高(P0.01);观察组sEMG信号增幅高于对照组(P0.05)。治疗8周后,2组患者ASIA运动功能评分及FIM评分亦较治疗前提高(P0.05),组间比较差异无统计学意义;治疗12周后,2组ASIA运动功能及FIM评分较治疗8周后提高更明显(P0.01),观察组更高于对照组(P0.05)。结论:肌电生物反馈疗法联合康复训练对胸腰段不完全性脊髓损伤患者运动功能有促进作用,能明显提高患者的股四头肌、胫前肌表面肌电信号及肌力,并能提高功能独立水平,减少并发症。     

Two Studies of the Potential Mechanisms of Action in the Thermal Biofeedback Treatment of Vascular Headache

Sixty vascular headache sufferers who underwent a standard protocol treatment of progressive relaxation and thermal biofeedback with autogenic training were studied for changes in hand temperature (the targeted response) and heart rate (a non-targeted response) to determine how such physiological change relates to reduction in headache activity. Overall, regardless of degree of improvement, subjects showed a significant, positive change over time in their ability to increase hand temperature. It was also found that inability to handwarm at session one of thermal biofeedback training was predictive of treatment success, as was the ability to achieve a fingertip temperature of at least 96.0 degrees F at any point in thermal biofeedback training. In addition, it was found that migraine headache sufferers who were treatment successes had significantly lowered their heart rates from pre- to post-treatment assessment.     

The effect of biofeedback in hypertension.

The purpose of this study was to determine the effectiveness of biofeedback in the treatment of stages 1 and 2 essential hypertension via meta-analytical methods. A utilization-focused integrative review was limited to adult randomized clinical trials, and study groups were categorized into biofeedback, active control, and inactive control. Both biofeedback and active control treatments resulted in a reduction in systolic blood pressure (SBP) and diastolic blood pressure (DBP). Only biofeedback (with related cognitive therapy and relaxation training) showed a significantly greater reduction in both SBP (6.7 mm Hg) and DBP (4.8 mm Hg) when compared with inactive control treatments. Nurses in practice settings should consider biofeedback therapy for their hypertensive clients.     

体育锻炼对降压治疗效果欠佳患者血压的影响

探讨体育锻炼对降压治疗效果欠佳患者血压的影响。５６例高血压患者随枘发为治疗组３０例，对照组２６例，２组患者均不停用原降压药，治疗组同时采用体育锻炼加低盐饮食，对照组仅予低盐饮食，３个月观察２组偶测血压、动态血压，自觉症状及服药的民政部结果：治疗组偶测血压，２４ｈ平均血压，白天平均血压，夜间平均血压均比治疗前及对照组明显下降（Ｐ〈０．０１）。自觉症状及服药情况较对照组明显改善，提示：体育锻炼的降压作用是的，对于降压治疗效果欠佳患者，更应实施规则的体育锻炼。     

生物反馈疗法改善原发性高血压患者述情障碍的效果

目的观察生物反馈疗法改善原发性高血压患者述情障碍的效果。方法使用多伦多述情障碍量表(Toronto Alex-ithymia Scale-20,TAS-20)筛选有述情障碍的原发性高血压患者60例,根据随机数字表分为两组(每组各30例),对照组采用常规治疗及护理,观察组在此基础上采用生物反馈治疗,4周后再次评估两组患者的述情障碍及血压。结果组间比较:治疗前,两组患者的TAS-20评分及血压值差异均无统计学意义(P>0.05);治疗4周后,观察组TAS-20评分及血压值均低于对照组,差异有统计学意义(P<0.05或P<0.01)。组内比较:观察组患者治疗前后TAS-20评分及血压值差异均有统计学意义(P<0.01);对照组治疗前后TAS-20评分差异无统计学意义(P>0.05),血压值差异有统计学意义(P<0.01)。结论生物反馈治疗改善原发性高血压患者述情障碍的疗效显著,且能增加降压治疗的效果,可考虑作为一种辅助手段应用于高血压患者的治疗及护理。     

Relaxation as treatment for chronic musculoskeletal pain – a systematic review of randomised controlled studies

Abstract

Objectives: To review studies on relaxation treatment for chronic musculoskeletal pain.

Methods: Searches in the databases PubMed, PEDro, CINAHL, Amed, the electronic library information navigator (ELIN), and the British Medical Journal and Science Direct, found 12 relevant studies. Inclusion criteria were: randomised controlled trials (RCTs); studies including a total of at least 25 subjects at the end of intervention; relaxation techniques as single treatment, or combined with education, with the participants being active in the treatment.

Results: A total of 12 studies fulfilled all inclusion criteria and were reviewed. Quality assessment showed that all studies were of medium quality. The relaxation techniques used were: progressive muscle relaxation ad modum Jacobson (most common), autogenic training ad modum Schultz, hypnosis, guided imagery and biofeedback. Positive effects were found regarding decreases in pain intensity, anxiety, depression, and fatigue (in fibromyalgia). Even decreases in medication and health costs were seen. Increased mobility and use of coping strategies were also reported.

Conclusion: Relaxation training could be effective for patients with chronic musculoskeletal pain. The experimental study designs need to be of improved scientific quality and should, for example, include clear self-training relaxation protocols and suitable control groups. RCTs of high quality are necessary.     

肌电生物反馈疗法对脑卒中偏瘫患者步行能力的影响

目的探讨肌电生物反馈结合综合康复训练对偏瘫患者步行能力的影响。方法脑卒中偏瘫患者80 例,随机分为对照组和治疗组各40 例。两组患者均给予常规综合康复治疗,治疗组在此基础上给予患侧下肢胫前肌肌电生物反馈电刺激。两组患者在治疗前和治疗8 周后进行Fugl-Meyer 下肢运动功能、Fugl-Meyer 平衡功能、踝关节主动活动度、踝关节最大背屈时胫前肌等长收缩时的肌电积分值(iEMG)以及Holden 步行功能分级的评定。结果治疗8 周后,两组患者的运动功能、平衡功能、踝关节主动活动度、胫前肌iEMG值、Holden 步行功能分级比治疗前均显著提高(P<0.001),治疗组优于对照组(P<0.05)。结论在常规综合康复疗法的基础上结合生物反馈治疗技术,一定程度上可以提高患者踝关节运动功能控制能力,从而改善患者的步行能力。     

进行性呼吸肌训练对脑卒中偏瘫患者功能康复的研究

目的:观察进行性呼吸肌训练对脑卒中偏瘫患者肺功能及运动功能的影响.方法:将50例脑卒中偏瘫患者随机分为对照组和观察组,每组各25例.对照组给予常规康复训练,观察组在此基础上给予进行性呼吸肌训练.分别于治疗前、治疗6周后对2组患者的肺功能、躯干控制功能、平衡功能及运动功能进行评估.结果:治疗6周后,2组患者的用力肺活量(...