操作性肌电生物反馈治疗慢性颈脊髓损伤的疗效观察

目的　观察操作性肌电生物反馈治疗是否能够增强慢性颈脊髓 (C1～ 6)损伤患者上肢各肌的自主肌电信号和肌力。方法　慢性非完全性颈脊髓 (C1～ 6)损伤患者 13 9例 ,为美国迈阿嘧大学医学院附属Jackson医学中心骨、康复科门诊患者 ,病程 >6个月 ,均有不同程度上肢功能障碍和肌力减低 ,而且均为经其它康复方法治疗而无进一步功能恢复者。全部患者均接受 15次 (1个疗程 )、每次 5 0min的治疗。分别记录治疗前、后三角肌中部、肱二头肌、肱三头肌、腕伸肌、腕屈肌、指伸肌和指屈肌的肌电信号和肌力测定分级数据 ,并进行比较和统计学分析。结果　治疗后患者自主肌电信号和肌力均较治疗前有明显提高 ,差异有显著性 (P <0 .0 1)。结论　操作性肌电生物反馈是治疗非完全性、慢性颈脊髓 (C1～ 6)损伤的有效方法。     

Biofeedback training to obtain continence in permanent colostomy

Biofeedback training is proposed as rehabilitative training for patients with permanent colostomoies to help them achieve fecal continence. The results of a preliminary study of 18 patients are reported.     

不同策略生物反馈训练对脑卒中偏瘫患者静态平衡功能的影响

目的 观察不同策略生物反馈训练对脑卒中偏瘫患者静态平衡功能的影响。 方法 采用随机数字表法将2014年6月至2015年4月期间在我院住院治疗的32例脑卒中偏瘫患者分为实时反馈（KP）组、结果反馈（KR）组及对照组。各组患者分别接受为期4周的常规康复干预;对照组、KP组及KR组在此基础上分别接受每天30min的自主平衡训练、视听实时反馈训练或阶段性运动结果反馈训练。于训练前、后分别采用Berg平衡量表（BBS）及便携式反馈设备评测各组患者静态平衡功能改善情况。 结果 治疗后KP组患者Berg量表总分提高幅度［(3.08±1.08)分］显著大于KR组及对照组（P<0.05）,而KR组Berg量表总分与对照组间差异无统计学意义（P>0.05）;KP组患者闭眼无支撑站立、双足前后站立评分的改善程幅度［分别为（0.92±0.79）分和（0.83±0.39)分］亦明显大于KR组及对照组（P<0.05）;治疗后KP组双足并拢站立和双足前后站立时其重心偏移角度［前向分别为(2.83±0.93)°和(6.15±1.85)°、后向为(2.56±0.88)°和(5.97±1.74)°、左向为(2.86±1.16)°和(6.49±2.42)°、右向为(2.68±1.43)°和(5.98±2.05)°］均较KR组及对照组明显减小（P<0.05）;治疗后KR组Berg量表其他指标评分及不同站立姿势下重心偏移角度与对照组间差异均无统计学意义（P>0.05）。 结论 通过动态人体重心和支撑面积监测系统进行实时生物反馈平衡训练能有效改善脑卒中偏瘫患者静态平衡功能,其疗效优于常规平衡功能训练及结果反馈式训练,该疗法值得临床进一步研究、推广。     

生物反馈训练对功能性便秘患者临床症状、心理状况和生活质量的影响

Objective To explore the effects of biofeedback training on clinical symptom,psychological state and quality of life in patients with functional constipation (FC).Methods Forty-nine patients with FC diagnosed by Rome Ⅲ were enrolled and received biofeedback training Bowel symptom measure, Zung's self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Chinese version of the MOS 36-item short form healthy survey (SF-36) were recorded to assess the effects before and aftertreatment.Results After biofeedback training, clinical symptom of patients with FC was greatly improved:there was a very significant decrease in total and subscales scores of bowel symptom including spontaneous frequency of bowel movements, straining effort, sensation of anorectal obstruction/blockage, stool consistence and bloating.Patients with FC also improved their quality of life as well as psychological status after biofeedback.All subcategories of SF-36 including general health, physical function, bodily pain, role physical, vitality, social function, role emotion and mental health showed marked increase.Compared to the scores before biofeedback training, SAS (41.0 ±8.1 vs 46.5 ± 11.9) and SDS (44.0 ±8.2 vs 51.2 ±11.5) scores decreased significantly after biofeedback training Conclusion Biofeedback training can improve clinical symptom, psychological status and quality of life in patients with FC.     

儿童功能性便秘生物反馈治疗研究进展

功能性便秘(functional constipation,FC)是指非全身疾病或肠道疾病所引起的原发性持续便秘,又称为习惯性便秘或单纯性便秘,是儿童排便障碍的常见原因。FC占儿童便秘的90%以上。生物反馈是一种新兴的行为疗法,被广泛用于成人FC患者的治疗,具有较好的效果。然而,其在治疗儿童便秘患者的疗效还存在一定的争议。文中就儿童FC生物反馈治疗的研究进展作一综述。     

生物反馈电刺激在女性压力性尿失禁治疗中的价值

目的 观察生物反馈电刺激治疗女性压力性尿失禁的临床疗效并讨论其意义.方法 对36例女性压力性尿失禁患者实施生物反馈电刺激联合盆底肌训练治疗,40 min/次,1次/d,20d为1个疗程,治疗结束后评价疗效.结果 36例中治愈26例(72.2％),有效5例(13.9％),无效5例(13.9％),总有效率86.1％;随访6个月,复发l例(2.8％).结论 生物反馈电刺激联合盆底肌训练治疗轻、中度女性压力性尿失禁,简便易行,安全有效,治愈率高.     

Technological adjuncts to enhance current psychotherapy practices: a review

Although there are several of reviews of technology in psychology, none to date has focused on technological adjuncts for improving traditional face to face therapy. However, examination of response, adherence, and dropout rates suggests there is considerable scope for improving traditional face to face services. The purpose of this paper was to examine technological adjuncts used to enhance psychotherapy practice. This review focused only on those technologies designed to supplement or enhance traditional therapy methods. Adjuncts designed to reduce direct therapist contact or change the medium of communication were not included. Adjuncts reviewed were mobile phones, personal digital assistants, biofeedback and virtual reality. Limitations in the current literature and directions for future research were identified and discussed. This review provides a comprehensive examination of the way in which adjunctive technologies may be incorporated into face to face therapy.     

肌电生物反馈对躯体形式障碍的心理与生理指标的影响

目的:探讨肌电生物反馈对躯体形式障碍患者的生理和心理指标的影响。方法:将160例患者随机分为2组,在药物治疗的基础上,1组加生物反馈治疗,1组加模拟生物反馈治疗,治疗每天1次,治疗4周。采用症状自评量表(SCL-90)评定疗效,每次生物反馈治疗前后测额肌电值、心率、血压,以观察患者生理指标的变化。结果:(1)SCL-90评分,2组比较治疗4周末各因子分均较治疗前有显著下降(P<0.05);(2)额肌电值:入组时2组患者无显著性差异(P<0.05),治疗后2组患者肌电值差异具有统计学差异(P<0.01)。结论:肌电生物反馈治疗躯体形式障碍起效快,可迅速缓解焦虑症状。     

Relative blood volume based biofeedback during haemodialysis

Intra-dialytic hypotension is the most frequently occurring complication during haemodialysis and can lead to serious complications. Devices that continuously and non-invasively monitor relative blood volume (RBV) changes during HD are being advocated as a tool to maintain an adequate volume of the intravascular compartment in order to avoid dialysis hypotension. Nowadays, most manufacturers have incorporated a RBV monitor in their dialysis apparatus and two manufacturers have designed biofeedback devices that control intra-dialytic RBV changes. The goal of RBV based biofeedback systems is to prevent a severe or abrupt decrease in blood volume in order to prevent the development of dialysis hypotension. Biofeedback technologies can diminish the severity and/or frequency of dialysis hypotension. At present, however, a completely symptom-free HD is not a reality. The major reasons for this are patient characteristics such as cardiovascular co-morbidity and high UF rates and a lack of understanding of the relation between RBV changes and blood pressure/cardiovascular stability.