肌电触发电刺激对偏瘫患者胫前肌康复的作用

本文设计选择２８例偏瘫足下垂患者进行ＥＭＧ－Ｔｉｇｇｅｒｅｄ－ＭＥＳ，刺激强度为３０－６０ｍＡ，频率为２０－３０Ｈｚ。治疗后即刻观察胫前肌１０次最大用力收缩时体表肌电变化。另从本组２８例患者中选出２０例病情较相似的病 并分成２组，９例 接受ＥＭＧ－Ｔｒｉｇｇｅｒｅｄ－ＥＭＳ，１１例接受功能性电刺激（ＦＥＳ）作为对照组，所有病人均参加常规康复训练，然后测定治疗７－２０次后胫前肌收缩时体表最大肌电值及

Effects anterior of tibial muscle of hemiplegic patients with EMG-Triggered-MES

To prove the effect on treating hemiplagic patients with EMG-Triggered-MES,twenty patients with hemiplagic were divided into two groups. 11 cases were treated with FES method without EMGTriggered-MES as the control group. Surface largest EMG level on anterior tibial muscle and ankle dorsiflextion ability were recorede in pretreatment and post-treatment respectively. The results showed that surface EMG largest value on tibialis anterior muscle of all patients with EMG-Triggered-MES improved significantly(P<0. 01) contrasting with control group(P>0.05)in pre-treatment and post treatment.The results demonstrated that EMG-Triggered-MES is a better therapy in rehabilitating paralytic extremities of the hemiplagic patients. Author's address:( Department of Rehabilitation Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing,)