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强制性运动疗法结合肌电生物反馈治疗偏瘫患者上肢功能的疗效观察
引用本文:王丽菊,欧艺.强制性运动疗法结合肌电生物反馈治疗偏瘫患者上肢功能的疗效观察[J].中国康复,2013,28(5):342-344.
作者姓名:王丽菊  欧艺
作者单位:长沙市中心医院康复科,长沙410000
摘    要:目的:研究强制性运动疗法(CIMT)结合肌电生物反馈对偏瘫患者上肢功能恢复的作用.方法:脑卒中偏瘫患者40例,随机分为对照组和观察组各20例.2组患者均接受常规药物治疗、康复训练及肌电生物反馈疗法,观察组加用CIMT治疗.治疗前后采用Wolf运动功能测试(WMFT)及改良的Barthel指数(MBI)评定.结果:治疗4周后,2组的WMFT及MBI评分均较治疗前明显提高(P<0.05),且观察组WMFT评分更高于对照组(P<0.05).结论:CIMT结合肌电生物反馈可以更有效地促进脑卒中后偏瘫患者上肢功能的改善.

关 键 词:强制性运动疗法  肌电生物反馈  上肢功能  脑卒中  偏瘫

Effect of constraint-induced movement therapy combined with electromyographic biofeedback treatment on upper extremity function in hemiplegia patients
WANG Li-ju,OU Yi.Effect of constraint-induced movement therapy combined with electromyographic biofeedback treatment on upper extremity function in hemiplegia patients[J].Chinese Journal of Rehabilitation,2013,28(5):342-344.
Authors:WANG Li-ju  OU Yi
Institution:1.Department of Rehabilitation Medicine, Changsha Central Hospital, Changsha 410000,China;)
Abstract:Objective:To explore the effectiveness of constraint-induced movement therapy (CIMT) combined with electromyographic biofeedback treatment on upper extremity function in hemiplegia patients.Methods:Forty patients with hemiplegia after stroke were randomly divided into control group and observation group (n=20 each).All patients were treated with conventional medicine,rehabilitation training and biofeedback therapy,and those in the observation group were treated with CIMT additionally.All patients were assessed by the Wolf motor function test (WMFT) and Modified Barthel Index (MBI) before and after treatment.Results:After treatment for4 weeks,WMET and MBI scores in the two groups were significantly increased as compared with pretreatment (all P< 0.05),and WMET scores in the observation group were increased more significantly (P<0.05).Conclusion:CIMT combined with electromyographic biofeedback treatment can more effectively improve the upper limb function of hemiplegic patients following stroke.
Keywords:constraint-induced movement therapy  electromyographic biofeedback treatment  upper limb function  stroke  hemiplegia
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