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康复治疗对脑卒中患者腓肠肌表面肌电信号的影响
引用本文:史文红,李雪萍,王伟,周俊,陈安亮,程凯.康复治疗对脑卒中患者腓肠肌表面肌电信号的影响[J].中国康复,2010,25(2):103-105.
作者姓名:史文红  李雪萍  王伟  周俊  陈安亮  程凯
作者单位:南京医科大学附属南京第一医院康复医学科,南京,210006
摘    要:目的:研究综合康复治疗对脑卒中患者腓肠肌表面肌电信号的影响。方法:脑卒中偏瘫患者40例,偏瘫侧下肢综合痉挛量表(CSS)评分均12分,随机分为综合组、针刺组各20例,在常规治疗的基础上,2组分别配合综合康复(运动疗法、作业疗法等)与针刺治疗(取患者下肢穴)。治疗前、治疗10和20d时测定2组患者健患侧腓肠肌表面肌电均方根值(RMS),同时进行下肢CSS评分及下肢运动功能Lindmark评分。结果:治疗20d时,综合组患侧腓肠肌RMS值、CSS评分比治疗前和针刺组明显下降(P0.01)。Lindmark评分与治疗前比较2组均有提高,综合组上升幅度高于针刺组(均P0.01)。结论:综合康复治疗可明显改善脑卒中患者下肢的肌痉挛。表面肌电测试中RMS值可作为评价脑卒中患者腓肠肌痉挛的量化指标之一,具有一定的临床使用价值。

关 键 词:康复治疗  脑卒中  腓肠肌  表面肌电

Clinical Effects of Comprehensive Rehabilitation Treatment on Gastronimius Surface Electromyography in Stroke Patients
SHI Wen-hong,LI Xue-ping,WANG Wei,et al..Clinical Effects of Comprehensive Rehabilitation Treatment on Gastronimius Surface Electromyography in Stroke Patients[J].Chinese Journal of Rehabilitation,2010,25(2):103-105.
Authors:SHI Wen-hong  LI Xue-ping  WANG Wei  
Institution:SHI Wen-hong,LI Xue-ping,WANG Wei,et al.Department of Rehabilitation Medicine,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China
Abstract:Objective:To evaluate changes of gastronimius surface electromyography in stroke patients treated by comprehensive rehabilitation treatment.Methods:Forty stroke patients whose composite spasticity scale(CSS)score in lower extremity >12 were randomly divided into two groups:comprehensive rehabilitation(treatment group)and acupuncture therapy(control group).Root mean square(RMS)of gastronimius surface electromyography on the unaffected side was tested before and 10 and 20 days after treatment.CSS score and Li...
Keywords:rehabilitation treatment  stroke  gastronimius  surface electromyography  
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