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表面肌电生物反馈在功能性踝关节不稳康复中的应用
引用本文:黄墩兵,姜财,林忠华,贾小飞,郑绍敏,陈雨翔,全俊,林坚. 表面肌电生物反馈在功能性踝关节不稳康复中的应用[J]. 中国康复, 2021, 36(5): 286-289
作者姓名:黄墩兵  姜财  林忠华  贾小飞  郑绍敏  陈雨翔  全俊  林坚
作者单位:浙江医院康复中心,杭州 310013;2.福建医科大学省立临床医学院,福州350001; 3.福建省立医院康复二科,福州 350001;宁夏回族自治区人民医院康复医学科,银川 750002
基金项目:国家自然科学基金项目(81904271);福建省科技创新联合资金项目资助(2019Y9026);福建省卫生健康科技计划项目(2019-ZQNB-2)
摘    要:目的:观察表面肌电生物反馈(sEMGBF)疗法对于功能性踝关节不稳(FAI)患者踝外翻功能恢复的影响.方法:选取符合标准的FAI患者50例,随机分为对照组和观察组各25例.2组患者均采用常规康复训练,对照组在常规康复训练基础上增加肌力训练,观察组在常规康复训练基础上增加sEMGBF治疗.在康复治疗前和治疗8周后,采用通...

关 键 词:表面肌电  生物反馈  功能性踝关节不稳

Application of surface electromyographic biofeedback in rehabilitation of functional ankle instability
Abstract:Objective: To investigate the influence of surface electromyographic biofeedback (sEMGBF) on eversion function in patients with functional ankle instability. Method: A total of 50 patients with functional ankle instability were selected in the outpatient and inpatient department of the rehabilitation department, and randomly divided into two groups: the control group (25 cases) and the experimental group (25 cases). Both groups received conventional rehabilitation treatment (joint range of motion training, balance function training and muscle strength training), and the experimental group was given sEMGBF additionally. All patients were evaluated before and 8 weeks after treatment. The peak torque of fibular muscle and joint stability were assessed through isokinetic myodynamia, and postural stability was evaluated through Pro-Kin 254. Results: After 8 weeks of treatment, the PT of ankle valgus and E/I values increased significantly in the two groups compared with those before treatment at 60°/s and 120°/s angular velocities(all P<0.05), and the PT of ankle valgus and E/I values in the experimental group were significantly better than those in the control group at 60°/s and 120°/s angular velocities (all P<0.05);after 8 weeks of treatment, the movement length, movement ellipse area, total offset index and ATE value increased significantly in the two groups compared with those before treatment (all P<0.05), and movement length, movement ellipse area, total offset index and ATE value in the experimental group were significantly better than those in the control group (all P<0.05). Conclusion: The sEMGBF can improve fibular muscle myodynamia and point stability, thereby improving postural control ability of FAI patients.
Keywords:surface electromyography   biofeedback   functional ankle instability   eversion   rehabilitation
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