肌电生物反馈治疗对急性脑梗死患者肢体功能恢复的影响

目的探讨肌电生物反馈治疗对脑梗死偏瘫患者肢体康复的治疗意义。方法按病程将我院神经内科住院确诊为脑梗死患者分为急性期治疗组（257例）与恢复期治疗组（178例）两组。急性期治疗组病情稳定48h后进行瘫痪肢体生物反馈治疗,恢复期治疗组入院即开始进行生物反馈治疗。治疗前、治疗后7d及治疗结束后采用美国国立卫生院卒中量表（NIHSS）、简氏Fugl-Meyer评定量表（FMA）评价患者的神经功能缺损程度以及患肢的运动功能,应用Barthel指数（BI）评价患者的日常生活能力（ADL）。结果两组患者在治疗前所有评分无统计学差异。急性期治疗组患者治疗后各项评分均有显著提高（P〈0.001）;急性期治疗组疗效优于恢复期治疗组（P〈0.05）。结论肌电生物反馈治疗对脑梗死偏瘫患者康复治疗有效。对急性期脑梗死患者的瘫痪肢体进行早期生物反馈训练康复治疗,能显著改善患者日常生活活动能力,降低致残率,提高生活质量。

Clinical efficacy observation of electromyographic biofeedback in rehabilitation treatment of hemiplegic patients with cerebral infarction

Objective To explore the effects of electromyography biofeedback（EMGBF） in rehabilitation treatment of hemiplegic patients with cerebral infarction.Methods Stroke patients were divided into acute phase group and recovery phase group according to the course of disease.Acute phase group received the EMG biofeedback therapy after 48h of smooth condition.Recovery phase group received the EMG biofeedback therapy after hospitalized.NIHSS score,Furl-Meyer score and Barthel index were observed before and after treatment.Results There was no significant difference between two groups before treatment（P＆gt;0.05）.After treatment,acute phase groups showed significantly increasing of all scores（P＆lt;0.001）.There was a significant difference between two groups（P ＆lt;0.05）.Concusion The electromyography biofeedback therapy is effective in rehabilitation treatment of Hemiplegic patients with cerebral infarction.Early electromyography biofeedback therapy in acute phase of stroke can improve ability of daily living,Reduce morbidity and improve living quality.