表面肌电图在脑瘫患儿疗效评估中的应用研究

目的：探讨神经松动术对偏瘫患者下肢运动功能的影响。方法：偏瘫患者随机40例，随机分为2组各20例，2组均给予常规药物对症治疗及常规康复训练，观察组加用下肢周围神经松动技术。治疗前后测定10m最大步行速度、患肢运动功能（FMA）及胭绳肌、胫前肌最大等长收缩时的肌电信号值（iEMG）。结果：治疗12周后，2组10m最大步行速度、FMA及胭绳肌、胫骨前肌iEMG均较治疗前明显提高（P〈0．05），且观察组各项指标较对照组提高更明显（P〈0．05）。结论：神经松动术对偏瘫患者下肢运动功能的恢复具有良好的效果。

Application of surface electromyography in the assessment of rehabilitation effect in children with cerebral palsy

Objective：To explore the effect of nerve mobilization techniques on lower limb movement function in patients with hemiplegia. Methods：Forty cases of patients with hemiplegia were randomly divided into two groups, 20 patients in each group. Both groups were treated with conventional drugs and rehabilitation training, and observation group given peripheral nerve mobilization techniques of lower limb additionally. 10-m maximum walking speed, lower limb Fugle-Meyer assessment （FMA） on the hemiplegia side,the hamstrings and tibialis anterior muscle maximum isometric contraction EMG signal values （iEMG） were measured before and after treatment. Results： After treatment for 12 weeks, 10 m maximum walking speed,FMA scores,and the hamstrings and tibialis anterior muscle iMEG were obvioulsy increased in both groups as compared with pretreatment （P〈0.05） ,more significantly in observation group than in control group （P〈0.05）. Conclusion：Nerve mobilization techniques can obtain more satisfactory effects in restoring lower limb movement function of patients with hemiplegia.