| 纪红,许莉莎,宫为大,等.视觉运动想象联合肌电触发功能性电刺激对脑卒中上肢运动功能的影响[J].安徽医药,2020,24(4):783-786. |
| 视觉运动想象联合肌电触发功能性电刺激对脑卒中上肢运动功能的影响 |
| Effect of visual imagery training with EMG?Triggered?MES on upper limb motor function in stroke |
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| DOI：10.3969/j.issn.1009?6469.2020.04.037 |
| 中文关键词: 卒中/康复 经皮神经电刺激 上肢 运动疗法 视觉运动想象 肌电触发功能性电刺激 |
| 英文关键词: Stroke/rehabilitation Transcutaneous electric nerve stimulation Upper extremity Exercise therapy Visual motor imagery EMG?triggered?MES |
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| 中文摘要: |
| 目的研究视觉运动想象联合肌电触发功能性电刺激对脑卒中上肢运动功能的影响。方法选取芜湖市第一人民医院 2015年 1月至 2017年 12月收治的 60例脑卒中伴有上肢运动功能障碍的病人作为研究对象，将所有病人按照随机数字表法分为观察组及对照组。观察组病人在常规康复治疗、肌电触发功能性电刺激的基础上联合视觉运动想象疗法进行治疗，对照组病人给予常规康复治疗加肌电触发功能性电刺激进行治疗，治疗 6周后对比两组治疗方法对脑卒中上肢运动功能的影响。结果治疗 6周后，观察组、对照组上肢运动功能( FMA)评分、肌电平均值、改良 Barthel指数量表( MBI)评分明显优于治疗前，组内比较差异有统计学意义( P＜0.05)。治疗 6周后，观察组病人上肢运动功能的 FMA评分、肌电平均值(伸肘肌电均值、伸腕肌电均值)、 MBI评分分别为( 41.02±3.54)分、(120.36±35.87)μV、(71.20±14.19)μV、(88.45±3.56)分均优于对照组( 30.01±3.69)分、(100.01±15.20)μV、(56.70±16.83)μV、(77.10±6.58)分，组间对比均差异有统计学意义(均 P＜0.05)。结论视觉运动想象联合肌电触发功能性电刺激可以明显改善脑卒中病人上肢的运动功能，提高生活质量。 |
| 英文摘要: |
| Objective To study the therapeutic effect of visual imagery combined with EMG?Triggered?MES on upper limb motor function in stroke.Methods Sixty stroke patients with upper limb motor dysfunction in Wuhu NO.1 People’s hospital from Janu?ary 2015 to December 2017 were selected and randomly assigned into observation group and control group according to the randomnumber table method.The patients in control group were treated with EMG?Triggered?MES，while the patients in the observationgroup were treated with EMG?Triggered?MES on the basis of visual imagery therapy.The therapeutic effects on upper limb motorfunction in the two groups were compared after 6 weeks.Results After 6 weeks of treatment，the Fugl?Meyer score(FMA)，the mean values of surface electromyogram signals and the modified Barthel index(MBI)score of the 2 group were superior to those before the treatment，and the difference between the two groups was statistically significant(P＜0.05).After 6 weeks of treatment， FMA，mean electric value of the extensor elbow，the electric value of the wrist extension and MBI score of the observation group were(41.02±3.54)scores，(120.36±35.87)μV，(71.20±14.19)μV and(88.45±3.56)scores，respectively，which were superior to(30.01±3.69)scores，(100.01±15.20)μV，(56.70±16.83)μV and(77.10±6.58)scores of the control group.The difference between the two groups was statistically significant(all P＜0.05).Conclusion The combination of visual imagery and EMG?Triggered?MEScan significantly improve the upper limb motor function in patients with stroke and improve the quality of life. |
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