文档介绍：肌电生物反馈配合针刺治疗脑卒中患者足下垂疗效观察
[摘要] 目的?^察肌电生物反馈配合针刺治疗脑卒中患者足下垂的临床效果。方法选取我院2013年6月~2016年6月期间收治的脑卒中伴足下垂偏瘫患者100例作为研究对象,按照随机数字法将其均分为观察组和对照组,各50例。两组患者入院后均进行下肢运动功能(FMA-L)评定、踝关节主动关节活动度(AROM)测量和胫前肌表面肌电信号(sEMG)检测,随后接受神经科常规药物治疗和常规康复治疗,并给予肌电生物反馈治疗。在此基础上,观察组患者加用针刺治疗,疗程均为3个疗程。疗程结束后,比较两组患者的治疗总有效率、踝关节活动度、胫骨前肌恢复状况以及患者治疗满意度。结果观察组总有效率(%)明显高于对照组(%),差异有统计学意义(χ2=,P=);观察组患者治疗满意度评分明显高于对照组(P
[关键词] 脑卒中;足下垂;肌电生物反馈;针刺治疗
[中图分类号] [文献标识码] B [文章编号] 1673-9701(2017)16-0112-04
[Abstract] Objective To observe the clinical effect of electromyographic bined with acupuncture in the treatment of foot drop in stroke patients. Methods A total of 100 patients with bined with foot drop hemiplegia who were enrolled in our hospital from June 2013 to June 2016 were
selected as the study subjects. According to the random number method, they were divided into the observation group and the control group, with 50 patients in each group. Lower extremity motor function(FMA-L) was evaluated, ankle joint active mobility(AROM) was measured and tibial anterior muscle surface electromyogram signal(sEMG) was tested after admission in both groups. The patients werre followed by conventional neurological treatment and routine rehabilitation therapy in the Department of Neurology, and then were given electromyographic biofeedback therapy. On this basis, the observation group was further given acupuncture treatment, with three cycles of treatment. After the treatment, the total effective rate of treatment, ankle activity, tibial anterior muscle recovery and the incidence ratte of adverse reactions and patients' satisfaction pared between the two groups. Results The total effective rate(94%) in the observation group was significantly higher than that in the control group(76%), and the difference was statistically significant(χ2=, P=); the scores of treatment satisfaction were significantly higher in the observation group than in the control group
(P [Key words] Stroke; Foot drop; Electromyo