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使用肌电图生物反馈训练对中风患者上肢功能的影响。

The effects of training using EMG biofeedback on stroke patients upper extremity functions.

作者信息

Kim Ju-Hong

机构信息

Department of Occupational Therapy, Howon University, Republic of Korea.

出版信息

J Phys Ther Sci. 2017 Jun;29(6):1085-1088. doi: 10.1589/jpts.29.1085. Epub 2017 Jun 7.

Abstract

[Purpose] While electromyography (EMG) biofeedback has been recently used in diverse therapeutic interventions for stroke patients, research on its effects has been lacking. Most existing studies are confined to functions of the lower extremities, and research on upper extremity functional recovery using EMG biofeedback training is limited. Therefore, this study examined the effects of training using EMG biofeedback on stroke patients' upper extremity functions. [Subjects and Methods] The subjects of this study included 30 hemiplegia patients whose disease duration was longer than six months. They were randomly divided into a control group (n=15) receiving traditional rehabilitation therapy and an experimental group (n=15) receiving both traditional rehabilitation therapy and training using EMG biofeedback. The program lasted for a total of four weeks. In order to examine the subjects' functional recovery, the author measured their upper limb function using the Fugl-Meyer Assessment and Manual Function Test, and activities of daily living using the Functional Independence Measure before and after training. [Results] A comparison of the study groups revealed that those in the experimental group experienced greater improvement in upper extremity function after training in all tests compared to the control group; however, there was no significant difference in terms of the activities of daily living between the two groups. The results of this study were as follows. [Conclusion] Thus, stroke patients receiving intensive EMG biofeedback showed more significant upper extremity functional recovery than those who only received traditional rehabilitation therapy.

摘要

[目的] 虽然肌电图(EMG)生物反馈最近已用于中风患者的多种治疗干预中,但对其效果的研究仍很缺乏。现有的大多数研究局限于下肢功能,而使用肌电图生物反馈训练对上肢功能恢复的研究有限。因此,本研究探讨了使用肌电图生物反馈训练对中风患者上肢功能的影响。[对象与方法] 本研究的对象包括30例病程超过6个月的偏瘫患者。他们被随机分为接受传统康复治疗的对照组(n = 15)和接受传统康复治疗及肌电图生物反馈训练的实验组(n = 15)。该项目共持续四周。为了检查受试者的功能恢复情况,作者在训练前后使用Fugl - Meyer评估和手动功能测试测量他们的上肢功能,并使用功能独立性测量评估日常生活活动能力。[结果] 研究组比较显示,与对照组相比,实验组在所有测试中训练后上肢功能改善更大;然而,两组在日常生活活动方面没有显著差异。本研究结果如下。[结论] 因此,接受强化肌电图生物反馈训练的中风患者比仅接受传统康复治疗的患者上肢功能恢复更显著。

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