表面肌电图作为面神经麻痹评估工具的有效性研究。
Study on the Validity of Surface Electromyography as Assessment Tools for Facial Nerve Palsy.
作者信息
Ryu Hye-Min, Lee Seung-Jeong, Park Eun-Jin, Kim Su-Gyeong, Kim Kyeong Han, Choi Yoo Min, Kim Jong Uk, Song Beom Yong, Kim Cheol Hong, Yoon Hyun-Min, Yook Tae-Han
机构信息
Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Eui University, Busan, Korea.
Department of Preventive Medicine, College of Korean Medicine, Woosuk University, Jeonbuk, Korea.
出版信息
J Pharmacopuncture. 2018 Dec;21(4):258-267. doi: 10.3831/KPI.2018.21.029. Epub 2018 Dec 31.
OBJECTIVES
The purpose of this study was to find out validity of Surface Electromyography(sEMG) compared with Nerve Conduction Study and clinical assessment scale as assessment factors for facial palsy.
METHODS
We investigated 50 cases of patients with peripheral facial palsy who had records of sEMG and NCS to check. Then we analyzed the correlation between sEMG and NCS that carried out around 1 week after onset. And we analyzed the correlation between sEMG and clinical assessment scales that were measured three times around 1 week, 3-4 weeks and 5-6 weeks after onset. Clinical assessment scales used in this study were House-brackmann grade, Yanagihara unweighted grading scale and Sunnybrook facial grading system. We used Pearson's correlation for statistical analysis.
RESULTS
sEMG and NCS, measured at similar times, were statistically correlated. Especially, the correlation with the forehead region was high. And sEMG and clinical assessment scale, measured at same time, were statistically correlated, especially after 5 weeks from onset.
CONCLUSION
According to this study, sEMG is expected to be useful to assessment facial palsy.
目的
本研究旨在探究表面肌电图（sEMG）与神经传导研究及临床评估量表相比，作为面瘫评估因素的有效性。
方法
我们调查了50例有sEMG和神经传导速度（NCS）检查记录的周围性面瘫患者。然后分析了发病后约1周进行的sEMG与NCS之间的相关性。并且我们分析了在发病后1周、3 - 4周和5 - 6周左右三次测量的sEMG与临床评估量表之间的相关性。本研究中使用的临床评估量表为House - brackmann分级、柳原未加权分级量表和桑尼布鲁克面部分级系统。我们采用Pearson相关性进行统计分析。
结果
在相似时间测量的sEMG与NCS具有统计学相关性。特别是，与额部区域的相关性较高。并且在同一时间测量的sEMG与临床评估量表具有统计学相关性，尤其是在发病5周后。
结论
根据本研究，sEMG有望用于面瘫评估。
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