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基于表面肌电的神经反馈康复干预系统的优化。

Optimization of Surface Electromyography-Based Neurofeedback Rehabilitation Intervention System.

机构信息

Department of Rehabilitation Medicine, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, China.

Department of Imaging, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, China.

出版信息

J Healthc Eng. 2021 Mar 17;2021:5546716. doi: 10.1155/2021/5546716. eCollection 2021.

Abstract

In this paper, we study the effects of the neurofeedback method of surface EMG on electrophysiology and evaluate its effects on postural control, balance, and motor function using relevant scales. We optimize the neurofeedback rehabilitation intervention system based on surface EMG, study the objective assessment of neurofeedback rehabilitation intervention of surface EMG, and initially try to apply mirror therapy to the treatment of surface EMG. According to the different treatment methods, they were divided into the drug-only group, drug combined with electroacupuncture group, drug combined with facial muscle function training group, and drug combined with electroacupuncture combined with facial muscle function training group. Starting from the 10 day of the disease course, a course of 15 days contains three courses of treatment with a 3-day break for each course. Patients were tested on day 10, day 25, and day 40 of the disease course and the results of each test were recorded and analyzed. The results of each test were recorded and analyzed. The efficacy of four different methods for simple neurofeedback rehabilitation was compared according to the mean ratio of the root mean square of the patient's affected and healthy sides. The close relationship between surface EMG neurofeedback rehabilitation intervention and rehabilitation efficacy was also investigated, and the effect of different feedback modes on neurofeedback rehabilitation intervention was explored for the neurofeedback protocol and whether the use of the optimized neurorehabilitation protocol could achieve improved efficacy and have a sustained effect. The study showed that neurofeedback training interventions based on optimized surface EMG can achieve good long-term results, as demonstrated by improved postural control, balance, and motor function of patients; optimized neurofeedback rehabilitation intervention systems; and guiding physicians or nurses to work more effective clinically.

摘要

在本文中,我们研究了表面肌电神经反馈方法对电生理学的影响,并使用相关量表评估其对姿势控制、平衡和运动功能的影响。我们优化了基于表面肌电的神经反馈康复干预系统,研究了表面肌电神经反馈康复干预的客观评估,并初步尝试将镜像疗法应用于表面肌电的治疗。根据不同的治疗方法,将其分为单纯药物组、药物联合电针组、药物联合面肌功能训练组、药物联合电针联合面肌功能训练组。从病程第 10 天开始,15 天为 1 个疗程,每个疗程间隔 3 天。患者在病程第 10、25、40 天进行测试,记录并分析每次测试的结果。根据患者患侧和健侧的均方根比值的平均值,比较了四种单纯神经反馈康复方法的疗效。还探讨了表面肌电神经反馈康复干预与康复疗效的密切关系,以及不同反馈模式对神经反馈康复干预的影响,探索神经反馈方案和优化神经康复方案的使用是否能提高疗效并具有持续效果。研究表明,基于优化表面肌电的神经反馈训练干预可以取得良好的长期效果,表现为患者的姿势控制、平衡和运动功能得到改善;优化的神经反馈康复干预系统;并指导医生或护士更有效地进行临床工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f98/7990534/ce42e4c52dba/JHE2021-5546716.001.jpg

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