Kohlmeyer K M, Hill J P, Yarkony G M, Jaeger R J
Occupational Therapy Department, Rehabilitation Institute of Chicago, USA.
Arch Phys Med Rehabil. 1996 Jul;77(7):702-6. doi: 10.1016/s0003-9993(96)90011-8.
Evaluate the effectiveness of electrical stimulation and biofeedback on the recovery of tenodesis grasp in tetraplegic individuals during the initial phase of acute rehabilitation.
A 2 x 2 block design was used with subjects randomized to treatment groups. Forty-five subjects completed the study.
Inpatient occupational therapy department.
Inpatients with tetraplegia, first admission for rehabilitation after an acute spinal cord injury.
The four treatment groups were: conventional treatment, electrical stimulation, biofeedback, and combined electrical stimulation and biofeedback. The treatment period was between 5 and 6 weeks.
Manual muscle testing and scoring of activities of daily living performance by a blinded evaluator.
All four treatment groups showed improvements. No treatment group was superior to the others.
Biofeedback and electrical stimulation alone or in combination offer no advantages over conventional rehabilitation treatment of wrist extensors in tetraplegic patients after spinal cord injury.
评估电刺激和生物反馈对四肢瘫痪患者在急性康复初期肌腱固定抓握恢复的有效性。
采用2×2区组设计，将受试者随机分为治疗组。45名受试者完成了该研究。
住院职业治疗科。
四肢瘫痪患者，急性脊髓损伤后首次入院接受康复治疗。
四个治疗组分别为：传统治疗、电刺激、生物反馈以及电刺激与生物反馈联合治疗。治疗期为5至6周。
由一位不知情的评估者进行徒手肌力测试和日常生活活动表现评分。
所有四个治疗组均有改善。没有一个治疗组优于其他组。
对于脊髓损伤后的四肢瘫痪患者，单独使用生物反馈和电刺激或联合使用，在腕伸肌的传统康复治疗方面并无优势。
