首页|肌电生物反馈联合虚拟现实康复训练对脑卒中偏瘫患者平衡功能及生活质量的影响

肌电生物反馈联合虚拟现实康复训练对脑卒中偏瘫患者平衡功能及生活质量的影响

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目的 分析肌电生物反馈联合虚拟现实康复训练对脑卒中偏瘫患者平衡功能及生活质量的影响.方法 选取盐城市亭湖区人民医院 2020 年 1月—2021年 12 月收治的 110 例脑卒中偏瘫患者为研究对象,以随机数字表法将其分为对照组和虚拟组,每组 55 例.对照组采用肌电生物反馈联合常规康复训练,虚拟组采用肌电生物反馈联合虚拟现实康复训练.比较两组患者的干预效果.结果 干预后,虚拟组的Berg平衡量表、Fugl-Meyer运动功能评定量表、Barthel指数、世界卫生组织生活质量评定量表评分分别为(45.25±2.74)分、(70.29±12.31)分、(72.46±14.45)分、(87.42±2.31)分,均高于对照组的(38.46±3.95)分、(50.43±10.16)分、(48.79±9.64)分、(71.05±5.91)分,组间差异有统计学意义(P<0.05).干预后,虚拟组的股四头肌、胫骨前肌、腓肠肌的肌电积分值均高于对照组,股四头肌、胫骨前肌、腓肠肌的均方根振幅均低于对照组,组间差异有统计学意义(P<0.05).结论 脑卒中偏瘫患者采用肌电生物反馈联合虚拟现实康复训练,可改善平衡功能及肢体功能,提高其日常生活能力及生活质量,值得临床推广使用.
Effect of Myoelectric Biofeedback Combined with Virtual Reality Rehabilitation Training on Balance Function and Quality of Life in Stroke Patients with Hemiplegia
Objective To analyze the effects of myoelectric biofeedback combined with virtual reality rehabilitation training on balance function and quality of life of stroke patients with hemiplegia.Methods A total of 110 stroke patients with hemiplegia admitted to the Tinghu District People's Hospital,Yancheng City from January 2020 to December 2021 were selected as the research objects and were divided into a control group and a virtual group by random number method,with 55 cases in each group.The control group received myoelectric biofeedback combined with conventional rehabilitation training,and the virtual group received myoelectric biofeedback combined with virtual reality rehabilitation training.The intervention effect of the two groups was compared.Results After intervention,the scores of Berg Balance Scale,Fugl-Meyer Assessment,Barthel Index and World Health Organization Quality of Life-100 scale in the virtual group were(45.25±2.74)points,(70.29±12.31)points,(72.46±14.45)points and(87.42±2.31)points,respectively,which were higher than(38.46±3.95)points,(50.43±10.16)points,(48.79±9.64)points and(71.05±5.91)points in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the integrated EMG of quadriceps femoris,tibialis anterior muscle and gastrocnemius in the virtual group were higher than those in the control group,and the root mean square amplitude of quadriceps femoris,tibialis anterior muscle and gastrocnemius muscle were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Myoelectric biofeedback combined with virtual reality rehabilitation training for stroke patients with hemiplegia can improve balance function and limb function,improve their daily living ability and quality of life,and is worthy of clinical promotion.

StrokeHemiplegiaMyoelectric biofeedbackVirtual reality rehabilitation training

胥龙、马月玉

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盐城市亭湖区人民医院康复科,江苏盐城 224002

射阳县长荡镇卫生院康复科,江苏射阳 224300

脑卒中 偏瘫 肌电生物反馈 虚拟现实康复训练

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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