首页|神经肌肉激活技术在脊髓损伤患者术后肌肉、肌力康复中的应用

神经肌肉激活技术在脊髓损伤患者术后肌肉、肌力康复中的应用

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目的 观察神经肌肉激活技术训练对脊髓损伤患者术后康复情况的影响。方法 选取 105 例脊髓损伤患者,随机分为常规组(52 例)和训练组(53 例),两组均接受靶向肌肉神经重建术治疗,常规组术后实施功能性电刺激治疗,训练组采用神经肌肉激活技术训练联合功能性电刺激治疗。比较两组患者的肌力变化,肌肉表面肌电信号,康复进程及功能恢复情况。结果 在不同治疗方案下,训练组的伸肌群峰力矩、伸肌群力矩加速能、屈肌群峰力矩、屈肌群力矩加速能均高于常规组,差异有统计学意义(P<0。05);训练组的腓肠肌、肱二头肌、肱四头肌、胫前肌肌电信号均高于常规组(P<0。05);训练组的下床时间、疼痛缓解时间、住院时间、椎体功能恢复时间均低于常规组(P<0。05);训练组随访第3,6,12 个月时的ASIA运动评分均高于常规组,感觉评分均高于常规组(P<0。05)。结论 神经肌肉激活技术训练能促进脊髓损伤患者术后肌力、肌肉表面肌电信号恢复,有利于加快患者康复进程、改善脊髓功能。
Application of neuromuscular activation technology in the postoperative muscle and strength rehabilitationin in the patients with the spinal cord injury
Objective To observe the effect of neuromuscular activation technology training on the postoperative rehabilitation in the patients with the spinal cord injury.Methods 105 patients with the spinal cord injury were randomly divided into the conventional group(52 cases)and training group(53 cases).The patients in both groups were received targeted muscle and nerve reconstruction surgery.The patients in the conventional group were received functional electrical stimulation therapy after surgery,while the patients in the training group were received a combination of neuromuscular activation technology training and functional electrical stimulation therapy.The changes in muscle strength,surface electromyographic signals,rehabilitation process,and functional recovery were compared between two groups patients.Results Under different treatment plans,the peak torque,acceleration energy,peak torque,and acceleration energy of the extensor muscle in the training group were higher than those in the control group,showing a statistically significant difference(P<0.05).The electromyographic signals of the gastrocnemius,biceps,quadriceps and tibialis anterior muscles in the training group were higher than those in the control group(P<0.05).The time for getting out of bed,pain relief,hospitalization,and vertebral function recovery in the training group were all lower than those in the control group(P<0.05).The ASIA motor scores and sensory scores in the training group were higher than those in the control group at 3,6 and 12 months of follow-up(P<0.05).Conclusion Neuromuscular activation technique training promotes the postoperative muscle strength and surface electromyographic signal recovery in the patients with the spinal cord injury,which has a positive significance in accelerating the patient's recovery process and improving spinal cord function.

spinal cord injuryneuromuscular activation technologysurface electromyographic signalsrehabilitation processspinal cord function

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南阳市第一人民医院康复医学科,南阳 473000

脊髓损伤 神经肌肉激活技术 表面肌电信号 康复进程 脊髓功能

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)