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NMES对痉挛型双瘫脑瘫病儿下肢表面肌电影响

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目的 探讨神经肌肉电刺激(NMES)对痉挛型双瘫脑性瘫痪(脑瘫)病儿下肢表面肌电的影响.方法 对2015年1月-2016年12月在我院神经康复科住院治疗的40例痉挛型双瘫脑瘫病儿下肢痉挛肌及其拮抗肌进行20 min的交替电刺激,并于治疗前、治疗后即刻进行表面肌电测定.结果 与治疗前比较,治疗后双下肢被动牵伸状态下病儿痉挛肌的积分肌电值明显降低(t=4.350,P<0.05),主动收缩状态下拮抗肌的积分肌电值明显升高(t=3.368,P<0.05).结论 NMES对降低痉挛型双瘫脑瘫病儿痉挛肌肌张力、提高拮抗肌肌力有即时效应.表面肌电分析可作为评估电刺激治疗痉挛型双瘫脑瘫病儿疗效的客观方法.
EFFECTIVENESS OF NEUROMUSCULAR ELECTRICAL STIMULATION ON SURFACE ELECTROMYOGRAPHY OF LOWER EXTREMITIES IN CHILDREN WITH SPASTIC DIPLEGIC CEREBRAL PALSY
Objective To evaluate the effectiveness of neuromuscular electrical stimulation (NMES) on the surface electromyography (sEMG) of lower extremities in children with spastic diplegic cerebral palsy.Methods Forty children with spastic diplegic cerebral palsy palsy,who were admitted to the rehabilitation department Department of Neurological Rehabilitation in our hospital from January 2015 to December 2016,were enrolled in the study,and NMES wasere treated with NMES applied to spasmodic muscles and antagonistic muscles of lower extremities alternately by for 20 minutes,spasmodic muscles and antagonistic muscles of lower extremities alternately.The sEMG was measured They were evaluated with the sEMG before and right immediately after treatment.Results After treatment,the integrated electromyography (iEMG) of the spasmodic muscles were decreased significantly when the muscles were stretched (t =4.350,P <0.05),and the iEMG of the antagonistic muscles were increased significantly when the muscles were contracted (t =3.368,P<0.05).Conclusion NMES may have immediate effects of reducing the spasmodic musclesspasticity and increasing the increasenhance ofing the strength of antagonistic muscles in children with spastic diplegic cerebral palsy.The sEMG can be used as an objective assessment tool for evaluating the effectiveness of NMES forin children with spastic diplegic cerebral palsy.

electric stimulation therapycerebral palsyelectromyographytreatment outcome

陈军、于晓明、郇赛、李玉堂

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青岛市妇女儿童医院神经康复科,山东青岛266034

电刺激疗法 脑性瘫痪 肌电描记术 治疗结果

青岛市卫生局立项课题

2012-WSZD114

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(5)
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