肌电反馈疗法对痉挛型双瘫患儿肌力康复疗效观察

Effect of Electromyographic Biofeedback Therapy on Spastic Diplegia Children with Cerebral Palsy

目的探讨肌电反馈疗法对痉挛型双瘫患儿肌力康复的疗效。方法将42例痉挛型双瘫患儿随机分成治疗组(n=22)和对照组(n=20),对照组予以常规康复训练,治疗组在此基础上给予肌电反馈治疗。两组患儿均于治疗前及治疗3个月后进行徒手肌力测定,对治疗组患儿尚进行表面肌电评估。结果治疗组患儿治疗后肌力高于对照组(P<0.05),并且经表面肌电仪测定肌电积分值(iEMG)及RMS值增加,差异有统计学意义(P<0.05)。结论肌电反馈疗法对痉挛型双瘫患儿肌力康复疗效满意;表面肌电仪评估肌力有肯定价值。

Objective To investigate the curative effect of electromyographic （EMG） biofeedback therapy on spastic diplegia children with cerebral palsy. Methods 42 children were divided into the treatment group （n=22） and control group （n= 20） randomly. The treatment group was treated with rehabilitation training plus EMG biofeedback training, while the control group with rehabilitation training solely. Manual muscle test （MMT） was performed before and 3 months after treatment, and the treatment group was assessed by electromyographie apparatus additionally. Results After EMG biofeedback training, the muscular force of children in the treatment group was higher than those in the control group significantly （ P〈0.05） and the level of root mean square （RMS） and integrated electromyography （iEMG） assessed by surface electromyography （sEMG） increased significantly （P 〈0.05）. Conclusion EMG biofeedback training can provide a satisfactory treatment for spastic diplegia children with cerebral palsy. Electromyographic apparatus is effective to assess muscular force.