表面肌电图在脑性瘫痪康复中的应用

Application of Surface Electromyography in Rehabilitation for Children with Cerebral Palsy

目的探讨表面肌电图(sEMG)在脑瘫患儿康复训练中的意义。方法痉挛型双瘫脑瘫患儿60例分为治疗组(n=30)与对照组(n=30)。对照组采用常规综合康复,治疗组于康复前进行sEMG检查,在sEMG结果指导下制定康复方案。康复前后进行粗大运动功能测试量表(GMFM)检测。结果两组患儿康复治疗前后GMFM量表A、B、C区评分均无显著性差异(P>0.05),D、E区评分及总分有显著改善(P<0.001)。治疗后治疗组与对照组A、B、C区无显著性差异(P>0.05),D、E区及总分有非常显著性差异(P<0.01)。结论表面肌电图可用于指导脑瘫患儿康复训练。

Objective To explore the surface electromyography （sEMG） assist for the rehabilitation training for children with cerebral palsy. Methods 60 children with spastic diplegia were divided into treatment group （n=30） and control group （n=30）. All the children re- ceived comprehensive rehabilitation, while the rehabilitation program were designed with the assist of sEMG in the treatment group. They were assessed with Gross Motor Function Measure （GMFM） before and 3 months after rehabilitation. Results There was no statistically im- provement in dimension A, B, and C of GMFM （P〉0.05）, but was in the total score and the dimension D and E （P〈0.0001）. There was no statistical difference in dimension A, B, and C between 2 groups （P〉0.05）, but was in the total score and the dimension D and E （P〈0,01） af- ter rehabilitation. Conclusion The sEMG might be helpful for the rehabilitation for children with cerebral palsy.