Motomed智能训练系统联合肌电生物反馈综合治疗对偏瘫病人上肢运动功能的影响

Effect of Motomed Intelligent Training System and Electromyographic Biofeedback Therapy on Motor Function of Upper Limb in Patients with Hemiplegia

目的研究Motomed智能训练系统联合肌电生物反馈综合治疗对偏瘫病人上肢运动功能的影响。方法选取辽宁中医药大学附属医院收治的上肢运动功能障碍偏瘫病人67例,随机分为对照组(32例)和观察组(35例)。对照组进行常规康复性治疗,观察组在对照组基础上进行Motomed智能训练系统治疗的同时给予肌电反馈综合治疗,对比病人治疗前后的改良Barthel指数(MBI)、病人上肢运动功能(FMA)、腕背伸肌最大收缩时肌电幅值(EMG)及Brunnstrom运动分级。结果对照组和观察组治疗后与治疗前相比,MBI、FMA和EMG都有提高,但对照组治疗前后比较差异无统计学意义(P>0.05),而观察组治疗前后比较,差异有统计学意义(P<0.05)。两组病人治疗后Brunnstrom分级Ⅰ级、Ⅱ级总人数减少,提高到Ⅲ级、Ⅳ级、Ⅴ级,甚至Ⅵ级,高等级的人数明显增多,但观察组治疗后高等级增加人数明显高于对照组,差异有统计学意义(P<0.05)。结论 Motomed智能训练系统联合肌电生物反馈疗法治疗偏瘫病人后,可提高上肢灵活性,增强上肢肌肉力量,促进运动和感觉功能的恢复,增强病人上肢运动功能。

Objective To investigate the effect of Motomed intelligent training system and electromyographic biofeedback therapy on the upper limb movement function of hemiplegic patients. Methods Sixty-seven inpatients with hemiplegic upper limb dysfunction were randomly divided into two groups： control group（n = 32） treated with routine rehabilitative treatment,and treatment group（n =35） treated with Motomed intelligence training system and electromyographic（ EMG） biofeedback therapy treatment in the basis of routine rehabilitative treatment. The modified Barthel Index（ MBI）,upper limb motor function（ FMA）,electromyogram and Brunnstrom Scale were observed. Results Compared with before treatment,MBI,FMA,EMG had improved in two groups after treatment,there was difference in treatment group compared with before treatment（P〈0.05）. After treatment,the number of patients with the grading Ⅰ and Ⅱ reduced,the total number of classification were raised to grading Ⅲ,Ⅳ,Ⅴ,even Ⅵ,the number of high level increased significantly. However,the increased number of high-grade in treatment group after treatment was obviously higher than that in control group（P〈0.05）. Conclusion After treatment of Motomed intelligent training system and electromyographic biofeedback therapy can improve upper limbs flexibility,enhance upper limbs muscle strength,promote the recovery of motor and sensory function,strengthen the function in patients with upper limb movement.