生物反馈对急性穿支动脉梗死患者上肢功能影响

The effect of biofeedback on upper limb function in the patients with acute penetrating artery cerebral infarction

目的探讨肌电生物反馈疗法(EMGBFT)对急性穿支动脉梗死患者上肢功能及日常生活活动能力的影响。方法选取2017年1月-2018年1月天津市环湖医院神经康复科收治的急性穿支动脉梗死并存在上肢运动障碍患者60例,通过随机数字表法分为观察组和对照组,每组30例。对照组仅给予常规药物治疗以及一般康复治疗,观察组在对照组基础上给予EMGBFT,15 min/次,2次/d,进行1个疗程的治疗,10 d为1个疗程。比较两组Fugle-Meyer评定量表(FMA)评分和改良Barthel指数(MBI)评分。结果观察组经治疗后FMA、MBI评分结果优于对照组,差异均有统计学意义(P<0.05)。结论 EMGBFT可以明显提高急性穿支动脉梗死患者上肢功能及日常生活能力。

Objective To investigate the effect of electromyographic biofeedback therapy(EMGBFT) on upper limb function and activities of daily living in patients with penetrating artery cerebral infarction.Methods Sixty patients with penetrating artery cerebral infarction and upper limb dyskinesia admitted to Department of Neurological Rehabilitation of Tianjin Huanhu Hospital were selected and divided into the observation group and the control group with 30 cases in each group, according to the random number table method. The control group was only treated with routine drug treatment and general rehabilitation treatment,the observation group was treated with EMGBFT on the basis of the control group. The EMGBFT did 15 minutes for once time, twice a day, for a course of treatment, 10 days for a course of treatment. The Fugle-Meyer assessment(FMA) scores and the modified Barthel index(MBI)scores were compared between the two groups.Results After the end of treatment, the scores results of FMA and MBI in the observation group were better than those of the control group, the differences were statistically significant(P<0.05). Conclusion EMGBFT could significantly improve the upper limb function and the ability of daily life in patients with acute penetrating artery infarction.