摘要
目的探讨肌电生物反馈及悬吊运动训练对脊髓损伤后下肢痉挛患者步行功能的影响。方法选取2018年6月-2019年4月四川大学华西医院康复医学中心收治的120例脊髓损伤后下肢痉挛患者,依据随机数字表法分为A组、B组和C组,各40例。三组均进行常规康复训练,在此基础上,A组联合肌电生物反馈及悬吊运动训练,B组进行肌电生物反馈训练,C组进行悬吊运动训练,均干预2个月。比较三组干预后功能性步行能力量表(FAC)分级情况及干预前后改良Ashworth痉挛量表(MAS)评分、综合痉挛量表(CSS)评分、Berg平衡量表(BBS)评分及Fugl-Meyer运动功能评分。结果干预后2个月,A组FAC分级情况优于B组、C组,差异有统计学意义(P<0.05)。干预后2个月,三组MAS评分、CSS评分均低于干预前,且A组低于B组、C组,差异有统计学意义(P<0.05)。干预后2个月,三组BBS评分、Fugl-Meyer运动功能评分均高于干预前,且A组高于B组、C组,差异有统计学意义(P<0.05)。结论肌电生物反馈及悬吊运动训练可改善脊髓损伤后下肢痉挛患者的痉挛情况,促进患者平衡功能与运动功能恢复,更利于提升下肢痉挛患者的步行功能。
Objective To explore the effects of myoelectric biofeedback and suspension exercise training on walking function of patients with lower limb spasm after spinal cord injury.Methods One hundred and twenty patients with lower limb spasticity after spinal cord injury admitted to Rehabilitation Medical Center of West China Hospital of Sichuan University from June 2018 to April 2019 were selected and divided into group A,group B and group C,with 40 cases in each group.All the three groups were given routine rehabilitation training,on this basis,group A received myoelectric biofeedback combined with suspension exercise training,group B received myoelectric biofeedback training,group C received suspension training,all patients were intervened for two months.The scores of functional walking ability scale(FAC),modified Ashworth spasticity scale(MAS),comprehensive spasticity scale(CSS),Berg balance scale(BBS)and Fugl-Meyer motor function score were compared among three groups after intervention.Results Two months after intervention,FAC grading of group A was better than that of group B and group C(P<0.05).Two months after intervention,the scores of MAS and CSS in three groups were lower than those before intervention,and the scores of group A were lower than those of group B and group C,the differences were statistically significant(P<0.05).Two months after intervention,the scores of BBS and Fugl-Meyer motor function in three groups were higher than those before intervention,and the scores of group A were higher than those of group B and group C,the differences were statistically significant(P<0.05).Conclusion Myoelectric biofeedback and suspension exercise training can improve the spasm of patients with lower limb spasm after spinal cord injury,promote the recovery of balance function and motor function of patients,and be more conducive to improving the walking function of patients with lower limb spasm.
作者
龚巧鹭
张建梅
GONG Qiaolu;ZHANG Jianmei(Rehabilitation Medical Center of West China Hospital of Sichuan University,Sichuan Key Laboratory of Rehabilitation Medicine,Sichuan Province,Chengdu610041,China)
出处
《中国医药导报》
CAS
2021年第2期110-113,共4页
China Medical Herald
关键词
脊髓损伤
下肢痉挛
肌电生物反馈
悬吊运动
步行功能
平衡功能
运动功能
Spinal cord injury
Lower limb spasm
Myoelectric biofeedback
Suspension exercise
Walking function
Balance function
Motor function
