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脑电联合肌电生物反馈联合抗阻训练在儿童痉挛型脑瘫治疗中的应用
杨梦蕤1      刘韬2      邱志勇1▲
1.中国医科大学航空总医院康复医学科,北京   100012;
2.中国医科大学航空总医院儿科,北京   100012
Application of EEG combined with EMG biofeedback training combined with resistance training in the treatment of children with spastic cerebral palsy
YANG Mengrui1   LIU Tao2   QIU Zhiyong1▲
1.Department of Rehabilitation Medicine, Aviation General Hospital of China Medical University, Beijing   100012, China; 
2.Department of Paediatrics, Aviation General Hospital of China Medical University, Beijing   100012, China
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摘要 目的 观察脑电联合肌电生物反馈联合抗阻训练在儿童痉挛型脑瘫(SCP)治疗中的应用效果。 方法 本研究采用前瞻性随机对照试验,选取2015年7月至2021年7月中国医科大学航空总医院收治的107例SCP患儿,依据随机数字表法将其分为观察组(54例)和对照组(53例)。对照组给予常规康复训练+脑电联合肌电生物反馈,观察组在对照组的基础上联合抗阻训练,干预3个月。比较两组干预前、干预3个月时粗大运动功能测量量表(GMFM)评分,腓肠肌、比目鱼肌改良Ashworth量表(MAS)评分,6、10 min步行测试和生理消耗指数(PCI)。结果 干预3个月时,两组GMFM评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组腓肠肌、比目鱼肌MAS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组6、10 min步行测试高于干预前,PCI低于干预前,且观察组6、10 min步行测试高于对照组,PCI低于对照组,差异有统计学意义(P<0.05)。 结论 脑电联合肌电生物反馈联合抗阻训练可更加有效改善儿童SCP运动功能和肌张力,步行耐力明显提高,且运动过程中的能量消耗减少。

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杨梦蕤1 刘韬2 邱志勇1▲
关键词 痉挛型脑瘫脑电生物反馈肌电生物反馈抗阻训练
    
Abstract:Objective To observe application effect of EEG combined with EMG biofeedback training combined with resistance training in the treatment of spastic cerebral palsy (SCP). Methods A prospective randomized controlled trial was conducted in this study, 107 children with SCP who were admitted to Aviation General Hospital of China Medical University from July 2015 to July 2021 were selected. They were divided into observation group (54 cases) and control group (53 cases) by random number table method. Control group received routine rehabilitation training+EEG combined with EMG biofeedback training, while observation group combined with resistance training on the basis of control group, the intervention lasted for three months. The gross motor function measure (GMFM) score, gastrocnemius and soleus modified ashworth scale (MAS) scores, 6, 10 min walking test, and physiological consumption index (PCI) were compared between two groups before intervention and three months after intervention. Results Three months after intervention, GMFM scores were higher in both groups than those before intervention, and observation group was higher than control group, with astatistical significant differences (P<0.05); MAS scores of gastrocnemius and soleus were lower than those before intervention, and observation group was lower than control group, with statistical significant differences (P<0.05); the 6, 10 min walking tests in both groups were higher than those before intervention, and PCI was lower than that before intervention, and the 6,10 min walking tests in observation group were higher than those in control group, PCI was lower than that in control group, with statistical significant differences (P<0.05). Conclusion EEG combined with EMG biofeedback training combined with resistance training can more effectively improve children’s SCP motor function and muscle tension, significantly improve their walking endurance, and reduce energy consumption during exercise.
Key wordsSpastic cerebral palsy    EEG biofeedback    EMG biofeedback    Resistance training
    
通讯作者: ▲通讯作者   
引用本文:   
杨梦蕤1 刘韬2 邱志勇1▲. 脑电联合肌电生物反馈联合抗阻训练在儿童痉挛型脑瘫治疗中的应用[J]. 中国医药导报, 2023, 20(12): 115-119.
YANG Mengrui1 LIU Tao2 QIU Zhiyong1▲. Application of EEG combined with EMG biofeedback training combined with resistance training in the treatment of children with spastic cerebral palsy. 中国医药导报, 2023, 20(12): 115-119.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.12.26     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I12/115

 

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