基于sEMG评价的股四头肌神经入肌点针刺法对脑卒中肌痉挛干预效应的研究

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Abstract Objective To observe the effect of surface electromyography (sEMG) on the control of the knee joint of the lower extremities with spasm in patients with hemiplegia by using acupuncture nerve entering points on musculi quadriceps. Methods A total of 52 cerebral apoplexy patients confirmed in Taizhou Hospital of Zhejiang Province and the Second Affiliated Hospital of Wenzhou Medical University from January 2016 to December 2017 were selected and divided into study group and control group according to the random number table method, with 26 patients in each group. The two groups were given the same basic treatment, the control group was treated with traditional acupuncture therapy with acupuncture points following the meridian, and the study group was treated with acupuncture nerve entering points on musculi quadriceps femoris. In both groups, the Holden walking functional classification, modified Ashworth scale (MAS), clinic spasticity index (CSI), the lower limb simplified Fugl-Meyer movement scale and Berg balance scale (BBS) were evaluated, electromyographic signals guided by the surface electrode were recorded and the changes of the measured maximum amplitude of H wave (Hmax), maximum amplitude of M wave (Mmax) and the ratio of the maximum amplitude of H wave to M wave (Hmax/Mmax) were analyzed and compared before and four weeks after treatment. Results After four weeks of treatment, the scores of Holden functional walking ability, lower limb simplified Fugl-Meyer movement scale and BBS in the two groups were all improved compared with those before treatment, and the study group was higher than the control group, with statistically significant differences (all P ＜ 0.05). After four weeks of treatment, lower limb MAS and CSI scores of both groups were lower than those before treatment, and the study group was lower than the control group, with statistically significant differences (all P ＜ 0.05). After four weeks of treatment, Hmax, Mmax and H/Mmax of the two groups were all lower than those before treatment, and the study group was lower than the control group, with statistically significant differences (all P ＜ 0.05). Conclusion Using acupuncture nerve entering points on musculi quadriceps femoris can alleviate side lower limb spastic hemiplegia patients quadriceps femoris muscle tension, improve the coordination between anterior and posterior muscles of the thigh, and improve the knee joint control ability of patients with spastic hemiplegia, so as to further improve the quality of life of patients, its curative effect is better than traditional acupuncture method.

Key words： Acupuncture nerve entering points Evaluation Spasm Cerebral apoplexy Electromyogram

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	FAN Liubo1 LIU Baohua2

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FAN Liubo1 LIU Baohua2. Study on the interventional effect of acupuncture nerve entering points on musculi quadriceps femoris of cerebral apoplexy muscle spasm based on sEMG evaluation[J]. 中国医药导报, 2020, 17(26): 13-16,29.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I26/13

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