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Influnce of myoelectric biofeedback and suspension exercise training on walking function of patients with lower limb spasm after spinal cord injury |
GONG Qiaolu ZHANG Jianmei |
Rehabilitation Medical Center of West China Hospital of Sichuan University, Sichuan Key Laboratory of Rehabilitation Medicine, Sichuan Province, Chengdu 610041, China |
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Abstract 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.
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[1] 连晶,李雷,徐丽美.自我效能训练对脊髓损伤患者功能恢复及生活质量的影响[J].中国医药导报,2016,13(16):160-163.
[2] Eckert MJ,Martin MJ. Trauma:spinal cord injury [J]. Surg Clin North Am,2017,97(5):1031-1045.
[3] 陈建,李硕,闫成龙.表面肌电生物反馈结合本体感觉神经肌肉促进技术治疗脑卒中患者足下垂的临床观察[J].中国康复医学杂志,2016,31(8):899-902.
[4] 刘洁,刘海杰,梁军,等.悬吊训练对视神经脊髓炎谱系病患者运动平衡功能的影响[J].中华物理医学与康复杂志,2019,41(6):431-433.
[5] 张继华,高丙南,吴丽,等.肌电生物反馈配合悬吊治疗对痉挛型脑性瘫痪患儿下肢肌力和H反射的影响[J].中国实用神经疾病杂志,2018,21(7):717-721.
[6] Park CS,An SH. Reliability and validity of the modified functional ambulation category scale in patients with hemiparalysis [J]. J Phys Ther Sci,2016,28(8):2264-2267.
[7] 中国医师协会骨科医师分会,中国医师协会骨科医师分会《成人急性胸腰段脊柱脊髓损伤循证临床诊疗指南》编辑委员会.成人急性胸腰段脊柱脊髓损伤循证临床诊疗指南[J].中华外科杂志,2019,57(3):161-165.
[8] Baunsgaard CB,Nissen UV,Christensen KB,et al. Modified Ashworth scale and spasm frequency score in spinal cord injury:reliability and correlation [J]. Spinal Cord,2016,54(9):702-708.
[9] Tiebin Y. Reliability of composite spasticity scale for brain injured patients [J]. Chin J Rehab Med,2002,17(5):263-265.
[10] 刘汉良,尤春景,黄晓琳,等.正常人动态平衡能力测试的信度及效度分析[J].中华物理医学与康复杂志,2004, 26(3):152-155.
[11] Lundquist CB,Maribo T. The Fugl-Meyer assessment of the upper extremity:reliability,responsiveness and validity of the Danish version [J]. Disabil Rehabil,2017,39(9):934-939.
[12] 周学梅,乔姗,赵金荣.水疗联合巴氯芬改善脊髓损伤后下肢肌痉挛的疗效观察[J].中国伤残医学,2017,25(18):12-14.
[13] 梁天佳,周开斌,麦威,等.谐振治疗对脊髓损伤患者下肢痉挛和日常生活活动能力的影响[J].广西医科大学学报,2019,36(1):120-123.
[14] 樊亮花,杜良杰.脊髓损伤后肢体痉挛机制的研究进展[J].中国康复理论与实践,2019,25(6):638-643.
[15] 章荣,叶陈,周蜜娟.肌电生物反馈疗法在脑卒中偏瘫异常步态患者中的应用研究[J].川北医学院学报,2019, 34(4):445-447.
[16] 任惠明,郭旭,徐敏,等.功能性电刺激结合肌电生物反馈疗法对脑卒中偏瘫患者下肢功能恢复的影响[J].中华物理医学与康复杂志,2018,40(6):421-423.
[17] 冯淑曼,李学,杨红旗,等.肌电生物反馈联合康复训练对多发性硬化患者下肢肌肉痉挛和步行功能的影响[J].中华物理医学与康复杂志,2019,41(5):361-363.
[18] 张伟,冯晓东,任彬彬,等.局部振动结合肌电生物反馈治疗对脑卒中后偏瘫患者步行能力的影响[J].中华物理医学与康复杂志,2019,41(11):850-852.
[19] Arpa S,Ozcakir S. Does electromyographic biofeedback improve exercise effects in hemiplegic patients? A pilot randomized controlled trial [J]. J Rehabil Med,2019,51(2):109-112.
[20] 陈四海,朱珊珊,陈湘鄂.悬吊运动联合姿势控制训练对亚急性期脑卒中患者运动功能的影响[J].中国康复,2018,33(3):203-206.
[21] 李晓华,闫晓洁,马玉萍,等.早期针灸联合悬吊运动锻炼对脑卒中偏瘫患者肢体康复效果的影响[J].陕西中医,2016,37(10):1413-1414.
[22] 陈华,于铁强,王国强,等.老年外伤性脊髓损伤住院患者并发症及危险因素分析[J].中国骨与关节杂志,2015, 4(1):76-78.
[23] 郑增宾,马明,赵祥虎,等.悬吊运动疗法结合肌内效贴对脑卒中偏瘫患者平衡和步行功能的效果[J].中国康复理论与实践,2019,25(5):564-569.
[24] 吉增良,邓增稳,王晓东,等.悬吊技术治疗痉挛型脑性瘫痪临床观察[J].河北医药,2015,37(10):1495-1497.
[25] 查甫兵,杨万章,周宾华.悬吊技术对脑卒中病人平衡功能的影响[J].中西医结合心脑血管病杂志,2018,16(17):2466-2470. |
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