肌电生物反馈治疗痉挛型脑性瘫痪患儿尖足的效果

被引:63
作者
王利江
刘秋燕
于晓明
侯梅
机构
[1] 青岛市妇女儿童医院
关键词
脑性瘫痪; 痉挛型; 尖足; 生物反馈技术; 表面肌电图; 推拿;
D O I
暂无
中图分类号
R742.3 [大脑性瘫痪];
学科分类号
100204 [神经病学];
摘要
目的探讨肌电生物反馈技术治疗痉挛型脑瘫患儿尖足的临床疗效。方法 2014年6月2015年12月,本院80例痉挛型脑瘫尖足患儿,分为常规治疗组(n=40)和肌电生物反馈组(n=80)。常规治疗组接受运动疗法结合推拿治疗,肌电生物反馈组加用生物反馈治疗。比较治疗前及治疗8周后踝关节被动背屈角度(PROM)、表面肌电评价结果和选择性控制评定结果。结果治疗后,两组患儿踝关节PROM较治疗前显著减小(t>9.142,P<0.001),胫前肌积分肌电值(i EMG)、均方根值(RMS)及踝关节选择性运动控制评分均较治疗前明显增大(t>3.456,Z>3.178,P<0.01);且肌电生物反馈组均明显优于常规治疗组(t>3.737,Z=-2.748,P<0.01)。结论肌电生物反馈治疗能更好改善痉挛型脑瘫患儿足背曲,改善其尖足步态。
引用
收藏
页码:1209 / 1213
页数:5
相关论文
共 21 条
[1]
Effects of innovative virtual reality game and EMG biofeedback on neuromotor control in cerebral palsy [J].
Yoo, Ji Won ;
Lee, Dong Ryul ;
Sim, Yon Ju ;
You, Joshua H. ;
Kim, Cheol J. .
BIO-MEDICAL MATERIALS AND ENGINEERING, 2014, 24 (06) :3613-3618
[2]
The panorama of cerebral palsy in Sweden. XI. Changing patterns in the birth‐year period 2003–2006.[J].Kate Himmelmann;Paul Uvebrant.Acta Paediatr.2014, 6
[3]
Feedback System Based on Plantar Pressure for Monitoring Toe-Walking Strides in Children with Cerebral Palsy [J].
Pu, Fang ;
Fan, Xiaoya ;
Yang, Yang ;
Chen, Wei ;
Li, Shuyu ;
Li, Deyu ;
Fan, Yubo .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2014, 93 (02) :122-129
[4]
Prevalence of cerebral palsy; co‐occurring autism spectrum disorders; and motor functioning – A utism and D evelopmental D isabilities M onitoring N etwork; USA ; 2008.[J].Deborah Christensen;Kim Van Naarden Braun;Nancy S Doernberg;Matthew J Maenner;Carrie L Arneson;Maureen S Durkin;Ruth E Benedict;Russell S Kirby;Martha S Wingate;Robert Fitzgerald;Marshalyn Yeargin‐Allsopp.Dev Med Child Neurol.2014, 1
[5]
The Effect of Electromyographic Biofeedback Treatment in Improving Upper Extremity Functioning of Patients with Hemiplegic Stroke [J].
Dogan-Aslan, Meryem ;
Nakipoglu-Yuzer, Guldal Funda ;
Dogan, Asuman ;
Karabay, Ilkay ;
Ozgirgin, Nese .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2012, 21 (03) :187-192
[6]
Gait Improvement in Patients with Cerebral Palsy by Visual and Auditory Feedback [J].
Baram, Yoram ;
Lenger, Ruben .
NEUROMODULATION, 2012, 15 (01) :48-52
[7]
Lower-extremity selective voluntary motor control in patients with spastic cerebral palsy: increased distal motor impairment [J].
Fowler, Eileen G. ;
Staudt, Loretta A. ;
Greenberg, Marcia B. .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2010, 52 (03) :264-269
[8]
Selective Control Assessment of the Lower Extremity (SCALE): development, validation, and interrater reliability of a clinical tool for patients with cerebral palsy [J].
Fowler, Eileen G. ;
Staudt, Loretta A. ;
Greenberg, Marcia B. ;
Oppenheim, William L. .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2009, 51 (08) :607-614
[9]
Roles of Reflex Activity and Co-contraction During Assessments of Spasticity of the Knee Flexor and Knee Extensor Muscles in Children With Cerebral Palsy and Different Functional Levels [J].
Pierce, Samuel R. ;
Barbe, Mary F. ;
Barr, Ann E. ;
Shewokis, Patricia A. ;
Lauer, Richard T. .
PHYSICAL THERAPY, 2008, 88 (10) :1124-1134
[10]
Electromyographic biofeedback in the treatment of the hemiplegic hand - A placebo-controlled study [J].
Armagan, O ;
Tascioglu, F ;
Oner, C .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2003, 82 (11) :856-861