核心稳定性训练结合肌电生物反馈对恢复脑卒中偏瘫患者上肢功能及日常生活活动能力的临床研究

Clinical study of CST combined with EMGBFT on upper extremity function and ADL in hemiplegics after stroke

摘要:

目的  观察核心稳定性训练(CST)结合肌电生物反馈(EMGBFT)对脑卒中偏瘫患者上肢功能及日常生活活动能力的临床疗效。方法  将符合条件的脑卒中患者60例随机分为对照组和观察组各30例。两组均行常规康复治疗及肌电生物反馈治疗，观察组在此基础上增加核心稳定性训练,共8周。治疗前后采用简式Fugl-
Meyer运动功能量表（FMA）评价患者上肢运动功能，采用Barthel指数（BI）评价日常生活活动能力。结果  治疗8周后，两组患者上肢FMA及BI评分均较治疗前提高（P <0.05），且观察组各评分高于对照组（P <0.05）。 结论  在常规康复治疗基础上，增加核心稳定性训练及肌电生物反馈有利于脑卒中偏瘫患者上肢功能及日常生活活动能力的恢复。

Abstract:

Objective To study the clinical effect of core stability training (CST) combined with EMG biofeedback (EMGBFT) on upper extremity function and activities of daily living abilities in hemiplegic patients after stroke. Methods 60 patients with hempiplegia after stroke were randomly divided into control group (n = 30) and observation group (n = 30). Both groups were given conventional treatment and EMGBFT for 8 weeks, while the observation group received CST in addition to conventional treatment and EMGBFT. All of the patients were assessed using the Fugl-Meyer upper limb assessment (FMA), and using the Barthel Index (Barthel index, BI) to assess the activities of daily living before and after treatment. Results After treatment for 8 weeks, FMA and BI scores were increased as compared with those before treatment (t test, P < 0.05), and score higher in the observation group than in the control group (P < 0.05). Conclusions Based on conventional rehabilitation therapy, addition of CST and EMGBFT may facilitate the recovery of upper limb function and activities of daily living abilities in the  patients with hemiplegia after stroke.