肌电生物反馈联合高压氧干预对脑性瘫痪患儿运动功能及日常生活能力的影响

Effect of electromyography biofeedback combined with hyperbaric oxygen intervention on motor function and daily living ability of children with cerebral palsy

摘要:

目的 探讨肌电生物反馈联合高压氧干预对脑性瘫痪（以下简称脑瘫）患儿运动功能及日常生活能力的影响。方法 选取2020年2月—2022年2月江南大学附属医院和常州市第一人民医院门诊就诊脑瘫患儿108例，根据治疗方法分为常规组和实验组，每组54例。常规组采用常规康复治疗；实验组在常规组基础上采用肌电生物反馈联合高压氧干预治疗。比较两组的疗效、运动功能［粗大运动功能量表（GMFM）、精细运动功能量表（FMFM）］、脑电功率（θ波值、β波值、θ/β比值）及日常生活能力。结果 实验组总有效率高于常规组（P <0.05）；实验组治疗前后GMFM评分、FMFM评分的差值高于常规组（P <0.05）；实验组θ波值、β波值、θ/β比值的差值高于常规组（P <0.05）；实验组治疗前后日常生活能力差值高于常规组（P <0.05）。结论 肌电生物反馈联合高压氧干预对脑瘫患儿疗效显著，能改善运动功能和脑电功率，提高日常生活能力。

Abstract:

Objective To investigate the impact of electromyographic biofeedback combined with hyperbaric oxygen intervention on motor function and daily life abilities in children with cerebral palsy.Methods A total of 108 children with cerebral palsy who sought outpatient treatment at Jiangnan University Affiliated Hospital and the First People's Hospital of Changzhou from February 2020 to February 2022 were selected. Based on the treatment methods, they were divided into a conventional group and an experimental group, each comprising 54 cases. The conventional group received routine rehabilitation treatment, while the experimental group received electromyographic biofeedback combined with hyperbaric oxygen intervention in addition to routine treatment. The efficacy, motor function (Gross Motor Function Measure [GMFM], Fine Motor Function Measure [FMFM]), electroencephalogram power (θ-wave value, β-wave value, θ/β ratio), and daily life abilities were compared between the two groups.Results The total effective rate in the experimental group was higher than that in the conventional group (P < 0.05). The GMFM score, FMFM score difference, θ-wave value difference, β-wave value difference, θ/β ratio difference, and daily life ability difference were all higher in the experimental group compared to the conventional group (P < 0.05).Conclusion Electromyographic biofeedback combined with hyperbaric oxygen intervention has a significant therapeutic effect on children with cerebral palsy. It can improve motor function and electroencephalogram power while enhancing daily life abilities.