Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency an...Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.展开更多
目的观察表面肌电图在脑卒中后偏瘫患者手运动功能评估中的应用。方法 2018年1月至8月,43例脑卒中后手运动功能障碍偏瘫患者,均接受4周综合康复治疗。治疗前后,采集患侧腕屈肌、腕伸肌、指伸肌和拇短展肌表面肌电积分肌电值(iEMG)和均...目的观察表面肌电图在脑卒中后偏瘫患者手运动功能评估中的应用。方法 2018年1月至8月,43例脑卒中后手运动功能障碍偏瘫患者,均接受4周综合康复治疗。治疗前后,采集患侧腕屈肌、腕伸肌、指伸肌和拇短展肌表面肌电积分肌电值(iEMG)和均方根值(RMS),采用Fugl-Meyer评定量表(FMA)和Brunnstrom分期对患侧手功能进行评定。结果治疗后,患者患侧FMA评分,Brunnstrom分期,腕屈肌、腕伸肌、指伸肌和拇短展肌RMS和iEMG均提高(Z> 2.496, t> 5.361, P <0.05);FMA评分与各肌RMS和iEMG呈正相关(r=0.423～0.732, P <0.05);Brunnstrom分期与腕屈肌、腕伸肌和拇短展肌i EMG (r=0.343～0.467, P <0.05),指伸肌、腕伸肌和拇短展肌RMS呈正相关(r=0.223～0.328, P <0.05)。多元线性逐步回归分析显示,指伸肌RMS与腕伸肌iEMG进入FMA评分回归方程(t> 4.243, P <0.001),指伸肌RMS进入Brunnstrom分期回归方程(t=4.707, P <0.001)。结论表面肌电图可客观评估脑卒中偏瘫患者手运动功能,腕伸肌和指伸肌肌电参数更适用。展开更多
文摘Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.
文摘目的观察表面肌电图在脑卒中后偏瘫患者手运动功能评估中的应用。方法 2018年1月至8月,43例脑卒中后手运动功能障碍偏瘫患者,均接受4周综合康复治疗。治疗前后,采集患侧腕屈肌、腕伸肌、指伸肌和拇短展肌表面肌电积分肌电值(iEMG)和均方根值(RMS),采用Fugl-Meyer评定量表(FMA)和Brunnstrom分期对患侧手功能进行评定。结果治疗后,患者患侧FMA评分,Brunnstrom分期,腕屈肌、腕伸肌、指伸肌和拇短展肌RMS和iEMG均提高(Z> 2.496, t> 5.361, P <0.05);FMA评分与各肌RMS和iEMG呈正相关(r=0.423～0.732, P <0.05);Brunnstrom分期与腕屈肌、腕伸肌和拇短展肌i EMG (r=0.343～0.467, P <0.05),指伸肌、腕伸肌和拇短展肌RMS呈正相关(r=0.223～0.328, P <0.05)。多元线性逐步回归分析显示,指伸肌RMS与腕伸肌iEMG进入FMA评分回归方程(t> 4.243, P <0.001),指伸肌RMS进入Brunnstrom分期回归方程(t=4.707, P <0.001)。结论表面肌电图可客观评估脑卒中偏瘫患者手运动功能,腕伸肌和指伸肌肌电参数更适用。
