肌电生物反馈联合任务序列训练对脑卒中偏瘫患者步行能力障碍的影响

doi:10.3969/j.issn.1006-6233.2022.09.012

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Abstract Objective: To explore the effects of EMG biofeedback combined with task-oriented circuit therapy for walking impairment in stroke patients with hemiplegia. Methods: A total of 102 stroke patients with hemiplegia in our hospital from May 2019 to March 2022 were randomly divided into experiment group and control group,21 cases in each group.EMG biofeedback was used in control group while EMG biofeedback combined with task-oriented circuit therapy was used in experiment group.The walking ability,leg myodynamia and life quality were recorded and compared. Results: After treatment,the MAS score,FAC score,FMA score and active dorsal expansion ROM of ankle joint in experiment group were significantly higher than those in control group (P<0.05).the EMG value of tibialis anterior muscle in experiment group was significantly higher than that in control group (109.92±18.36 vs 89.41±10.35,P<0.05),while the EMG value of gastrocnemius muscle in experiment group was significantly lower than that in control group(8.39±2.03 vs 13.04±1.87,P<0.05).The experiment group also had significantly higher SF-36 scale scores and Barthel Index scale scores than the control group (P<0.05). Conclusion: The EMG biofeedback combined with task-oriented circuit therapy in stroke patients with hemiplegia can improve myodynamia of shank,enhance walking ability and life quality.

Key words： EMG biofeedback Task-oriented circuit therapy Stroke Hemiplegia Walking impairment

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2022.09.012 OR http://www.hbyxzzs.cn/EN/Y2022/V28/I9/1469

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