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杨晓颜,杜 青,周 璇,于 虹,毛 琳,靳梦蝶,宋琰萍.肌电生物反馈对发育性髋关节发育不良术后患儿平衡及运动功能的影响[J].中国康复医学杂志,2019,(4):422~426
肌电生物反馈对发育性髋关节发育不良术后患儿平衡及运动功能的影响    点此下载全文
杨晓颜  杜 青  周 璇  于 虹  毛 琳  靳梦蝶  宋琰萍
上海交通大学医学院附属新华医院康复医学科,200092
基金项目:上海市卫生计生系统重要薄弱学科建设项目(2015ZB0406);上海市科委产学研医合作项目(16DZ1930108)
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摘要:
      摘要 目的:观察肌电生物反馈对发育性髋关节发育不良术后患儿平衡及运动功能的影响。 方法:选取33例发育性髋关节发育不良术后3月的患儿,按就诊顺序分为观察组和对照组,观察组16例(22髋),对照组17例(22髋),2组均给予常规康复治疗,观察组在此基础上接受肌电生物反馈治疗,连续12周。治疗前后采用徒手肌力测试测定屈髋肌、伸髋肌、髋外展肌、伸膝肌肌力,Berg平衡量表评定患者的平衡功能,10m步行测试测定步行能力,表面肌电图仪评估股直肌、臀大肌、臀中肌表面肌电信号均方根值(RMS)的变化。 结果:2组患儿肌力(屈髋肌、伸髋肌、髋外展肌、伸膝肌)、RMS值(股直肌、臀大肌、臀中肌)、平衡功能、步行能力治疗前差异无显著性意义(P>0.05)。治疗12周后2组患儿肌力、RMS值、Berg平衡量表评分显著高于治疗前(P<0.01),10m步行能力测试步行时间较治疗前明显缩短(P<0.01)。治疗后伸髋肌、髋外展肌肌力观察组显著高于对照组(P<0.01),屈髋肌、伸膝肌肌力观察组高于对照组(P<0.05);观察组股直肌、臀中肌平均RMS值高于对照组(P<0.05),观察组臀大肌平均RMS值显著高于对照组(P<0.01)。 结论:肌电生物反馈疗法有助于改善发育性髋关节发育不良术后患儿平衡及运动功能。
关键词:发育性髋关节发育不良  肌电生物反馈  表面肌电
Effects of electromyographic biofeedback on lower limb function in children with developmental dysplasia of the hip    Download Fulltext
Department of Rehabilitation, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai,200092
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Abstract:
      Abstract Objective:To observe the effect of electromyographic biofeedback on lower limb function in children with developmental dysplasia of the hip. Method:A total of 33 children who were 3 months after DDH operation were randomly divided into observation group and control group. The observation group of 16 cases (22 hips) accepted rehabilitation treatment including electromyographic biofeedback. The control group of 17 cases (22 hips) received conventional rehabilitation therapy. All Children were evaluated by manual muscle test, RMS of rectus femoris, gluteus maximus, mesoglutaeus by surface electromyography, Berg Balance Scale and 10 meter walking test before and after treatment. Result:There were no significant difference between the observation group and the control group in muscle strength, RMS of rectus femoris, gluteus maximus, mesoglutaeus, the value of BBS and the seconds of 10 meter walking test before treatment (P>0.05). In two groups all children showed significant improvements in muscle strength, RMS value of rectus femoris, gluteus maximus, mesoglutaeus, the value of BBS and the seconds of 10 meter walking test 3 months after treatment (P<0.01). Though in observation group muscle strength, RMS and the value of BBS were higher than that of the control group, and the seconds of 10 meter walking test were shorter than that of the control group. Conclusion: Electromyographic biofeedback was helpful to improve the lower limb function in children with developmental dysplasia of hip.
Keywords:developmental dysplasia of the hip  electromyographic biofeedback  surface electromyography
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