肌电诱发神经肌肉电刺激治疗脑卒中肩关节半脱位

目的:观察肌电诱发的神经肌肉电刺激疗法在脑卒中肩关节半脱位中的临床疗效。方法:脑卒中肩关节半脱位患者60例,随机分为A、B、C组各20例。3组均给予常规康复治疗,B组加用神经肌肉电刺激疗法,C组加用肌电诱发的神经肌肉电刺激疗法。治疗前后分别采用双侧肩关节X线片及肩关节指诊评价复位情况;采用运动功能评定量表(FMA)中上肢部分评定上肢功能恢复情况。结果:治疗6周后,C组复位率明显高于A、B组(45%、15%、25%,P<0.05);3组FMA的分值均较治疗前明显提高,C组更高于A、B组(P<0.05)。结论:肌电诱发的神经肌肉电刺激治疗脑卒中肩关节半脱位优于单纯常规治疗方法和神经肌肉电刺激疗法。

Effects of electromyography-triggered neuromuscular stimulation on stroke patients with shoulder subluxation

Objective:To study the effect of electromyography(EMG)-triggered neuromuscular stimulation(NMES) on stroke patients with shoulder subluxation.Methods: Sixty stroke patients with shoulder subluxation were randomly divided into 3 groups(A,B,and C) with 20 cases in each group.All groups received normal rehabilitation therapy.Group B received extra NMES therapy,and group C received EMG-triggered NMES therapy besides.Before and after the therapy,X-ray examination,palpation on bilateral shoulders and Fugl-Meyer test with upper limb(FMA) were used to evaluate the recovery of the upper limb.Results: After the treatment for 6 weeks,recovery rate in group C was significantly higher than in groups A and B(45%,15% and 25% respectively,P<0.05).The FMA scores in three groups after treatment were significantly higher than those before treatment,and those in group C were significantly increased as compared with groups A and B(P<0.05).Conclusion: As compared with the routine therapy and NMES therapy,EMG-triggered NMES therapy is more effective on stroke patients with shoulder subluxation.