| 王修敏,陈 凯,柳奇奇,周 康,曹晓光.表面肌电在脑卒中恢复期偏瘫患者呼吸功能评价中的临床应用[J].中国康复医学杂志,2025,(4):574~580 |
| 表面肌电在脑卒中恢复期偏瘫患者呼吸功能评价中的临床应用 点此下载全文 |
| 王修敏 陈 凯 柳奇奇 周 康 曹晓光 |
| 合肥市第二人民医院康复医学科，安徽省合肥市，230011 |
| 基金项目：合肥市卫生健康应用医学研究项目（Hwk2021zd006）；合肥市第二人民医院院级课题（2022yzc009） |
| DOI：10.3969/j.issn.1001-1242.2025.04.015 |
| 摘要点击次数: 106 |
| 全文下载次数: 73 |
| 摘要： |
| 摘要
目的：采用表面肌电（surface electromyography， sEMG）评估脑卒中恢复期偏瘫患者呼吸功能训练前后呼吸肌功能。
方法：纳入脑卒中恢复期偏瘫患者40例，随机分为观察组与对照组，每组20例。对照组给予常规康复，观察组给予常规康复联合呼吸功能训练。分别于治疗前、治疗4周后对两组患者进行呼吸肌sEMG指标均方根值（root mean square， RMS），肺功能指标用力肺活量（forced vital capacity， FVC）、第一秒最大呼气量（the forced expiratory volume in 1 second， FEVl）、呼气峰值流速（peak expiration flow rate， PEF），Fugl-Meyer运动功能评分量表（Fugl-Meyer Motor Scale， FMMS）、Berg平衡量表（Berg Balance Scale， BBS）等进行评估。
结果：治疗4周后，两组患者双侧胸锁乳突肌（sternocleidomastoid muscle， sc）、胸骨旁肋间外肌（parasternal external intercostal muscle， para）、膈肌（diaphragmatic muscles， di）的sEMG指标RMS，肺功能指标FVC、FEVl、PEF，运动平衡指标FMMS、BBS均明显改善（P<0.05），且观察组各项指标评分均高于对照组（P<0.05）。相关性分析结果显示，两组患者治疗后呼吸肌表面肌电RMS与肺功能各项指标、运动平衡指标之间均具有一定相关性（P<0.05）；观察组呼吸肌RMS与肺功能、运动平衡指标之间相关性（r>0.5，P<0.05）高于对照组（r<0.5，P<0.05）。
结论：呼吸功能训练能够显著改善脑卒中恢复期偏瘫患者肺功能及运动平衡功能。表面肌电可用于评价脑卒中偏瘫患者呼吸肌收缩功能。 |
| 关键词：表面肌电图 脑卒中 偏瘫 呼吸肌 |
| Clinical application of surface electromyography in respiratory function evaluation of stroke patients with hemiplegia during recovery period Download Fulltext |
|
| The Second People’s Hospital of Hefei， Hefei， Anhui， 230011 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To evaluate respiratory muscle function before and after respiratory function training using surface electromyography (sEMG) in stroke patients with hemiplegia during recovery period.
Method： Forty stroke patients with hemiplegia in the recovery phase were randomly divided into an observation group and a control group， with 20 patients in each group. The control group was given routine rehabilitation treatment， while the observation group was given routine rehabilitation treatment combined with respiratory function training. Root Mean Square value （RMS） of respiratory muscle surface electromyography， pulmonary function indicators such as forced vital capacity （FVC），the forced expiratory volume in 1 second （FEV1）， peak expiratory flow rate （PEF）， and Fugl-Meyer Motor Scale （FMMS）， Berg Balance Scale （BBS） were evaluated before and after 4 weeks of treatment in both groups.
Result： After 4 weeks of treatment， the RMS of bilateral sternocleidomastoid muscles， parasternal external intercostal muscles， and diaphragmatic muscles， pulmonary function indicators including FVC， FEVl， PEF， FMMS and BBS in both groups were significantly improved （P<0.05）， and the scores of all indicators in the observation group were higher than those in the control group （P<0.05）. The correlation analysis showed that there was a certain correlation between the RMS of respiration muscles and indicators of pulmonary function， FMMS， BBS respectively in two groups after treatment （P<0.05）； the correlation between the RMS of respiration muscles and indicators of pulmonary function， FMMS， BBS in the observation group （r>0.5， P<0.05） was higher than that in the control group （r<0.5， P<0.05）.
Conclusion： Respiratory function training can significantly improve pulmonary function in stroke patients with hemiplegia during recovery period. Surface electromyography can be used to evaluate the respiratory muscle contraction function in stroke patients with hemiplegia. |
| Keywords:surface electromyogram stroke hemiplegia respiratory muscle |
|
| 查看全文 查看/发表评论 |
