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誘導(dǎo)腦部損傷患兒主動(dòng)訓(xùn)練的電子手套

發(fā)布時(shí)間:2018-08-30 18:33
【摘要】:多數(shù)腦部損傷患兒患側(cè)手指肌張力大,拇指呈內(nèi)收狀態(tài),無法完成手指的張合動(dòng)作,存在著手功能損傷。然而,臨床上患兒手功能康復(fù)訓(xùn)練方式單調(diào)枯燥,不符合患兒的心理特點(diǎn)。該文設(shè)計(jì)了一種基于患兒心理特點(diǎn)的利用聲、光信號(hào)誘導(dǎo)患兒主動(dòng)訓(xùn)練的電子手套,并在中國康復(fù)研究中心進(jìn)行了臨床實(shí)驗(yàn)。實(shí)驗(yàn)表明:患兒患側(cè)手指表面肌電信號(hào)的中位頻率在康復(fù)訓(xùn)練后增大,說明用手套進(jìn)行康復(fù)訓(xùn)練使患兒患側(cè)肌肉耐力提高;靜息狀態(tài)下,患側(cè)大魚際肌與拇長伸肌表面肌電信號(hào)均方根與平均幅值在康復(fù)訓(xùn)練后減小,表明靜息狀態(tài)下大魚際肌與拇長伸肌肌張力下降,患兒患側(cè)手指運(yùn)動(dòng)控制能力增強(qiáng)。實(shí)驗(yàn)結(jié)果驗(yàn)證了該電子手套在腦部損傷患兒手功能康復(fù)訓(xùn)練中的有效性。
[Abstract]:Most of the children suffered from brain injury had large tension of finger muscle, adductive state of thumb, unable to complete finger opening, and hand function injury. However, the rehabilitation training of hand function is monotonous and does not accord with the psychological characteristics of children. Based on the psychological characteristics of children, a kind of electronic gloves which is induced by acoustic and optical signals to train children's initiative is designed, and a clinical experiment is carried out in China Rehabilitation Research Center. The results showed that the median frequency of EMG signal on the finger surface of the affected side increased after rehabilitation training, which indicated that the muscle endurance of the affected side was improved by using gloves. The root-mean-square (RMS) and mean amplitude of the surface EMG signals of the affected thenar muscles and the extensor pollicis longus decreased after rehabilitation training, which indicated that the tension of the thenar muscles and the extensor pollicis longus decreased under resting condition, and the movement control ability of the affected fingers was enhanced. The experimental results demonstrate the effectiveness of the electronic glove in the rehabilitation training of children with brain injury.
【作者單位】: 清華大學(xué)機(jī)械工程系摩擦學(xué)國家重點(diǎn)實(shí)驗(yàn)室;首都醫(yī)科大學(xué)康復(fù)醫(yī)學(xué)院;中國康復(fù)研究中心;
【基金】:中央級公益性科研院所基本科研業(yè)務(wù)費(fèi)專項(xiàng)資金項(xiàng)目(2013CZ-27)
【分類號(hào)】:R496

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1 蔡云;王曉燕;胡藝;徐彩霞;席曉蓉;;消化內(nèi)科防范患者跌倒及墜床的護(hù)理體會(huì)[J];中國現(xiàn)代醫(yī)藥雜志;2012年11期

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