發(fā)布時間：2018-12-10 18:02

【摘要】：目的考察雙側(cè)上肢等速肌力訓(xùn)練結(jié)合針刺對腦卒中肩關(guān)節(jié)半脫位患者肩關(guān)節(jié)肌群表面肌電的影響及療效。方法腦卒中肩關(guān)節(jié)半脫位患者120例按入院順序隨機分為對照組和觀察組各60例。對照組給予針刺治療,觀察組給予雙側(cè)上肢等速肌力訓(xùn)練結(jié)合針刺治療。結(jié)果與治療前比較,角速度為60°/s時,兩組治療后三角肌和岡肌積分肌電值(i EMG)顯著降低(P0.05);與對照組比較,觀察組降低明顯(P0.05);角速度為90°/s和120°/s時,兩組三角肌和岡肌i EMG明顯增高(P0.05);與對照組比較,觀察組增高明顯(P0.05)。治療后,兩組雙側(cè)肩峰至肱骨頭間距明顯減少(P0.05),兩側(cè)肩胛下角頂點間距明顯增大(P0.05);與對照組比較,觀察組更明顯(P0.05)。與對照組比較,觀察組治療顯效例數(shù)明顯增多(P0.05)。結(jié)論雙側(cè)上肢等速肌力訓(xùn)練結(jié)合針刺對腦卒中肩關(guān)節(jié)半脫位有確切療效,可能與影響肩關(guān)節(jié)肌群表面肌電有關(guān)。
[Abstract]:Objective to investigate the effect of isokinetic muscle strength training combined with acupuncture on the surface myography of shoulder muscles in patients with shoulder subluxation after stroke. Methods 120 patients with shoulder subluxation after stroke were randomly divided into control group (n = 60) and observation group (n = 60). The control group was treated with acupuncture, and the observation group was treated with bilateral isokinetic muscle strength training combined with acupuncture. Results compared with those before treatment, the (i EMG) of deltoid muscle and goniornus muscle in both groups decreased significantly after treatment when angular velocity was 60 擄/ s (P0.05), and that in observation group was significantly lower than that in control group (P0.05). When the angular velocity was 90 擄/ s and 120 擄/ s, the I EMG of deltoid and gonadal muscles increased significantly in both groups (P0.05), and that in the observation group was significantly higher than that in the control group (P0.05). After treatment, the distance between shoulder peak and humerus head in both groups decreased significantly (P0.05), and the distance between the two sides of the subscapular angle increased significantly (P0.05); compared with the control group, the observation group was more obvious (P0.05). Compared with the control group, the treatment in the observation group significantly increased the number of cases (P0.05). Conclusion bilateral upper limb isokinetic muscle strength training combined with acupuncture is effective in the treatment of shoulder subluxation after stroke, which may be related to the influence of surface myography on shoulder muscle group.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院;
【基金】：貴州省教育廳青年科技人才成長項目(黔教合KY字[2016]199)
【分類號】：R743.3

【相似文獻】

相關(guān)期刊論文 前10條

1 郭艷;;淺談偏癱肩關(guān)節(jié)半脫位[J];科技信息;2009年28期

2 王東巖;姚輝;;電針結(jié)合中頻預(yù)防偏癱患者肩關(guān)節(jié)半脫位[J];中醫(yī)臨床研究;2013年05期

3 何艷宇;原凡惠;;康復(fù)訓(xùn)練對偏癱導(dǎo)致肩關(guān)節(jié)半脫位療效觀察[J];中國傷殘醫(yī)學(xué);2013年06期

4 朱紅梅;卞榮;王盛;;兩種貼扎方法用于治療腦卒中偏癱患者肩關(guān)節(jié)半脫位的療效觀察[J];中國康復(fù)醫(yī)學(xué)雜志;2013年07期

5 劉迎;中風(fēng)后肩關(guān)節(jié)半脫位:4種支具的比較[J];國外醫(yī)學(xué)(物理醫(yī)學(xué)與康復(fù)學(xué)分冊);1997年03期

6 熱迪娜·亞生;王燕;謝榮;;偏癱患者肩關(guān)節(jié)半脫位綜合治療的臨床觀察[J];新疆醫(yī)學(xué);2008年08期

7 安巧;李哲;蘇慈寧;李俊香;張青;;肩吊帶結(jié)合康復(fù)訓(xùn)練治療肩關(guān)節(jié)半脫位的療效觀察[J];中國康復(fù)醫(yī)學(xué)雜志;2010年06期

8 畢研貞;鄭志雄;李康增;王桂芬;;充氣式肩吊帶對偏癱后肩關(guān)節(jié)半脫位的療效[J];中國康復(fù)理論與實踐;2011年05期

9 張海雁;;28例腦卒中后肩關(guān)節(jié)半脫位的綜合治療[J];現(xiàn)代臨床醫(yī)學(xué);2011年05期

10 石秀娥;腦卒中后肩關(guān)節(jié)半脫位的治療[J];中國臨床康復(fù);2004年13期

相關(guān)會議論文 前10條

1 谷海燕;;綜合康復(fù)治療對早期預(yù)防腦卒中肩關(guān)節(jié)半脫位患者的療效觀察[A];2013浙江省物理醫(yī)學(xué)與康復(fù)學(xué)學(xué)術(shù)年會暨第八屆浙江省康復(fù)醫(yī)學(xué)發(fā)展論壇論文集[C];2013年

2 壽依群;曾鍇;;偏癱患者肩關(guān)節(jié)半脫位的綜合康復(fù)治療[A];中國康復(fù)醫(yī)學(xué)會運動療法專業(yè)委員會第九屆全國學(xué)術(shù)會議論文選編[C];2007年

3 王s，

本文編號：2370987