天堂国产午夜亚洲专区-少妇人妻综合久久蜜臀-国产成人户外露出视频在线-国产91传媒一区二区三区

電針運(yùn)動(dòng)點(diǎn)復(fù)合康復(fù)訓(xùn)練對(duì)不完全性脊髓損傷后脛骨前肌肌力影響的臨床觀察

發(fā)布時(shí)間:2018-03-26 08:58

  本文選題:脊髓損傷 切入點(diǎn):截癱 出處:《成都中醫(yī)藥大學(xué)》2013年碩士論文


【摘要】:目的:通過電針脛骨前肌運(yùn)動(dòng)點(diǎn)復(fù)合康復(fù)訓(xùn)練治療不完全性脊髓損傷患者,觀察患者脛骨前肌肌力改善的情況,驗(yàn)證電針運(yùn)動(dòng)點(diǎn)治療方案的有效性,為臨床治療不完全性脊髓損傷探索一種安全有效的新方案。 方法:本研究采用隨機(jī)對(duì)照試驗(yàn)設(shè)計(jì),納入24例不完全性脊髓損傷患者,48塊脛骨前肌。隨機(jī)分為觀察組和對(duì)照組,兩組均進(jìn)行常規(guī)康復(fù)治療,觀察組在此基礎(chǔ)上采用電針陽明經(jīng)穴加脛骨前肌運(yùn)動(dòng)點(diǎn),對(duì)照組采用電針陽明經(jīng)穴加脛骨前肌非運(yùn)動(dòng)點(diǎn)經(jīng)穴。電針、康復(fù)治療1次/日,10天為1個(gè)療程,連續(xù)治療3個(gè)療程。在試驗(yàn)開始時(shí)、治療10天后、治療20天后與完成療程后,均進(jìn)行ASIA分級(jí)評(píng)定、脛骨前肌徒手肌力評(píng)定(Manual muscle test, MMT)、踝關(guān)節(jié)主動(dòng)背屈關(guān)節(jié)活動(dòng)度(Range of motion, ROM)測量,肌電積分(Integrated electromyography, iEMG)評(píng)測。通過前后指標(biāo)對(duì)比,比較兩種治療方法對(duì)不完全性脊髓損傷患者脛骨前肌肌力的影響。 結(jié)果:兩組受試者組內(nèi)對(duì)比,脛骨前肌徒手肌力變化、踝關(guān)節(jié)背屈關(guān)節(jié)活動(dòng)度變化以及ASIA分級(jí)變化在治療10天、20天、30天時(shí)均無統(tǒng)計(jì)學(xué)意義(P0.05),兩組受試者組間對(duì)比,脛骨前肌徒手肌力變化、踝關(guān)節(jié)角度變化以及ASIA分級(jí)變化在治療10天、20天、30天時(shí)均無統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組與對(duì)照組的脛骨前肌iEMG變化在治療10天、20天、30天時(shí),組內(nèi)及組間對(duì)比均有統(tǒng)計(jì)學(xué)意義(P0.05),觀察組結(jié)果優(yōu)于對(duì)照組(P0.05)。 結(jié)論: 1.電針脛骨前肌運(yùn)動(dòng)點(diǎn)復(fù)合康復(fù)訓(xùn)練可提高脛骨前肌肌力; 2.采用iEMG定量分析,能在功能活動(dòng)產(chǎn)生前精確評(píng)定單塊肌肉肌力變化; 3.電針脛骨前肌運(yùn)動(dòng)點(diǎn)的作用機(jī)制可能與通過有效的傳入刺激,啟動(dòng)任務(wù)依賴性可塑性,促進(jìn)中樞模式發(fā)生器重新激活脊髓神經(jīng)元回路重組有關(guān)。
[Abstract]:Objective: to observe the improvement of tibial anterior muscle muscle strength in patients with incomplete spinal cord injury by electroacupuncture combined rehabilitation training of anterior tibial muscle movement point, and to verify the effectiveness of electroacupuncture exercise point therapy. To explore a new safe and effective scheme for the treatment of incomplete spinal cord injury. Methods: Twenty-four patients with incomplete spinal cord injury (sci) were randomly divided into observation group (n = 48) and control group (n = 48). On this basis, the observation group was treated with electroacupuncture Yangming meridian plus tibial anterior muscle motility point, while the control group with electroacupuncture Yangming meridian plus tibial anterior muscle non-exercise point meridian. Electroacupuncture, rehabilitation therapy once a day for 10 days was used as a course of treatment. At the beginning of the trial, 10 days after the treatment, 20 days after the treatment and after the completion of the course of treatment, all patients were assessed with ASIA grade, manual muscle test with the assessment of the bare-handed muscle strength of the anterior tibia muscle, and the range of motion of ankle joint active dorsiflexion joint. The effects of two treatment methods on tibial anterior muscle strength in patients with incomplete spinal cord injury were compared by comparing the indexes before and after the evaluation of integrated electromyography (iEMG). Results: there was no significant difference in the muscle strength of the tibial anterior muscle, the range of motion of the dorsiflexion joint of the ankle and the ASIA grade between the two groups at 10 days, 20 days and 30 days after treatment (P 0.05), and there was no significant difference between the two groups. The changes of tibial anterior muscle strength, ankle angle and ASIA grade were not statistically significant at 10 days, 20 days and 30 days after treatment. The changes of iEMG of tibial anterior muscles in the observation group and the control group were observed on the 10th day, the 20th day, and the 30th day, respectively. The results of observation group were better than that of control group (P 0.05). Conclusion:. 1. Electroacupuncture combined rehabilitation training of tibial anterior muscle motor point can improve tibial anterior muscle strength; 2.The quantitative analysis of iEMG can accurately evaluate the muscle strength change of a single muscle before the functional activity. 3. The mechanism of electroacupuncture on the motor point of the anterior tibial muscle may be related to the activation of task-dependent plasticity through effective afferent stimulation and the promotion of reactivation of the spinal cord neuronal circuit by the central pattern generator.
【學(xué)位授予單位】:成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黎盛洪,包成群,池華升,葛躍華;針灸為主治療截癱25例[J];福建中醫(yī)藥;2003年06期

2 顏少敏;王金都;王榮坡;;2種頻率電針對(duì)神經(jīng)根型頸椎病的鎮(zhèn)痛效應(yīng)比較[J];福建中醫(yī)藥;2011年05期

3 王忠;電針、穴位注射、推拿按摩綜合療法治療外傷性截癱18例[J];甘肅中醫(yī)學(xué)院學(xué)報(bào);2002年01期

4 顧躍武;下巨虛透足三里治療下肢肌力減弱12例[J];河北中醫(yī);1994年02期

5 潘樹義,劉大庸,鐘世鎮(zhèn),王蘇平;9種人參皂甙對(duì)培養(yǎng)鼠胚脊髓神經(jīng)元生長的影響[J];腦與神經(jīng)疾病雜志;2000年06期

6 鄒仁明;排針療法為主治療外傷性截癱32例[J];新中醫(yī);1999年10期

7 馬永剛,劉世清,彭昊,王鋼;復(fù)方丹參對(duì)大鼠實(shí)驗(yàn)性脊髓損傷的保護(hù)作用[J];山東中醫(yī)藥大學(xué)學(xué)報(bào);2002年03期

8 王東巖;王巖;楊曉東;;不同穴位與肌肉運(yùn)動(dòng)點(diǎn)針刺在腦卒中患者腕手功能重建中的對(duì)比研究[J];上海針灸雜志;2009年05期

9 吳永剛,劉成德,孫忠人,孫申田;針刺對(duì)實(shí)驗(yàn)性脊髓損傷組織形態(tài)學(xué)的影響[J];上海針灸雜志;1999年03期

10 董紅心,吳良芳,保天然;針刺對(duì)貓部分去傳入脊髓Ⅱ板層可塑性的影響──電鏡定量研究[J];神經(jīng)解剖學(xué)雜志;1994年01期

,

本文編號(hào):1667207

資料下載
論文發(fā)表

本文鏈接:http://sikaile.net/yixuelunwen/zhxiyjh/1667207.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶3ffe4***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請E-mail郵箱bigeng88@qq.com
麻豆剧果冻传媒一二三区| 内用黄老外示儒术出处| 欧美一区二区三区播放| 精品精品国产自在久久高清| 国产成人亚洲欧美二区综| 亚洲中文字幕有码在线观看| 免费在线成人午夜视频| 精品al亚洲麻豆一区| 中文字幕精品一区二区年下载| 超碰在线免费公开中国黄片| 亚洲国产av国产av| 99国产精品国产精品九九 | 欧美午夜国产在线观看| 人妻熟女中文字幕在线| 欧美区一区二在线播放| 青青操成人免费在线视频| 日韩人妻有码一区二区| 99在线视频精品免费播放| 神马午夜福利免费视频| 久久热中文字幕在线视频| 欧美日韩一区二区午夜| 婷婷色网视频在线播放| 成人国产激情在线视频| 日本精品理论在线观看| 国产传媒中文字幕东京热| 俄罗斯胖女人性生活视频| 国产精品免费视频久久| 婷婷亚洲综合五月天麻豆| 日韩一区二区三区18| 夫妻性生活真人动作视频| 免费播放一区二区三区四区| 日韩精品成区中文字幕| 老外那个很粗大做起来很爽| 国产亚洲成av人在线观看| 蜜桃传媒视频麻豆第一区| 日本在线 一区 二区| 国产亚洲神马午夜福利| 最新69国产精品视频| 国产精品一区二区高潮| 日韩精品一区二区不卡| 欧美精品一区二区三区白虎|