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《Chinese Journal of Clinical Oncology and Rehabilitation》 2018-09
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Effect of early rehabilitation training combined with electromyographic biofeedback on the efficacy and somatosensory evoked potential in patients with stroke associated hemiplegia

YUAN Zhi-hong;GAO Ya-hui;PAN Cai-hua;Neurological Rehabilitation Ward,Shanghai Yangzhi Rehabilitation Hospital,Shanghai Sunshine Rehabilitation Center;  
Objective To explore the effect of early rehabilitation training combined with electromyographic biofeedback on the efficacy and somatosensory evoked potential in patients with stroke associated hemiplegia. Methods A total of 150 patients with stroke associated hemiplegia who were treated at Shanghai Yangzhi Rehabilitation Hospital from January 2015 to January 2017 were selected and divided into an observation group and a control group according to random digital table method,with 75 patients in each group. The observation group was given electromyographic biofeedback on the basis of early rehabilitation therapy and the control group was only treated with early rehabilitation therapy. The recovery of patients was evaluated by Fugl-Meyer rating scale( FMA),modified barthel index( MBI),Stroke-specific quality life scale( SS-QOL),nerve function defect( NFD) score and somatosensory evoked potential( SEP) before and after nursing. Results There was no significant difference in FMA score and MBI level between the two groups before nursing( P 0. 05),but FMA score and MBI level increased in both groups after nursing with the increase higher in the observation group than in the control group( all P 0. 05). Before rehabilitation,there was no significant difference in SS-QOL and NFD scores between the two groups( P 0. 05) but after rehabilitation,SS-QOL scores increased in both groups and NFD scores decreased in both groups with the changes more significant in the observation group than in the control group( all P 0. 05). Before rehabilitation,there was no significant difference in the latency of SEP between the two groups and at 3 months after the rehabilitation,SEP decreased in both groups with changes more significant in the observation group than in the control group( all P 0. 05). Conclusion Early rehabilitation training combined with electromyographic biofeedback can improve the clinical efficacy in patients with stroke associated hemiplegia,effectively promote the recovery and reconstruction of brain nerve,and improve the quality of life and poor prognosis.
【CateGory Index】: R743.3;R49
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