| 摘要: |
| 目的：观察改良强制运动结合毫火针对脑卒中恢复期上肢偏瘫患者上肢运动功能及肌电F 波相关参数的改善作用。方法：选取脑卒中恢复期上肢偏瘫患者50 例，按随机数字表法分为观察组和对照组各25 例。对照组给予改良强制运动训练，观察组给予改良强制运动训练结合毫火针治疗。比较2 组治疗前后的患侧上肢wo1f 运动功能评价量表（WMFT）、Fugl-Meyer 运动功能评估量表［FMA（上肢）］ 评分、Ashworth 肌张力评分和肌电F 波传导速度及波形特点。结果：治疗前，2 组WMFT、FMA评分比较，差异无统计学意义（P＞0.05）。治疗后，2 组WMFT、FMA 评分均较治疗前增加（P＜0.05），且观察组WMFT、FMA评分均高于对照组（P＜0.05）。治疗后，观察组Ashworth 肌张力评分和F 波传导速度较治疗前降低，F 波出现率较治疗前增加，且观察组各项指标改善情况均优于对照组，差异均有统计学意义（P＜0.05）。结论：改良强制运动训练结合毫火针疗法治疗脑卒中恢复期偏瘫患者，有助于促进偏瘫上肢运动功能的康复，改善肌张力和肌电F 波相关参数。 |
| 关键词: 脑卒中恢复期 上肢偏瘫 改良强制运动 毫火针 运动功能 肌电F 波 |
| DOI： |
|
| 基金项目:温州市科技计划经费自筹项目（Y20170345） |
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| Effect of Modified Forced Movement Combined with Filiform Fire Needle on Functionand Electromyographic F- Wave in Upper Limbs with Hemiplegia in Patients DuringConvalescence of Ischemic Stroke |
| ZHANG Guowei,CHEN Shuangqian |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| paraments of motor function and electromyographic F- wave of upper limbs in patients with upper limbs hemiplegia
during convalescence of ischemic stroke. Methods： A total of 50 cases of patients with upper limbs hemiplegia during
convalescence of ischemic stroke were divided into the observation group and the control group according to the random
number table method，25 cases in each group. The control group was given the training of modified forced movement，and
the observation group was additionally treated with filiform fire needle based on the treatment of the control group. Before and
after treatment， the scores of Wolf Motor Function Test(WMFT)， Fugl- Meyer Assessment of upper limbs(FMA- upper
limbs) and Ashworth muscle tension，as well as conduction velocity and wave characteristic of EMG F- wave of the upper
limbs on the affected side were compared between the two groups. Results： Before treatment， there was no significant
difference being found in the comparison of WMFT and FMA between the two groups(P＞0.05). After treatment，the scores
of WMFT and FMA in the two groups were increased when compared with those before treatment(P＜0.05)， and the
two scores in the observation group were higher than those in the control group(P＜0.05). After treatment， the score of
Ashworth muscle tension and the conduction velocity of F- wave in the observation group were decreased when compared
with those before treatment；the occurrence rate of F-wave was increased when compared with that before treatment；the
improvement of each index in the observation group was better than that in the control group，differences being significant
(P＜0.05). Conclusion： The therapy of modified forced movement combined with filiform fire needle in treating hemiplegia
during the convalescence of ischemic stroke，is conductive to promoting the recovery of motor function of upper limbs with
hemiplegia，and improving related parameters of muscle tension and electromyographic F-wave. |
| Key words: Keywords： Convalescence of ischemic stroke Hemiplegia of upper limbs Modified forced movement Filiform fire
needle Motor function Electromyographic F-wave |
