表面肌电在脑卒中患者肢体功能障碍评价中意义.PDF

ChineseJournalofRehabilitationMedicine, Nov.2013, Vol. 28, No.11 ·循证医学· 表面肌电在脑卒中患者肢体功能障碍评价中的意义* 夏 清 袁 海 王修敏 曹晓光 倪朝民1 1 1 1 2 摘要 目的：探讨表面肌电图评定脑卒中偏瘫患者肢体功能障碍的临床应用价值。 方法：计算机检索中国生物医学文献数据库、万方、维普等中文期刊，MEDLINE、EMBASE等英文期刊，利用纳入、排 除标准对所收集文献进行筛选。采用RevMan 5.0软件进行Meta分析。 结果：8篇文献纳入研究。综合效应量：协同收缩率（CR）WMD=17.31，95%CI 5.78—28.84，P＜0.01；力矩 WMD=-10.95，95%CI-13.40—-8.51，P＜0.00001。 结论：表面肌电图客观定量评价脑卒中偏瘫患者肢体功能状况，指导其临床康复。 关键词 表面肌电图；脑卒中；偏瘫；meta分析 中图分类号：R743.3,R493 文献标识码：A 文章编号：1001-1242（2013）-11-1046-05 The clinical value of surface electromyography of in stroke patients with limbs dysfunction/XIA Qing, YU⁃ AN Hai, WANG Xiumin, et al.//Chinese Journal of Rehabilitation Medicine, 2013, 28(11): 1046—1050 Abstract Objective: To explore the clinical value of surface electromyography (sEMG) on motor function in stroke pa- tients with hemiplegia using meta-analysis, Method: Relevant medical subject heading terms and text words were used to retrieve articles from MED- LINE, EMBASE, Chinese National Knowledge Infrastructure, Wanfang, Weipu and so on, as well as relevant references of the retrieved articles. The articles were identified from the collected articles in terms of the crite- ria for inclusion and exclusion, the RevMan 5.0 software was used to combine to the results of measure for the selected studies. Result: Eight articles involving 221 persons were included. The results of meta-analysis showed the co-contrac- tion ratio (CR) in the stroke group was higher than that in the control group (WMD= 17.31, 95% CI 5.78— 28.84, P＜0.01). There was significant difference between the two groups in the torque (WMD=- 10.95, 95% CI -13.40— -8.51, P＜0.00001). Conclusion: The sEMG is an objective and quantitative measurement tool for surfa