【作者】 蔺勇； 刘世文；

【Author】 Lin Yong, Liu Shi WenDepartment of Physical Medicrne and Rehabilitation, First Clinic Hospital, Ji Lin University, Chang Chun, 130021

【机构】 吉林大学第一医院康复科；

【摘要】 目的 观察脑卒中偏瘫患者的偏瘫侧肢体神经生理学变化.方法\运用肌电图学的方法,对脑卒中偏瘫患者的偏瘫侧肢体的F波参数进行了记录.选用了SAS软件包,分别应用了t检验与X~2检验对数据进行了统计学处理.结果 1组(软瘫期)卒中患者的偏瘫侧肢体的F波参数降低,低于正常对照组(P<0.05).2组(痉挛期)卒中患者的偏瘫侧肢体的F波参数明显增高,高于正常对照组(P<0.05).3组(痉挛缓解期)卒中患者的偏瘫侧肢体的F波参数增高,高于正常对照组,其中动态情况下增高明显(P<0.05).结论 脑卒中后运动模式的动态变化过程是一个异常运动模式构筑化的过程.更多还原

【Abstract】 Objectives To investigate the change of neuroelectricity physiology in involved side in patients after stroke. Method Various parameters of the F response, including amplitude and persistence have been determined in patients with unilateral hemiplegia and health subjects of both sex in the same rang by DNI-200P myograph. The student’s T test and X2 test were performed with SAS software. Results In Group 1 (Brunnstrom’s Recovery Stages of Stroke, BRSS: I and II )the F amplitude and pre-sistence were significaltly reduced (P<0.05)in the involved side of upper limb as compared with the controls. It was increased on the involved side in upper limbs(P<0.05)in Group 2 compared with the controls in Brunnstrom stage III and IV . The F - wave parameter was increased in involved side in stroke patients compared with controls in Group 3(BRSS: V and VI )(P<0.05) .Conclusion In conclusion The change of moveinent patterns after stroke was a process of the establishment of stereotyped movement.更多还原