文章摘要
脑电联合肌电生物反馈治疗对痉挛型脑瘫儿童脑功能及其上下肢运动功能的影响
Effects of combined electroencephalography and myoelectrical biofeedback on brain function and upper and lower limb motor function in children with spastic cerebral palsy
投稿时间：2020-11-23  
DOI：10.3969/j.issn.1000-0399.2022.01.005
中文关键词: 脑电生物反馈  肌电生物反馈  痉挛型脑瘫儿童  脑功能  上下肢运动功能
英文关键词: EEG biofeedback  Electromyography biofeedback  Children with spastic cerebral palsy  Brain function  Upper and lower extremity motor function
基金项目:安徽省高等学校省级教学研究项目（项目编号：2018JYXM1347）
作者单位E-mail
陈晓霞 238000 安徽合肥 安徽医科大学附属巢湖医院康复医学科  
杨李 230022 安徽合肥 安徽医科大学第一附属医院小儿神经康复中心  
唐久来 230022 安徽合肥 安徽医科大学第一附属医院小儿神经康复中心 Tangjiulai8888@21.cn.com 
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中文摘要:
      目的 探讨脑电联合肌电生物反馈治疗对痉挛型脑瘫儿童的脑功能与上下肢运动功能的影响。方法 选取2014年9月至2019年8月安徽医科大学附属巢湖医院收治的痉挛型脑瘫患儿96例，采用随机数字表法将其分为对照组、肌电组、脑电组与联合组4个组，各24例。对照组给予常规康复训练，肌电组、脑电组及联合组在对照组的基础上分别采用肌电、脑电及脑电+肌电生物反馈治疗，疗程为3个月。治疗前后采集患儿脑电波（θ波、β波、θ/β波、α波、SMR波与α/SMR波），治疗前与治疗3个月、治疗后1年，采用精细运动能力测试量表（FMFM）评估患儿精细运动，采用粗大运动功能量表（GMFM）评估患儿粗大运动，并进行组间比较。结果 各组FMFM评分和GMFM评分分组效应、时间效应以及分组和时间交互效应均有统计学意义（P<0.05）；各组θ波分组、时间与分组和时间交互效应均具有统计学意义（P<0.05），β波、θ/β波值、α波、SMR波分组、时间与分组和时间交互效应均无统计学意义（P>0.05），α波/SMR波值分组与时间交互效应有统计学意义（P<0.05），分组和时间交互效应交互无统计学意义（P>0.05）。结论 脑电联合肌电生物反馈治疗有助于提高痉挛型脑瘫儿童上肢精细运动功能与下肢粗大运动功能，改善脑功能。
英文摘要:
      Objective To investigate the effect of combined EEG and myoelectrical biofeedback therapy on cerebral function and upper and lower limb motor function in children with spastic cerebral palsy.Methods A total of 96 children with spastic cerebral palsy who were admitted to the Affiliated Chaohu Hospital of Anhui Medical University between September 2014 and August 2019 were selected and divided into four groups (control, myoelectric, EEG and combined) using a random number table method with 24 patients ineach. The control group was given routine rehabilitation training, and the EMG, EEG, and combined groups were treated with EMG and EEG plus EMG biofeedback on the basis of the control group for a period of three months. Waves were collected from the children before and after treatment(θWave, βWave, θ/βWave, αWave, SMR wave vs α/SMR), before versus three months after treatment, and 1 year after treatment, the children's fine motor was assessedusing the fine motor ability test scale (FMFM), the children's gross motor was assessed using the gross motor function scale (GMFM), and intergroup comparisons were made.Results The differencesin grouping effect, time effect and grouping and time interaction effect of FMFM score and GMFM score in each group were statistically significant (P<0.05); The differences in groups θWave grouping, time and grouping and time effect were statistically significant (P<0.05), while the differences in βWave/θ/βWave value αWave, SMR wave grouping, time and grouping and time effect were not statistically significant (P>0.05).There was statistical significance in difference between wave/SMR wave value grouping and time effect (P<0.05), but there was no statistical significance in difference between grouping and time interaction effect (P>0.05).Conclusion Combined EEG and EMG biofeedback therapy is beneficial in improving the fine motor function of the upper limbs compared with the gross motor function of the lower limbs and improving the brain functionof children with spastic cerebral palsy.
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