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目的对脑卒中后痉挛性偏瘫患者应用膝关节控制训练治疗的效果展开分析。方法选取我院收治的84例脑卒中后痉挛性偏瘫患者为研究对象,随机分为对照组与观察组。给予对照组常规康复训练,观察组在此基础上接受膝关节控制训练治疗,对两组患者的痉挛指数及表面肌电图进行比较。结果观察组痉挛指数下降程度显著大于对照组,膝关节拮抗肌群中位频率(MF)、平均功率频率(MPF)的协同收缩率显著高于对照组,膝关节拮抗肌群积分肌电值(AEMG)协同收缩率明显低于对照组,数据差异具有统计学意义(P<0.05)。结论通过对脑卒中后痉挛性偏瘫患者展开膝关节控制训练治疗,可充分减轻患者患肢的肌张力,有效改善其不行功能,疗效显著,值得临床推广应用。
Objective To analyze the effect of knee joint control training in patients with post-stroke spastic hemiplegia. Methods 84 cases of post-stroke spastic hemiplegia patients admitted to our hospital were randomly divided into control group and observation group. The control group received routine rehabilitation training. On the basis of this, the observation group received knee joint control training and compared the spasticity index and surface EMG of the two groups. Results The decrease of spasticity index in the observation group was significantly greater than that in the control group. The median frequency (MF) and the systolic contraction rate (MPF) of the antagonistic muscles in the knee joint were significantly higher than those in the control group AEMG) systolic contraction rate was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion The knee joint control training for patients with post-stroke spastic hemiplegia can reduce the muscle tension of patients’ limbs effectively and effectively improve the non-functioning of the patients. The therapeutic effect is significant and worthy of clinical application.