Effects of motor imagery therapy combined with western medicine and rehabilitation training on balance function and surface electromyography in stroke patients with hemiplegia
JIANG Yuyan1 GUO Liangtang2
1.Department of Rehabilitation, Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang University of Chinese Medicine, Zhejiang Province, Wenzhou 325000, China;
2.Department of Endocrinology, Wenzhou Hospital of Traditional Chinese Medicine, Zhejiang University of Chinese Medicine, Zhejiang Province, Wenzhou 325000, China
Abstract：Objective To explore the effects of exercise imagery therapy combined with western medicine and rehabilitation training on balance function and surface electromyography (sEMG) in stroke patients with hemiplegia. Methods From May to December 2016, 70 cases of stroke patients with hemiplegia treated in Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine were selected, and randomly divided into treatment group and the control group, with 35 cases in each group. The control group was treated by western medicine and routine rehabilitation training, and the control group was treated by the motor imagery therapy on the basis of the control group, and they were treated for 3 months. The simplified Fugl-Meyer assessment (FMA) (lower limb) and Berg balance scale (BBS) were used to evaluate the motor function and balance function of lower limbs, and the sEMG was used to measure the integrated electromyograph (iEMG) score and the root mean square amplitude (RMS) of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle of the two groups before and after treatment, and the time and phase parameters of three-dimensional gait [leg speed, stride frequency, stride length ratio (affected limb/healthy limbs)] was recorded, and the adverse events was observed at the same time. Results The scores of FMA and BBS after treatment in the two groups were all higher than before treatment (P < 0.05), and after treatment, the scores of FMA and BBS in the treatment group were higher than those of the control group (P < 0.05). The iEMG levels of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle after treatment in the two groups were all increased more than before treatment, while the RMS level was lower than before treatment (P < 0.05), and after treatment, the iEMG levels of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle in the treatment group were higher than those in the control group, while the RMS level was lower than that in the control group (P < 0.05). The leg speed, stride frequency, stride length ratio (affected limb/healthy limbs) after treatment in the two groups were all higher than before treatment (P < 0.05), and after treatment, the leg speed, stride frequency, stride length ratio (affected limb/healthy limbs) in the treatment group were higher than those of in the control group (P < 0.05). The incidence rate of adverse events in the treatment group was lower than that in the control group (P < 0.05). Conclusion Motor imagery therapy combined with western medicine and rehabilitation training can improve the motor function and balance function, and promote the recovery of quadriceps femoris and tibialis anterior and gastrocnemius muscle function with low adverse events, therefore it is worthy of clinical promotion and application.
蒋玉燕1 郭良堂2. 运动想象疗法联合西药、康复训练对脑卒中偏瘫患者平衡功能、表面肌电图的影响[J]. 中国医药导报, 2018, 15(5): 71-75.
JIANG Yuyan1 GUO Liangtang2. Effects of motor imagery therapy combined with western medicine and rehabilitation training on balance function and surface electromyography in stroke patients with hemiplegia. 中国医药导报, 2018, 15(5): 71-75.
2018, Vol. 15 
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