表面肌电图评估脑瘫儿童口部运动训练康复的治疗效果

摘要

目的:探讨表面肌电监测在评估脑瘫儿童口部运动训练康复治疗效果中的应用价值.方法:选择2016年1月～2016年12月我院收治的60例脑瘫口部运动障碍儿童作为研究对象,按照随机数字表法分为对照组与观察组,各30例.对照组患儿进行常规口部运动训练,观察组在表面肌电图监测指导下进行口部运动训练,两组均训练12周,采用语言发育评定表(S-S)、口部运动功能评估量表对治疗前后患儿口部肌肉运动功能等进行评估,采用表面肌电图测定治疗前后舌骨下肌群、颏下肌群、咬肌表面肌电均方根值(RMS).结果:①训练前,两组口部运动功能评估量表比较差异无统计学意义(P＞0.05),训练12周,两组评分均上升(P＜0.05),观察组评分上升幅度高于对照组(P＜0.05).②训练前,两组放松及主动活动状态下咬肌、颏下肌群、舌骨下肌群RMS比较差异无统计学意义(P＞0.05),训练12周,两组各肌群RMS均上升,观察组患儿不同肌群不同状态下RMS上升幅度均高于对照组,比较差异有统计学意义(P＜0.05).结论:在脑瘫口部运动功能障碍患儿的康复训练中应用表面肌电监测,可提高康复训练效果,改善患儿口部运动功能.%Objective To investigate the application value of oral motor rehabilitation training guided by surface electromyography (EMG) monitoring for children with cerebral palsy.Methods Sixty children with cerebral palsy and oral dyskinesia treated in Liuzhou Maternal and Child Health Care Hospital from January 2016 to December 2016 were selected and randomly divided into control group and observation group,with 30 cases in each group.The children in control group were given routine oral motor training,while those in observation group were treated with oral motor training guided by surface EMG monitoring.Both groups were trained for 12 weeks.Before and after training,the oral muscle movement functions were evaluated with the language development assessment scale (S-S) and oral motor function assessment scale before and after training;The Root mean square (RMS) of infrahyoid muscles,submentai muscles and masseter muscles were determined by surface EMG.Results Before training,no significant differences were found between the two groups in scores of S-S and oral motor function assessment scale (P＞0.05).After 12 weeks of training,scores in the two groups were increased (P＜0.05),and observation group showed more significant increases than control group (P＜0.05).Before training,the RMS of masseter muscles,submental muscles,infrahyoid muscles in relaxation and active states didn't showed any statistical differences between the two groups (P＞0.05).After 12 weeks of training,RMS of all muscles were increased,and the increases of all muscles in different states were more remarkable in observation group than control group,with statistical differences (P＜0.05).Conclusion Applying surface EMG monitoring in the rehabilitation training of children with cerebral palsy and oral dyskinesia can enhance the effect of rehabilitation training and improve the oral motor functions of children.