张颖　　张亚军　　钱辉　　蓝美洁　　张宏卫

[關键词] 表面电极肌电信号;平衡功能训练;帕金森;运动控制能力

[中图分类号] R742.5          [文献标识码] A          [文章编号] 1673-9701（2021）14-0007-05

Study on the effect of balance function training on the motor control ability of patients with Parkinson based on surface electrode electromyography signal

ZHANG Ying   ZHANG Yajun   QIAN Hui   LAN Meijie   ZHANG Hongwei

Rehabilitation Center， Affiliated Hospital of Shaoxing University of Arts and Sciences， Shaoxing   312000， China

[Abstract] Objective To explore the effect of balance function training on the motor control ability of patients with Parkinson′s （PD） based on the surface electrode electromyography signal. Methods A total of 80 PD patients admitted to our hospital from January 2019 to January 2020 were selected as the research objects. A random grouping list was generated by the computer， and the corresponding number was placed in a closed and opaque envelope. The tester opened the envelope to determine the grouping. The subjects were randomly divided into the control group （drug treatment group） and the functional training group， with 40 cases in both groups. The control group（n=40） was treated according to the specialist's drug treatment plan， and the functional training group（n=40） received functional training five times a week. The surface EMG signal parameters and gait of the two groups were compared before and after treatment. The surface EMG signal parameters， gait parameters， balance function （BBS score， UPDRS3.0 score）， sleep status， cardiopulmonary function， quality of life were compared between the two groups before and after treatment. Results After four weeks of treatment， the RMS， iEMG， MNF， and MF of the functional training group were higher than those of the control group（P<0.05）. The step length， pace， and BBS scores of the functional training group were higher than those of the control group（P<0.05）， and the UPDRS3.0 score of the functional training group was lower than that of the control group（t=12.122， P<0.05）. After four weeks of treatment， the PSQI score， VO2peak， 6MWD， FEV1， FVC， FEV1/FV， and SF-36 scores of the functional training group were higher than those of the control group（P<0.05）. Conclusion The balance function training based on the surface electrode EMG signal applied to Parkinson′s disease can improve the gait， thereby improve the cardiopulmonary function， and improve the quality of life. It is easy to operate and worthy of promotion.

[Key words] Surface electrode electromyography signal; Balance function training; Parkinson; Motor control ability

帕金森病（Parkinson′s disease，PD）又称震颤麻痹，是一种老年人最常见的神经系统锥体外系变性疾病。该病主要表现为进行性运动迟缓、肌强直、静止性震颤、平衡失调和姿势步态异常等运动症状，还可伴有嗅觉减退、抑郁、睡眠障碍等非运动症状（Non-motor symptoms scale，NMSS）[1]，导致患者日常生活能力减弱，甚至长期卧床，生活质量严重下降[2]。前期临床实践发现，有PD患者在进行常规药物治疗的同时给予康复训练，主要是平衡功能训练，其平衡功能、步态功能及日常生活能力较单纯口服用药者改善明显[3]。基于上述临床现状提出研究假设：平衡功能训练可能更有利于PD患者运动控制能力改善。为探讨基于表面电极肌电信号研究平衡功能训练对帕金森患者运动控制能力的影响，本文本课题选择2019年1月至2020年10月我院收治的PD患者80例作为研究对象，现报道如下。

1 资料与方法

1.1一般资料

本课题选择2019年1月至2020年10月我院收治的PD患者80例作为研究对象，通过计算机产生随机分组列表，并将对应的编号放入密闭不透明的信封中，由试验者拆开信封以确定分组，将受试者随机分对照组（单纯药物治疗组）和功能训练组，两组均为40例。纳入标准：符合中国帕金森病的诊断标准[5];年龄≥50岁;且经评估存在步态和平衡功能降低或受损者;经危险分层及专科医生判断，定义为中、低危者;经专科医生同意参与针刺和功能训练干预和或治疗;自愿参加，受试者签署书面知情同意书。……