Research on Combined Rehabilitation Method and Its Mechanism of Traditional Chinese Medicine Daoyin Technique with Biofeedback Technique

Wenru Zhao, Pengchuan Zhang, Ming Qi, Y. Song
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引用次数: 2

Abstract

Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved; this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.
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中医导音技术与生物反馈技术联合康复方法及其机制研究
目的:研究一种符合“超越目标力”原理的抗阻力主动运动训练方法,以促进中枢神经系统(CNS)的可塑性变化,恢复CNS损伤后的运动功能,观察其临床效果,探讨其作用机制。方法:采用中药六步道印法诱导中枢神经系统电位,并用生物电信号接收设备实时接收电位信号,以曲线形式显示,对患者进行有针对性的指导,不断增强动作肌信号强度,减弱拮抗肌信号强度。64例陈旧性脑梗死偏瘫肘功能障碍患者,经训练后仍不能进一步改善,有1年以上病史,治疗1个疗程,每次90次,每次45分钟。治疗前后评估Lovett、Elbow Rom、Fugl-Meyer、程序信号强度和比例。对数据进行了统计分析。在治疗前后,评估Lovett MMT、肘关节ROM、Fugl-Meyer、运动程序信号强度和比例,并对数据进行统计学分析。结果:治疗后与治疗前功能评价数据比较有显著性差异(P<0.01),肘关节功能改善;这是在开发中枢神经系统潜能的基础上,利用该方法的“超越目标力”机制重构运动程序的结果。随访6个月后无复发。结论:中医导音反馈康复技术是改善脑梗塞偏瘫患者肘关节功能的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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