He Jinhua,Liu Hua,Qin Rong,et al.Efficacy of myoelectric biofeedback therapy on neonatal parturient brachial plexus injury[J].Journal of Clinical Pediatric Surgery,,18():413-418.[doi:10.3969/j.issn.1671-6353.2019.05.015]
Efficacy of myoelectric biofeedback therapy on neonatal parturient brachial plexus injury
- Keywords:
- Birth Injuries; Brachial Plexus Neuropathies/RH; MyoelectricBiofeedback; Electromyography; Treatment Outcome; Infant; Newborn
- CLC:
- R722.19;R493
- Abstract:
- Objective To explore the clinical efficacy of myoelectric biofeedback therapy on neonatal parturient brachial plexus injury. Methods Retrospective analysis was performed for 162 neonates with parturient brachial plexus injury.They were divided into treatment and control groups according to whether or not their parents approved and cooperated in myoelectric biofeedback therapy.The control group received such comprehensive rehabilitations as exercise therapy,early hand function training and acupuncture,etc.The clinical symptom scores were compared between two groups before and after 3-month treatment.And the clinical efficacy and neuromyographic recovery of two groups were compared. Results The clinical symptom scores of two groups were significantly lower after treatment than before (P<0.05).The clinical symptom score of treatment group was significantly lower than that of control group (P<0.05).The clinical symptom scores of upper/lower trunk type were significantly lower in treatment group than those in control group (P<0.05).However,no significant inter-group difference existed in clinical symptom score of whole trunk type (P>0.05).The clinical effective rate and neuromyographic compound muscle action potential (CMAP) recovery rate were higher in treatment group than those in control group (P<0.05).The clinical and electromyographic CMAP recovery efficiencies of treatment group were higher than those of control group (P<0.05).However,no significant difference existed between upper and lower trunk types (P>0.05).Conclusion Myoelectric biofeedback therapy was such an effective treatment for neonatal parturient brachial plexus injury that it was worthy of wider popularization.
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收稿日期:2018-12-18。
通讯作者:何金华,Email:hejinhua110@sina.com