Bourbonnais D, Vanden Noven S, Pelletier R
Centre de recherche, Université de Montréal, QC, Canada.
Can J Public Health. 1992 Jul-Aug;83 Suppl 2:S58-63.
Incoordination is frequently observed in patients following a cerebrovascular accident. Clinical electromyographic studies which have furthered our understanding of this motor impairment are reviewed, and possible underlying mechanisms are discussed. It is suggested that the lack of coordinated voluntary movement observed in hemiparetic patients may be due, in part, to an impaired regulation of spinal neurones. In the rehabilitation sciences, the need to assess the effectiveness of treatment as well as develop new approaches for the treatment of hemiparetic subjects will require the combined efforts of many investigators. A two-fold research approach is supported which aims: 1) to quantify the motor deficit, and 2) to extend our knowledge of the physiological mechanisms underlying the deficit. Such a general research approach could be of value to the study of other sensorimotor deficits.
脑血管意外后的患者常出现运动不协调。本文回顾了有助于我们理解这种运动障碍的临床肌电图研究，并讨论了可能的潜在机制。研究表明，偏瘫患者出现的协调性自主运动缺乏，部分原因可能是脊髓神经元调节受损。在康复科学领域，评估治疗效果以及开发治疗偏瘫患者的新方法需要众多研究者的共同努力。本文支持一种双重研究方法，其目标为：1）量化运动缺陷；2）扩展我们对该缺陷潜在生理机制的认识。这种一般的研究方法可能对其他感觉运动缺陷的研究具有价值。
