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The short latency muscle reflex in the diagnosis of disc disease affecting roots L4 and L5.

作者信息

Mariorenzi R, de Roberto R

机构信息

Servizio Recupero e Rieducazione Motulesi-Neurolesi USL LT/03, Ospedale Civile, Latina.

出版信息

Ital J Neurol Sci. 1992 May;13(4):343-8. doi: 10.1007/BF02223100.

DOI:10.1007/BF02223100
PMID:1601633
Abstract

A segmental monosynaptic reflex that can be evoked by using voluntary muscle contraction to facilitate it is of use in diagnosis. In a group of 15 healthy volunteers the reflex response from tibialis anterior proved to be 31.08 +/- 2.48 msec with a side difference of 0.41 +/- 0.36 msec and from peroneus longus 29.90 +/- 2.20 msec with a side difference of 0.38 +/- 0.25 msec. Of 21 patients with radiologically proven disc herniation (of root L4 in 5 and of root L5 in 16) 16 showed a delay of more than 2.5 SD of the side difference or no response at all. It is hope that this simple and speedy method will be routinely adopted as complement to standard electromyography.

摘要

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本文引用的文献

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FUNCTIONAL SIGNIFICANCE OF CELL SIZE IN SPINAL MOTONEURONS.脊髓运动神经元中细胞大小的功能意义
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Identification of certain EMG patterns of the spinal cord reflexive activity in man. Electrophysiological study of discharges from spinal origin in the forearm flexors in normal adults.人体脊髓反射活动某些肌电图模式的识别。正常成年人前臂屈肌脊髓源性放电的电生理学研究。
Electromyogr Clin Neurophysiol. 1974 Oct-Dec;14(5-6):497-511.
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The flexor carpi radialis H-reflex in lesions of the sixth and seventh cervical nerve roots.第六和第七颈神经根损伤时的桡侧腕屈肌Hoffmann反射
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Noninvasive measurement of central sensory and motor conduction.
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The tibialis anterior reflex in healthy subjects and in L5 radicular compression.健康受试者及L5神经根受压患者的胫前肌反射
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Afferents contributing to the exaggerated long latency reflex response to electrical stimulation in Parkinson's disease.帕金森病中对电刺激产生夸张的长潜伏期反射反应的传入神经。
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