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婴儿和儿童肌伸张反射以及运动控制与步态发育的综述:一篇专题通信

A review of myotatic reflexes and the development of motor control and gait in infants and children: a special communication.

作者信息

Myklebust B M

机构信息

Medical College of Wisconsin, Milwaukee.

出版信息

Phys Ther. 1990 Mar;70(3):188-203. doi: 10.1093/ptj/70.3.188.

DOI:10.1093/ptj/70.3.188
PMID:2304976
Abstract

Although the mechanism of the phasic myotatic (or "stretch") reflex is well-known, the role of this reflex in adult gait remains speculative. The acquisition and development of locomotor skills with respect to the development of the myotatic reflex require further study in both healthy and neurologically impaired children. In this article, the well-documented properties of the healthy adult's myotatic reflex are compared with recent findings of the myotatic reflex in healthy infants and children and contrasted with reflex properties in patients with cerebral palsy. These data allow us to begin to characterize the emerging features of the stretch reflex in normal and pathological early development. From these data, we can begin to speculate about the relationship between changes in stretch reflexes and the acquisition of skillful movement and gait in early childhood.

摘要

尽管相位性肌伸张(或“牵张”)反射的机制已为人熟知,但该反射在成人步态中的作用仍具有推测性。关于肌伸张反射的发展,运动技能的习得和发展在健康儿童和神经功能受损儿童中都需要进一步研究。在本文中,将健康成年人肌伸张反射的充分记录的特性与健康婴儿和儿童肌伸张反射的最新研究结果进行比较,并与脑瘫患者的反射特性进行对比。这些数据使我们能够开始描绘正常和病理早期发育中牵张反射的新特征。从这些数据中,我们可以开始推测牵张反射的变化与幼儿期熟练运动和步态习得之间的关系。

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