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[痉挛性偏瘫儿童肌肉姿势控制的模型研究:病理生理学及临床相关性]

[Model studies of muscle postural control in children with spastic hemiparesis: pathophysiologic and clinical relevance].

作者信息

Scholle H C, Hoyer D, Lobert S, Zwiener U

机构信息

Institut für Pathologische Physiologie Friedrich-Schiller-Universität Jena.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1989 Mar;20(1):34-8.

PMID:2495923
Abstract

By means of a biocybernetic method the transfer behaviour of postural motor control system was characterized in children with spastic hemiparesis and matched healthy subjects. There were significant differences between the initial reactions of the postural motor systems of both examination groups to pseudorandom torque sequences (fig. 3, tab. 1). Considering these results we created a postural motor control model for both examinations groups (model see fig. 2). From this model it is possible to estimate separately the biomechanical effect of augmented segmental reflex activity and muscle-inherent dysfunctions in patients with spastic syndrome (fig. 4). The determination of these disturbed functions enables us to give instructions on a focused treatment of spastic syndrome according to the dominant dysfunction quantified.

摘要

通过生物控制论方法,对痉挛性偏瘫儿童和匹配的健康受试者的姿势运动控制系统的传递行为进行了表征。两个检查组的姿势运动系统对伪随机扭矩序列的初始反应之间存在显著差异(图3,表1)。考虑到这些结果,我们为两个检查组创建了一个姿势运动控制模型(模型见图2)。从这个模型中,可以分别估计痉挛综合征患者节段性反射活动增强和肌肉固有功能障碍的生物力学效应(图4)。确定这些受干扰的功能使我们能够根据量化的主要功能障碍,对痉挛综合征的针对性治疗给出指导。

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EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1989 Mar;20(1):34-8.
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