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振动在运动康复中的局部应用——科学与实践考量

Local Application of Vibration in Motor Rehabilitation - Scientific and Practical Considerations.

作者信息

Poenaru Daniela, Cinteza Delia, Petrusca Irina, Cioc Liliana, Dumitrascu Dan

机构信息

Rehabilitation Department, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

National Institute of Rehabilitation, Bucharest, Romania.

出版信息

Maedica (Bucur). 2016 Sep;11(3):227-231.

PMID:28694858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5486165/
Abstract

Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex. This refl ex depends on many factors: frequency, amplitude, and tendon and muscle length. Based upon this refl ex, vibration produced alteration of isometric and isotonic contraction, fl exibility, spasticity. Many studies investigated facilitator eff ects on movement in stroke patients and spinal cord injuries. There is further need to set the place of vibration in the therapeutic fi eld of motor control enhancement.

摘要

振动刺激特定的感受器,包括皮肤感受器和肌肉肌腱感受器。传入冲动通过脊髓神经元传导至丘脑和皮质结构。肌肉对振动的局部反应是一种紧张性振动反射。这种反射取决于许多因素:频率、振幅以及肌腱和肌肉长度。基于这种反射,振动会引起等长收缩和等张收缩、柔韧性、痉挛的改变。许多研究调查了振动对中风患者和脊髓损伤患者运动的促进作用。在增强运动控制的治疗领域中,进一步确定振动的作用仍有必要。

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Local Application of Vibration in Motor Rehabilitation - Scientific and Practical Considerations.振动在运动康复中的局部应用——科学与实践考量
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2
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本文引用的文献

1
Localized 100 Hz vibration improves function and reduces upper limb spasticity: a double-blind controlled study.局部100赫兹振动改善功能并减轻上肢痉挛:一项双盲对照研究。
Eur J Phys Rehabil Med. 2014 Oct;50(5):495-504. Epub 2014 Mar 21.
2
The effect of vibration therapy on spasticity and motor function in children with cerebral palsy: a randomized controlled trial.振动疗法对脑瘫儿童痉挛和运动功能的影响:一项随机对照试验。
NeuroRehabilitation. 2013;32(1):1-8. doi: 10.3233/NRE-130817.
3
Focal muscle vibration in the treatment of upper limb spasticity: a pilot randomized controlled trial in patients with chronic stroke.病灶肌肉振动治疗上肢痉挛:慢性脑卒中患者的一项先导随机对照试验。
Arch Phys Med Rehabil. 2012 Sep;93(9):1656-61. doi: 10.1016/j.apmr.2012.04.002. Epub 2012 Apr 13.
4
Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof-of-principle study.经颅直流电刺激对脑卒中后偏瘫患者痉挛肌肉直接应用振动刺激的抗痉挛作用:原理验证研究。
J Rehabil Med. 2012 Apr;44(4):325-30. doi: 10.2340/16501977-0946.
5
Differential effects of peripheral vibration on motor-evoked potentials in acute stages of stroke.外周振动对脑卒中急性期运动诱发电位的影响差异。
Neuromodulation. 2010 Jul;13(3):232-7. doi: 10.1111/j.1525-1403.2010.00285.x.
6
Decrease of spasticity with muscle vibration in patients with spinal cord injury.脊髓损伤患者肌肉振动可降低痉挛。
Clin Neurophysiol. 2011 Jun;122(6):1183-9. doi: 10.1016/j.clinph.2010.11.012. Epub 2010 Dec 18.
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Long-term effects on motor cortical excitability induced by repeated muscle vibration during contraction in healthy subjects.健康受试者收缩过程中重复肌肉振动对运动皮质兴奋性的长期影响。
J Neurol Sci. 2008 Dec 15;275(1-2):51-9. doi: 10.1016/j.jns.2008.07.025. Epub 2008 Aug 29.
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Effects of somatosensory stimulation on motor function in chronic cortico-subcortical strokes.体感刺激对慢性皮质-皮质下卒中运动功能的影响。
J Neurol. 2007 Mar;254(3):333-9. doi: 10.1007/s00415-006-0364-z. Epub 2007 Mar 7.
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Electrical stimulation modifies spinal and cortical neural circuitry.电刺激可改变脊髓和皮质神经回路。
Exerc Sport Sci Rev. 2004 Oct;32(4):155-60. doi: 10.1097/00003677-200410000-00006.
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Joint position sense and vibration sense: anatomical organisation and assessment.关节位置觉与振动觉:解剖结构与评估
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