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四肢瘫痪患者腹部肌肉的肌电图研究。

An electromyographic study of the abdominal muscles of tetraplegic patients.

作者信息

Goldman J M, Silver J R, Lehr R P

出版信息

Paraplegia. 1986 Aug;24(4):241-6. doi: 10.1038/sc.1986.33.

DOI:10.1038/sc.1986.33
PMID:2945153
Abstract

Bipolar fine wire electrodes were used to make electromyographic (EMG) recordings of the abdominal muscles of 8 stable complete tetraplegic patients. Synchronous recordings were made of ventilation, and in 5 subjects an oesophageal electrode was used to record diaphragm EMG. In all 8 subjects we demonstrated phasic inspiratory EMG activity which we have shown to be localised to the abdominal muscles. We believe that this activity was triggered by stretching of the abdominal wall on inspiration. Its effect will be to decrease abdominal wall compliance allowing the diaphragm to generate greater intra-abdominal pressure as it descends, thus promoting inflation of the lower rib cage.

摘要

使用双极细钢丝电极对8例稳定的完全性四肢瘫痪患者的腹部肌肉进行肌电图(EMG)记录。同时记录通气情况,5名受试者使用食管电极记录膈肌肌电图。在所有8名受试者中,我们都证实了吸气期肌电活动,且已证明该活动定位于腹部肌肉。我们认为这种活动是由吸气时腹壁伸展触发的。其作用是降低腹壁顺应性,使膈肌下降时能产生更大的腹内压,从而促进下胸廓的扩张。

相似文献

1
An electromyographic study of the abdominal muscles of tetraplegic patients.四肢瘫痪患者腹部肌肉的肌电图研究。
Paraplegia. 1986 Aug;24(4):241-6. doi: 10.1038/sc.1986.33.
2
The individuality of chest wall motion in tetraplegia.四肢瘫痪患者胸壁运动的个体差异。
Bull Eur Physiopathol Respir. 1984 Nov-Dec;20(6):547-52.
3
Measurement of abdominal wall compliance in normal subjects and tetraplegic patients.正常受试者和四肢瘫痪患者腹壁顺应性的测量。
Thorax. 1986 Jul;41(7):513-8. doi: 10.1136/thx.41.7.513.
4
Effect of quadriplegia and hemidiaphragmatic paralysis on thoraco-abdominal pressure during respiration.四肢瘫痪和半侧膈肌麻痹对呼吸时胸腹压力的影响。
Am J Phys Med. 1969 Jun;48(3):109-15.
5
The effects of tetraplegia on chest wall statics.
Am Rev Respir Dis. 1986 Jul;134(1):121-4. doi: 10.1164/arrd.1986.134.1.121.
6
Relationship between respiratory muscle electromyogram and rib cage motion in tetraplegia.
Am Rev Respir Dis. 1985 Jul;132(1):53-9. doi: 10.1164/arrd.1985.132.1.53.
7
Rib cage motion and muscle use in high tetraplegics.高位四肢瘫痪患者的胸廓运动和肌肉使用情况
Am Rev Respir Dis. 1986 Jun;133(6):1115-9. doi: 10.1164/arrd.1986.133.6.1115.
8
The rib cage and abdominal components of respiratory system compliance in tetraplegic patients.四肢瘫痪患者呼吸系统顺应性的胸廓和腹部组成部分。
Eur Respir J. 1988 Mar;1(3):242-7.
9
Chest wall motion in paraplegic subjects.截瘫患者的胸壁运动。
Am Rev Respir Dis. 1990 Feb;141(2):332-6. doi: 10.1164/ajrccm/141.2.332.
10
Electromyographic signal-activated functional electrical stimulation of abdominal muscles: the effect on pulmonary function in patients with tetraplegia.
Spinal Cord. 2007 Jul;45(7):491-5. doi: 10.1038/sj.sc.3102039. Epub 2007 Feb 27.

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Response to: Diagnostic accuracy of common clinical tests for assessing abdominal muscle function after motor-complete spinal cord injury above T6.回应:评估T6以上运动完全性脊髓损伤后腹部肌肉功能的常见临床检查的诊断准确性。
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