Goĭdenko V S, Iudel'son Ia B, Kozlov A V, Sitel' A B
Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(4):524-9.
Using electromyography the authors studied the functional status of the segmentary apparatus of the spinal cord in 58 patients with compression of S1-radicle secondary to vertebral osteochondrosis. The findings obtained included changes in the interferential EMG and reciprocal reflexes and decreased reflectory activity of alpha-motoneurons predominantly on the side of radicular involvement with the simultaneous intensification of gamma-loop effect. Acupuncture was followed by pain alleviation and normalization of the functional activity of the segmentary apparatus of the spinal cord mainly at the expense of this activity reduction on the healthy side. Clinical recovery was observed following the compensation of neuroreflectory activity of the segmentary centres on a new functional level. The advisability of the use of acupuncture in the treatment of the radicular syndrome of lumbar osteochondrosis is justified.
作者利用肌电图研究了58例因脊椎骨软骨病继发S1神经根受压患者脊髓节段性装置的功能状态。研究结果包括干扰肌电图和交互反射的变化,以及α运动神经元反射活动的降低,主要发生在神经根受累侧,同时γ环路效应增强。针刺后疼痛减轻,脊髓节段性装置的功能活动恢复正常,主要是通过降低健康侧的活动来实现的。在新的功能水平上,节段性中枢的神经反射活动得到补偿后,观察到了临床恢复情况。针刺用于治疗腰椎骨软骨病神经根综合征是合理的。