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成人运动障碍性脑瘫:上肢运动和肌肉功能。

Adult dyskinetic cerebral palsy: Upper limb movement and muscle function.

机构信息

Human Motion Analysis Laboratory, Department of Rehabilitation Science, Universidade Nove de Julho, São Paulo, Brazil.

Human Movement Analysis Laboratory, Albert Einstein Hospital, São Paulo, Brazil.

出版信息

Acta Neurol Scand. 2019 Jun;139(6):505-511. doi: 10.1111/ane.13083. Epub 2019 Mar 18.

Abstract

AIM

The aim of this study was to characterize upper limb motor function during a comparative analysis of electromyographic and upper limb movement analysis during drinking between healthy adults and individuals with DCP.

METHOD

Fifteen healthy individuals (CG) and fifteen individuals with DCP (DG) participated in the study. Upper limb function was analyzed during drinking and consisted of a task divided into three phases: the going, the adjustment, and the return.

RESULTS

Electromyographic analysis revealed a lower activity of the anterior deltoid, posterior deltoid, and biceps brachii muscles in the DG. When comparing the interactions between groups and phases, only biceps brachii shower lower muscle activity during going and adjustment phases. The DG presented a smaller range of motion (ROM) for the shoulder, elbow, forearm and wrist movements. An interaction between groups and phases showed smaller ROM for the flexion and internal rotation of the shoulder, elbow flexion, forearm pronation, and ulnar deviation in the return phase compared to CG.

INTERPRETATION

The results may contribute positively to the quantification of the level of motor impairment and may be used as a reference for the development of therapeutic interventions for patients with DCP.

摘要

目的

本研究旨在通过对健康成年人和 DCP 患者在饮水过程中的肌电图和上肢运动分析进行比较分析,来描述上肢运动功能。

方法

15 名健康成年人(CG)和 15 名 DCP 患者(DG)参与了这项研究。上肢功能在饮水过程中进行分析,包括一个分为三个阶段的任务:去程、调整和回程。

结果

肌电图分析显示,DG 的三角肌前部、三角肌后部和肱二头肌的活动较低。在比较组间和阶段间的相互作用时,只有肱二头肌在去程和调整阶段的肌肉活动较低。DG 的肩部、肘部、前臂和手腕运动的活动范围(ROM)较小。组间和阶段间的相互作用显示,与 CG 相比,在回程阶段,肩部的屈伸和内旋、肘部的屈伸、前臂旋前和尺侧偏斜的 ROM 较小。

结论

研究结果可能对量化运动障碍程度有积极作用,并可作为 DCP 患者治疗干预措施的参考。

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