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影响偏瘫患者运动障碍的尝试。

Attempts to influence movement disorders in hemiparetics.

作者信息

Radil T, Snýdrová I, Háĉik L, Pfeiffer J, Votava J

机构信息

Institute of Physiology, Czechoslovak Academy of Sciences, Prague.

出版信息

Scand J Rehabil Med Suppl. 1988;17:157-61.

PMID:3261040
Abstract

Step duration, measured in hemiparetic patients walking on a circular path, showed that step duration of the affected foot is usually longer. Functional electrical stimulation of the peroneal nerve in the swing phase of the step (eliminating foot drop) shortened step duration in the majority of cases. Hypnosis induced by the verbal fixation technique was used in hemiparetic patients (a) to ascertain whether the patient's mobility would increase during hypnosis and to determine (in positive cases) whether this approach might be used to predicting the effect of rehabilitation performed by classical methods; (b) to use hypnosis as a method of auxiliary treatment. The general finding was that the extent of movements of the hemiparetic upper extremity considerably improved during and immediately after hypnosis. This effect could be observed both at the level of severe impairment (at the beginning of treatment) and during the later stages when mobility greatly improved due to rehabilitation and recovery.

摘要

在偏瘫患者沿圆形路径行走时测量步长,结果显示患侧脚的步长通常较长。在步幅摆动期对腓神经进行功能性电刺激(消除足下垂)在大多数情况下缩短了步长。对偏瘫患者采用言语固定技术诱导催眠,目的如下:(a) 确定患者在催眠期间活动能力是否会增强,并(在出现积极效果的情况下)确定这种方法是否可用于预测传统方法进行康复治疗的效果;(b) 将催眠用作辅助治疗方法。总体结果是,偏瘫上肢的运动幅度在催眠期间及催眠刚结束后有显著改善。在严重功能障碍阶段(治疗开始时)以及后期因康复和恢复活动能力大幅改善时均可观察到这种效果。

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