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帕金森病中的强直:被动运动和电神经刺激的特征及影响

Rigidity in parkinsonism: characteristics and influences of passive exercise and electrical nerve stimulation.

作者信息

Gregoric M, Stefanovska A, Vodovnik L, Rebersek S, Gros N

机构信息

University Rehabilitation Institute Ljubljana, Yugoslavia.

出版信息

Funct Neurol. 1988 Jan-Mar;3(1):55-68.

PMID:3391402
Abstract

Rigidity was measured during sinusoidal passive movements of the ankle joint in 7 patients with parkinsonism. Velocity-dependent changes were observed, less marked than in spasticity and expressed in a different way in flexor and extensor muscles: a mild decrease in resistive torques at faster stretching of dorsal flexors and an increase in resistance on stretching of plantar flexors. Dorsal flexors also frequently showed shortening reactions. Passive exercises and electrical stimulation of the peroneal nerve resulted in decreased electromyographic responses to stretch, smoother passive movements and in improved voluntary contraction.

摘要

在7例帕金森病患者中,于踝关节正弦波被动运动期间测量了强直情况。观察到了速度依赖性变化,其不如痉挛明显,并且在屈肌和伸肌中以不同方式表现:背屈肌在快速拉伸时抵抗扭矩轻度降低,而跖屈肌在拉伸时阻力增加。背屈肌还经常出现缩短反应。被动运动和腓神经电刺激导致对拉伸的肌电图反应降低、被动运动更顺畅以及自主收缩改善。

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