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偏瘫患者头部转动无力:一项定量研究。

Weakness of head turning in hemiplegia: a quantitative study.

作者信息

Mastaglia F L, Knezevic W, Thompson P D

出版信息

J Neurol Neurosurg Psychiatry. 1986 Feb;49(2):195-7. doi: 10.1136/jnnp.49.2.195.

DOI:10.1136/jnnp.49.2.195
PMID:3950637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1028686/
Abstract

The strength of head turning was measured in normal subjects and in patients with hemiplegia of vascular origin. In normals the strength of head turning to the two sides was not significantly different. In most patients with a cortical, capsular or high brainstem lesion the strength of head turning away from the side of the lesion was reduced. In patients with a medullary lesion the strength of head turning towards the side of the lesion was reduced. The significance of these findings is discussed in relation to the cortical control of the sternocleidomastoid muscle and other muscles involved in the movement of head turning.

摘要

在正常受试者和血管源性偏瘫患者中测量了转头力量。在正常人群中,向两侧转头的力量没有显著差异。在大多数患有皮质、囊或高位脑干病变的患者中,转头远离病变侧的力量降低。在患有延髓病变的患者中,转头朝向病变侧的力量降低。结合胸锁乳突肌和其他参与转头运动的肌肉的皮质控制来讨论这些发现的意义。

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本文引用的文献

1
Toxic Affection of Muscles and Lower Neurones.肌肉及下运动神经元的中毒性病变
Proc R Soc Med. 1908;1(Neurol Sect):2-5. doi: 10.1177/003591570800100602.
2
ON THE PHYSIOLOGIC DECUSSATION CONCERNED WITH HEAD TURNING.
Confin Neurol. 1964;24:169-81.
3
Undecussated innervation to the sternocleidomastoid muscle: a reinstatement.胸锁乳突肌的非交叉神经支配:一种恢复情况。
Ann Neurol. 1980 Jan;7(1):84-5. doi: 10.1002/ana.410070116.
4
Nature of the decussated innervation of the sternocleidomastoid muscle.胸锁乳突肌交叉神经支配的性质。
Ann Neurol. 1981 Nov;10(5):495. doi: 10.1002/ana.410100519.
5
Neural control of head rotation: electromyographic evidence.头部旋转的神经控制:肌电图证据。
J Neurol Sci. 1982 Jul;55(1):1-14. doi: 10.1016/0022-510x(82)90165-4.
6
Hand-held dynamometer for evaluating voluntary-muscle function.用于评估随意肌功能的手持测力计。
Lancet. 1974 Sep 28;2(7883):757-8. doi: 10.1016/s0140-6736(74)90947-7.