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[齿状核切开术对婴儿脑性瘫痪肌肉张力的影响]

[Effect of dentatotomy on muscle tonus in infantile cerebral palsy].

作者信息

Safronov V A, Vasin N Ia, lesov N S

出版信息

Vopr Neirokhir. 1978 Jan-Feb(1):24-30.

PMID:636397
Abstract

The article deals with the results of the quantitative study of the muscular tonus in patients with infantile cerebral paralysis by the method of passive sinusoid movements of the arm at the elbow joint at various rates, with a period of T = Is to T = 200s and its assessment by the value of the mechanical resistance of the extremity in the region of high (T = I--4s) and low rates (T = 50s). The spectromechanomyographic method of examination revealed two components in the muscular tonus: an increase in the region of high rates, which were identify as the spastic component of the muscular tonus, and an increase in the region of low rates, which is identified with the rigid component of the muscular tonus. Operative destruction of the cerebellar dentate nuclei in patients with infantile cerebral paralysis naturally reduces this spastic component, but hardly changes the rigid component. One of the factors causing changes in the shape and amplitude of choreothetoid hyperkinesia in patients with infantile cerebral paralysis may evidently be the redistribution of the tonus in different muscular groups and changes in the correlations between its spastic and rigid components.

摘要

本文探讨了通过以不同速率在肘关节处对婴儿脑瘫患者的手臂进行被动正弦运动(周期从T = 1秒至T = 200秒)的方法对肌肉张力进行定量研究的结果,并通过在高频率(T = 1 - 4秒)和低频率(T = 50秒)区域内肢体的机械阻力值对其进行评估。频谱肌动图检查方法揭示了肌肉张力中的两个成分:高频率区域的增加,被确定为肌肉张力的痉挛成分;低频率区域的增加,被确定为肌肉张力的强直成分。对婴儿脑瘫患者进行小脑齿状核的手术破坏自然会减少这种痉挛成分,但对强直成分几乎没有影响。导致婴儿脑瘫患者舞蹈样多动的形状和幅度发生变化的因素之一可能明显是不同肌肉群中张力的重新分布以及其痉挛和强直成分之间相关性的变化。

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