Lin J P, Brown J K, Brotherstone R
Edinburgh University, Faculty of Medicine, UK.
Dev Med Child Neurol. 1994 Apr;36(4):290-303. doi: 10.1111/j.1469-8749.1994.tb11849.x.
A clinical method for measuring the stretch reflex threshold and gain of muscles acting across the ankle joint in children with congenital hemiplegia is described. The stretch reflexes of all limbs were velocity-dependent. Hemiparetic limbs were not necessarily spastic compared with non-paretic limbs, suggesting that the term 'spastic hemiplegia' should be used more selectively and emphasis be placed on the heterogeneity of the hemisyndromes of childhood. Abnormal motor control, planning and dexterity, the hemipostures and plastic (non-electrical) muscle changes may be more important measures of impairment than reflex excitability. A general scheme for assessing reflex excitability and available treatments applicable to all types of cerebral palsy is proposed.
本文描述了一种测量先天性偏瘫患儿踝关节周围肌肉牵张反射阈值和增益的临床方法。所有肢体的牵张反射均与速度相关。与非偏瘫肢体相比，偏瘫肢体不一定呈痉挛状态，这表明“痉挛性偏瘫”这一术语应更有选择性地使用，并应强调儿童偏瘫综合征的异质性。异常的运动控制、计划和灵活性、偏瘫姿势以及可塑性（非电）肌肉变化可能比反射兴奋性更能作为损伤的重要指标。本文提出了一种评估反射兴奋性的通用方案以及适用于所有类型脑瘫的现有治疗方法。
