Rösche J, Paulus C, Maisch U, Kaspar A, Mauch E, Kornhuber H H
Department of Neurology, University of Ulm, Germany.
Spinal Cord. 1997 Mar;35(3):176-8. doi: 10.1038/sj.sc.3100376.
F-wave amplitudes have been used to demonstrate changes of motor neuron excitability in patients receiving pharmacological antispastic therapy as well as in those having physiotherapy. In this study it is shown that F-wave amplitudes can also be used to document changes of motor neuron excitability as an effect of the therapy with a motorized exercise-cycle, which moves the legs of paraplegic patients in a way similar to cycling. Ten F-waves were recorded immediately before and after the therapy with a motorized exercise-cycle in 70 legs of 35 patients with spastic paraparesis. Mean F-wave amplitude, mean F-wave/M-response ratio and maximum F-wave/M-response ratio were significantly lower after therapy than before.
The antispastic effect of the therapy with a motorized exercise-cycle may be documented by a decrease of F-wave-amplitude parameters.
F波振幅已被用于证明接受药物抗痉挛治疗的患者以及接受物理治疗的患者运动神经元兴奋性的变化。本研究表明,F波振幅也可用于记录电动运动自行车治疗的效果,即运动神经元兴奋性的变化,该电动运动自行车以类似于骑自行车的方式移动截瘫患者的腿部。在35例痉挛性截瘫患者的70条腿上,在电动运动自行车治疗前后立即记录10个F波。治疗后平均F波振幅、平均F波/M波比值和最大F波/M波比值均显著低于治疗前。
电动运动自行车治疗的抗痉挛效果可通过F波振幅参数的降低来记录。