LOCOMOTOR-ACTIVITY IN SPINAL MAN
LOCOMOTOR-ACTIVITY IN SPINAL MAN
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DOI：
10.1016/s0140-6736(94)90751-x
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发表时间：
1994-11-05
期刊：
影响因子：
168.9
通讯作者：
JENSEN, L
中科院分区：
文献类型：
--
作者：
DIETZ, V;COLOMBO, G;JENSEN, L
我们研究了截瘫患者的脊髓运动中枢是否可以被外部刺激激活。在完全性截瘫患者中，通过重量支撑和站立在移动的跑步机上诱导协调的步进运动。腿部肌肉肌电图（EMG）活动的模式是相似的，在健康受试者中看到的，虽然EMG振幅较小。随着日常训练的进行，在负重阶段，腓肠肌肌电活动的幅度增加，胫骨前肌不适当活动的程度减少。不完全性截瘫患者受益于训练计划，他们在静止表面上行走的改善，即使没有支撑。我们的研究结果可能会提出新的方法来提高截瘫患者的流动性。
We studied whether spinal locomotor centres of patients with paraplegia can be activated by external stimuli.In patients with complete paraplegia, coordinated stepping movements were induced by weight support and standing on a moving treadmill. The pattern of leg muscle electromyographic (EMG) activity was similar to that seen in healthy subjects although EMG amplitude was smaller. With daily training the amplitude of gastrocnemius EMG activity increased during the weight-bearing phase of stepping and the degree of inappropriate tibialis anterior activity decreased. Patients with incomplete paraplegia profited from the training programme in that their walking on a stationary surface improved even when unsupported.Our results may suggest new ways to improve mobility of patients with paraplegia.