THE RESTORATION OF MOTOR FUNCTION FOLLOWING HEMIPLEGIA IN MAN
THE RESTORATION OF MOTOR FUNCTION FOLLOWING HEMIPLEGIA IN MAN
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DOI：
10.1093/brain/74.4.443
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发表时间：
1951-01-01
期刊：
影响因子：
14.5
通讯作者：
TWITCHELL, TE
中科院分区：
文献类型：
--
作者：
TWITCHELL, TE
该系列包括121例患者，除3例因血栓形成或其中一条脑血管栓塞引起偏瘫外，其余均为偏瘫。对其中25名患者从入院到病情相对稳定的时间点进行了观察。在运动功能恢复过程中，有一个有规律的屈曲变化序列，每一个屈曲变化都与意志运动能力的相应增加有关。恢复过程可能在该序列的任何阶段停止。在所有运动功能的抑郁的初始阶段之后，本体感受反应变得异常活跃，但并不构成一个简单的实体。它们被其他因素修改和调节，例如相关肌肉的拉伸，患者头部相对于身体的位置，以及身体相对于支撑表面的位置。随着恢复的进行，更基本的本体感受性反应变得从属于特殊的外部感受性刺激。自愿运动似乎进一步促进了每个阶段的反应。它不是一个独立的实体，但从它的第一次出现，它采取了条件本体感受和接触反应的形式。
The series included 121 patients, all except 3 suffering from hemiplegia caused by thrombosis or embolism of one of the cerebral blood vessels. Observations were made on 25 of these patients from the time of admission to a point where a comparatively stable condition was reached. During motor function recovery there is a regular sequence of flex changes, each of which was associated with a corresponding increase in ability for willed movement The process of recovery may become arrested at any stage in this sequence. After the initial phase of depression of all motor function, the proprioceptive responses became abnormally active, but did not constitute a simple entity. They were modified and conditioned by other factors, such as stretch on associated muscles, the position of the patient''s head in relation to the body, and the position of the body in relation to the supporting surface. As recovery proceeded the more elementary proprioceptive responses became subordinated to special extero-ceptive stimulation. Voluntary movement appeared as a further facilitation of the responses at each stage. It is not a separate entity, but from its first appearance it took the form of conditioned proprioceptive and contactual responses.