Motoneuron pool excitability of the hemiplegic patients assessed by new methord H-reflex and M-response

H反射和M反应新方法评估偏瘫患者运动神经元池兴奋性

• 批准号: 11835021
• 负责人: HIGASHI Toshio
• 金额: $ 2.24万
• 依托单位: Nagasaki University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11835021/
• 关键词: Spasticity; hemiplegia; H-reflex; stroke

The excitability of the motoneuron pools of both the spastic side and normal side of hemiplegic patients was compared using a new method employing H-reflexes and M-responses, i.e., by determination of the ratio of the developmental slope of the H-reflex to that of the M-response(Hslp/Mslp). Also, a relationship was found between the recovery stages, as assessed by the Brunnstrom stage, which shows the degree of the spasticity after brain lesion and the motoneuron pool excitability of both spastic sides. Hslp/Mslp was found to have better predictive value than the conventional indicators of motoneuron pool excitability. Further, Hslp/Mslp also corresponded well to the Brunnstrom stage. These results suggest the superior usefulness of Hslp/Mslp for evaluation of the motoneuron pool excitability, which is a long-standing and still unclarified problem in the clinical field of rehabilitation.

用H反射和M反应相结合的新方法，即测定H反射与M反应的发育斜率之比(Hslp/Mslp)，比较偏瘫患者痉挛侧和健侧运动神经元池的兴奋性。此外，根据Brunnstrom分级，恢复阶段之间也有关系，这表明脑损伤后的痉挛程度与双侧痉挛的运动神经元池兴奋性有关。HSLP/MSLP较传统的运动神经元兴奋性指标具有更好的预测价值。此外，HSLP/MSLP也很好地对应于Brunnstrom阶段。这些结果表明，HSLP/MSLP在评估运动神经元池的兴奋性方面具有较好的实用性，这是康复临床领域中一个长期存在且仍未澄清的问题。

项目成果

榊原淳,東登志夫,船瀬広三,田平隆行,坂井憲太郎: "遠隔筋収縮による運動細胞興奮性の促進効果-収縮強度および収縮側による違い-"作業療法. 20. 45-51 (2001)

Jun Sakakibara、Toshio Higashi、Kozo Funase、Takayuki Tabira、Kentaro Sakai：“远程肌肉收缩对运动细胞兴奋性的促进作用 - 取决于收缩强度和收缩侧的差异 -”职业治疗。

T Higashi, K Funase, K Kusano, T Tabira, N Harada, A Sakakibara, T Yoshimura: "Motoneuron excitability of hemiplegic patients and their stage of recovery assessed by the Hslp/Mslp"Archives of Physical Medicine and Rehabilitation. (印刷中). -

T Higashi、K Funase、K Kusano、T Tabira、N Harada、A Sakakibara、T Yoshimura：“偏瘫患者的运动神经元兴奋性及其通过 Hslp/Mslp 评估的恢复阶段”物理医学和康复档案（正在出版）。 .-

T Higashi, K Funase, K Kusano, T Tabira, N Harada, A Sakakibara, T Yoshimura: "Motoneuron excitability of hemiplegic patients and their stage of recovery assessed by the Hslp/Mslp"Archives of Physical Medicine and Rehabilitation. (in press).

T Higashi、K Funase、K Kusano、T Tabira、N Harada、A Sakakibara、T Yoshimura：“偏瘫患者的运动神经元兴奋性及其通过 Hslp/Mslp 评估的恢复阶段”物理医学和康复档案。

Funase K and Miles TS: "Observations on the variability of the H reflex in human soleus"Muscle and Nerve. 22. 341-346 (1999)

Funase K 和 Miles TS：“人比目鱼肌 H 反射变异性的观察”肌肉和神经。

T Higashi,K Funase,K Kusano,T Tabira,N Harada,A Sakakibara,T Yoshimura: "Motoneuron excitability of hemiplegic patients and their stage of recovery assessed by the Hslp/Mslp"Archives of Physical Medicine and Rehabilitation. (印刷中).

T Higashi、K Funase、K Kusano、T Tabira、N Harada、A Sakakibara、T Yoshimura：“偏瘫患者的运动神经元兴奋性及其通过 Hslp/Mslp 评估的恢复阶段”物理医学和康复档案（正在出版）。 。