1例偏瘫并发脑血管意外,患侧手指伸展与未患侧手指伸展的运动成像是有效的-使用f波的研究

Suzuki Toshiaki, Fukumoto Yuki, Todo Marina, Tani Makiko
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引用次数: 0

摘要

我们研究了运动疗法的效果,通过同时使用患侧拇指或全部手指伸展的运动想象,并使用f波测量未患侧拇指或所有手指伸展的运动,测量前角细胞的兴奋性,为患侧拇指肌肉张力增加的患者设计适当的运动想象运动疗法。任务1、2、3、4分别涉及患侧拇指伸展的运动想象、患侧手指伸展的运动想象、基于未患侧拇指伸展的患侧拇指伸展的运动想象、以及基于未患侧手指伸展的患侧手指伸展;分三个试验进行,每次试验之间间隔一周或更长时间。每个任务执行一分钟,任务之间间隔五分钟。在实验前和过程中,通过刺激患侧正中神经来记录大鱼际肌的f波。计算任务f波数据与任务前(静息状态)和任务中f波数据的相对值。结果显示,3个试验中任务4的F/M振幅比相对数据均低于其他任务。综上所述,患侧手指伸展运动与未患侧手指伸展运动的运动想象对改善患侧大鱼际肌肉的肌肉张力是有效的。
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A case of hemiplegia with a cerebrovascular accident in which motor imagery of finger extension on the affected side with finger extension on the unaffected side was effective - A study using F-waves
We investigated the effect of exercise therapy by simultaneously using motor imagery of thumb or all finger extension on the affected side and thumb or all finger extension exercise on the unaffected side by using the F-wave, which is used to measure the excitability of anterior horn cells to devise an appropriate exercise therapy using motor imagery for patients with increased muscle tone of the thumb muscles on the affected side. Tasks 1, 2, 3, and 4 involved motor imagery of thumb extension on the affected side, motor imagery of finger extension on the affected side, motor imagery of thumb extension on the affected side based on thumb extension on the unaffected side, and finger extension on the affected side based on finger extension on the unaffected side, respectively; conducted in three trials, with one week or more between each trial. Each task was performed for one minute, with a five-minute interval between tasks. The F-waves from the thenar muscles were recorded with median nerve stimulation on the affected side before and during the tasks. The relative values of the F-wave data of the task and the F-wave data before (resting state) and during the tasks were calculated. In results, the relative data of the F/M amplitude ratio in task 4 was lower than that in the other tasks in three trials. In conclusion, motor imagery of finger extension on the affected side with finger extension movement on the unaffected side was effective for improving the muscle tone of the thenar muscles on the affected side.
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