The effect of repetitive arm cycling on post stroke spasticity and motor control: Repetitive arm cycling and spasticity

作者: K. Diserens , N. Perret , S. Chatelain , S. Bashir , D. Ruegg

DOI: 10.1016/J.JNS.2006.10.021

关键词: ElbowSpasticityMotor controlRange of motionElectromyographyStrokePhysical therapyBicepsMedicineRehabilitation

摘要: This study's aims were (1) to test whether training on an arm ergometer improves motor performance, and (2) develop a technique quantify individual muscle spasticity. Nine patients with stabilized hemisyndrome (in average 22 months after ischemic stroke in the territory of middle cerebral artery) underwent 3-week ergometer, 5 days/week. The tested one week before training, at onset, end 2 weeks training. Spasticity was quantified by Ashworth Scale elbow flexors extensors, maximum active extension biceps, (3) minimum torque lesioned side during cycling. data standardized, pooled 2-way ANOVA revealed decrease spasticity (p=0.076). Similarly force evaluated Rivermead Motorik Assessment, Motricity Index cycling force, range movement as sum angles shoulder flexion, abduction, flexion extension. increased (p<0.01) also motion (p<0.05) significantly. confirmed clinical relevance results. index - relation between activity modulation normal shown be useful tool quantifying It concluded that is for rehabilitation.

参考文章(36)
Stratford Pw, Gowland Ca, Basmajian Jv, Hall Al, Swanson Lr, Trotter Je, Brandstater Me, Finlayson Ma, Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Archives of Physical Medicine and Rehabilitation. ,vol. 68, pp. 267- 272 ,(1987)
J J Woods, B Bigland-Ritchie, Linear and non-linear surface EMG/force relationships in human muscles. An anatomical/functional argument for the existence of both. American journal of physical medicine. ,vol. 62, pp. 287- 299 ,(1983)
Meijer Og, Wichers F, Rijswijk H, Lindeboom J, Hazenberg Gj, Kuik Dj, Wagenaar Rc, van Wieringen Pc, The functional recovery of stroke: a comparison between neuro-developmental treatment and the Brunnstrom method. Scandinavian Journal of Rehabilitation Medicine. ,vol. 22, pp. 1- 8 ,(1990)
Tate Oj, Damiano Dl, Torque-EMG relationships in normal and spastic muscles. Electromyography and clinical neurophysiology. ,vol. 42, pp. 347- 357 ,(2002)
M. Visintin, H. Barbeau, The effects of body weight support on the locomotor pattern of spastic paretic patients. Canadian Journal of Neurological Sciences. ,vol. 16, pp. 315- 325 ,(1989) , 10.1017/S0317167100029152
Lincoln N, Leadbitter D, ASSESSMENT OF MOTOR FUNCTION IN STROKE PATIENTS Physiotherapy. ,vol. 65, pp. 48- 51 ,(1979)
J. H. Lawrence, C. J. De Luca, Myoelectric signal versus force relationship in different human muscles Journal of Applied Physiology. ,vol. 54, pp. 1653- 1659 ,(1983) , 10.1152/JAPPL.1983.54.6.1653
Cathrin Bütefisch, Horst Hummelsheim, Petra Denzler, Karl-Heinz Mauritz, Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand Journal of the Neurological Sciences. ,vol. 130, pp. 59- 68 ,(1995) , 10.1016/0022-510X(95)00003-K
Hiroshi Asanuma, Asaf Keller, Neuronal mechanisms of motor learning in mammals. Neuroreport. ,vol. 2, pp. 217- 224 ,(1991) , 10.1097/00001756-199105000-00001