Quantitative evaluation of the stretch reflex before and after hydro kinesy therapy in patients affected by spastic paresis
Pagliaro, P; Zamparo, P
1999
发表期刊JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY
ISSN1050-6411
卷号9期号:2页码:141-148
摘要The aim of this study was the quantitative evaluation of the myotatic reflex in a group of 26 patients affected by stationary spastic paresis (6: hemiparesis; 5: paraparesis; 8: tetraparesis; 7: multiple sclerosis) before and after a treatment of hydro-kinesy therapy. The treatment was carried out in an indoor pool containing warm (32 degrees C) sea water and consisted of active and passive motion exercises, coordination exercises and immersion walking. The measured parameters were: (i) the peak input force (F-pH) measured by means of an instrumented hammer with which the patellar tendon was hit; and (ii) the peak value of the corresponding reflex force of the quadriceps femoris (F-pQ) measured by means of a load cell connected to the subject's ankle. The peak values of the reflex response (F-pQ) were found to increase as a function of the intensity of the imposed stimulus and to reach a plateau between 15 and 30 N of F-pH, A Student's t test applied to the paired values of F-pQ (as measured at plateau conditions) on both the lower limbs, before and after therapy, showed no significant changes due to the treatment in the four groups of subjects. However, if all subjects were grouped regardless the type of illness: 1) the average reflex response of the affected limb (the one characterized before therapy by the higher F-pQ values) was found to decrease following the treatment (75.1 +/- 26.7 N pre therapy and 69.1 +/- 29.3 N post therapy, p = 0.07, n = 26); and 2) the effect of the treatment was found to be significantly larger (p = 0.04, n = 26) on the affected limb (Delta F-pQ = 6.07 +/- 16.5 N) as respect with the contra lateral one (Delta F-pQ = -0.16 +/- 12.1 N). (C) 1999 Elsevier Science Ltd. All rights reserved.
部门归属Dipartimento Sci & Tecnol Biomed, Cattedra Fisiol Umana, I-33100 Udine, Italy; Ist Elioterap G Barellai, I-34073 Grado, GO, Italy
关键词Myotatic Reflex Spastic Paresis Water Immersion Physical Therapy
学科领域Neurosciences ; Physiology ; Rehabilitation ; Sport Sciences
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收录类别sci
文献类型期刊论文
条目标识符http://ir.scsio.ac.cn/handle/344004/8517
专题海洋科技动态信息-印太暖池系统研究
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Pagliaro, P,Zamparo, P. Quantitative evaluation of the stretch reflex before and after hydro kinesy therapy in patients affected by spastic paresis[J]. JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY,1999,9(2):141-148.
APA Pagliaro, P,&Zamparo, P.(1999).Quantitative evaluation of the stretch reflex before and after hydro kinesy therapy in patients affected by spastic paresis.JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY,9(2),141-148.
MLA Pagliaro, P,et al."Quantitative evaluation of the stretch reflex before and after hydro kinesy therapy in patients affected by spastic paresis".JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY 9.2(1999):141-148.
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