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アイテム

  1. Public
  2. 研究紀要
  3. 医学雑誌
  4. 17(1)1992

H-反射と緊張性振動反射(TVR)を用いた筋緊張異常および相反性機能失調の検討

https://kindai.repo.nii.ac.jp/records/2002453
https://kindai.repo.nii.ac.jp/records/2002453
e6dedb35-0afc-4b8d-9988-f5b0422dc171
名前 / ファイル ライセンス アクション
AN00063584-19920325-0023.pdf AN00063584-19920325-0023.pdf (945.9 KB)
アイテムタイプ ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2025-02-19
タイトル
タイトル H-反射と緊張性振動反射(TVR)を用いた筋緊張異常および相反性機能失調の検討
言語 ja
タイトル
タイトル Reciprocal reflex activity of muscle tone abnormality, studied by electromyography together with tonic vibration reflex (TVR)
言語 en
著者 柳原, 章

× 柳原, 章

ja 柳原, 章
近畿大学

en Yanagihara, Akira
Kinki University

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言語
言語 jpn
キーワード
主題 reciprocal reflex activity, muscle tone abnormality, H-reflex, tonic vibration reflex (TVR), frequency depression curve
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
出版者 名前
出版者 近畿大学医学会
言語 ja
bibliographic_information ja : 近畿大学医学雑誌
en : Medical Journal of Kinki University

巻 17, 号 1, p. 23-35, 発行日 1992-03-25
ISSN
収録物識別子タイプ PISSN
収録物識別子 03858367
内容記述
内容記述タイプ Abstract
内容記述 The reciprocal reflex activity in various muscle tone abnormalities was analyzed using the H-reflex together with tonic vibration reflex (TVR). The H-reflex was elicited by short interval (5-8 ms) double volleys while vibratory stimulation (TVR) of 100 Hz was applied to the synergist (gastrocnemius) or antagonist (peroneus) muscles. On the other hand, the frequency depression (FD) curve of the H-reflex was plotted at a higher frequency (1-50 Hz) stimulation. The patients analyzed in this study totaled 48, consisting of 8 normal subjects, 1 with peroneal damage, 22 with spasticity, 5 with rigidity, 9 with cerebellar-brainstem lesion and 3 with cervical cord lesion. In the normal subjects, two successive H-reflexes (H_1 and H_2) were elicited by short interval double volleys, and attenuated by TVR applied to the gastrocnemius as well as TVR applied to the peroneus muscle. The attenuation rates were 68% in gastrocnemius TVR and 80% in peroneus TVR. The FD-curve showed a medium level in lower frequencies and then rose gentlly higher frequencies. In the peroneal nerve damage patient, although the H-reflexes of H_1 and H_2 were attenuated by gastrocnemius TVR they were not attenuated by peroneus TVR because of a loss of the reciprocal innervation. The FD-curve showed a normal characteristic configuration because there were no lesions in the upper center. In spasticity, the H-reflex was not attenuated by gastrocnemius nor by peroneus TVR's at a sufficient rate. The rates were 38% in the former and 46% in the latter. The FD-curve showed a higher level at a lower frequency then showed a steep sloping configuration from medium to higher frequencies. In rigidity, the rates was 26% in gastrocnemius TVR and 51% in peroneus TVR. The FD-curve showed a higher level at a lower frequency, then showed a slighter sloping configuration of higher level from medium to higher frequencies. In cerebellar-brainstem lesion, the rates were 25% in gastrocnemius TVR and 49% in peroneus TVR. The FD-curve showed a higher level in all frequencies then showed a gentle sloping configuration at a higher level from medium to higher frequencies. These findings could be considered as a result of the disturbance of the reflex modulation from the upper center. The combined examination of the H-reflex and TVR seems to be a useful diagnostic method and may also help in the determination of a therapeutic approach that is most appropriate.
言語 en
内容記述
内容記述タイプ Other
内容記述 本文データはCiNiiから複製したものである。
言語 ja
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