{"created":"2025-02-19T04:09:30.444210+00:00","id":2002453,"links":{},"metadata":{"_buckets":{"deposit":"3cde1dff-32bf-40e7-a1ed-7510dc767938"},"_deposit":{"created_by":42,"id":"2002453","owners":[42],"pid":{"revision_id":0,"type":"depid","value":"2002453"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:02002453","sets":["14:923:1477:1739933847398"]},"author_link":[],"control_number":"2002453","item_2_biblio_info_21":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1992-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"35","bibliographicPageStart":"23","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"近畿大学医学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Medical Journal of Kinki University","bibliographic_titleLang":"en"}]}]},"item_2_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"本文データはCiNiiから複製したものである。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_2_publisher_14":{"attribute_name":"出版者 名前","attribute_value_mlt":[{"subitem_publisher":"近畿大学医学会","subitem_publisher_language":"ja"}]},"item_2_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03858367","subitem_source_identifier_type":"PISSN"}]},"item_2_version_type_12":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNames":[{"affiliationName":"近畿大学","affiliationNameLang":"ja"},{"affiliationName":"Kinki University","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"柳原, 章","creatorNameLang":"ja"},{"creatorName":"Yanagihara, Akira","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","filename":"AN00063584-19920325-0023.pdf","filesize":[{"value":"945.9 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"url":"https://kindai.repo.nii.ac.jp/record/2002453/files/AN00063584-19920325-0023.pdf"},"version_id":"4e1570aa-ef0f-48fa-80f2-3df60214c760"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"reciprocal reflex activity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"muscle tone abnormality","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"H-reflex","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"tonic vibration reflex (TVR)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"frequency depression curve","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"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","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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","subitem_title_language":"ja"},{"subitem_title":"Reciprocal reflex activity of muscle tone abnormality, studied by electromyography together with tonic vibration reflex (TVR)","subitem_title_language":"en"}]},"item_type_id":"2","owner":"42","path":["1739933847398"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-02-19"},"publish_date":"2025-02-19","publish_status":"0","recid":"2002453","relation_version_is_last":true,"title":["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"],"weko_creator_id":"42","weko_shared_id":-1},"updated":"2025-03-10T01:06:46.928764+00:00"}