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H-反射と緊張性振動反射(TVR)を用いた筋緊張異常及び相反性機能失調の検討
https://kindai.repo.nii.ac.jp/records/2123
https://kindai.repo.nii.ac.jp/records/2123e2ae3e57-8145-4500-b3d7-cc582c6668ef
| 名前 / ファイル | ライセンス | アクション |
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Thesis_Mek0170-19920319-0001.pdf (1.3 MB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||
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| 公開日 | 2011-12-09 | |||||||||
| 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及び相反性機能失調の検討 | |||||||||
| その他（別言語等）のタイトル | ||||||||||
| その他のタイトル | Reciprocal reflex activity of muscle tone abnormality, studied by electromyography together with tonic vibration reflex (TVR ) | |||||||||
| 著者 |
柳原, 章
× 柳原, 章
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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_46ec | |||||||||
| 資源タイプ | thesis | |||||||||
| 著者(英) | ||||||||||
| en | ||||||||||
| Yanagihara, Akira | ||||||||||
| 著者 所属 | ||||||||||
| 近畿大学大学院 医学研究科外科学系専攻 | ||||||||||
| 版 | ||||||||||
| 出版タイプ | VoR | |||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||
| 出版者 名前 | ||||||||||
| 出版者 | 近畿大学 | |||||||||
| 書誌情報 |
博士学位論文 en : Thesis or Dissertation p. 1-30, 発行日 1992-01-01 |
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| 抄録 | ||||||||||
| 内容記述タイプ | Abstract | |||||||||
| 内容記述 | [ABSTRACT] The reciprocal reflex activity in various muscle tone abnor -malities 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 higherfrequency ( 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 gastrocne -mius TVR and 49％ in peroneus TVR . The FD-curve showed a higher level in all freguencies 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 deter -minati on of a therapeutic approach that is most appropriate. | |||||||||
| 内容記述 | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | 学位の種類：医学 学位授与年月日：1992/3/19 指導: 井奥, 匡彦 教授(Director: Prof. Ioku, Masahiko) 報告番号：甲第217号 学内授与番号：医甲170 NDL書誌ID：000000266475 | |||||||||
| フォーマット | ||||||||||
| 内容記述タイプ | Other | |||||||||
| 内容記述 | application/pdf | |||||||||
