Correlation of polyelectromyographic patterns and clinical upper motor neuron syndrome in hemiplegic stroke patients.
Arch Phys Med Rehabil
; 81(7): 869-75, 2000 Jul.
Article
en En
| MEDLINE
| ID: mdl-10895997
ABSTRACT
OBJECTIVE:
To investigate the correlation between movement patterns, measured by polyelectromyography (PEMG), and clinical upper motor neuron (UMN) syndrome in stroke patients.DESIGN:
PEMG patterns, recorded from pairs of flexor-extensor muscles during voluntary maneuvers, and motor outcomes were assessed approximately 1 month after stroke (early stage). Motor outcomes were reassessed 6 months later (late stage).PARTICIPANTS:
Thirty-nine hemiplegic stroke patients and 18 healthy control subjects. MAIN OUTCOMEMEASURES:
Passive stretch reflexes (PSRs), Brunnstrom's stages, and walking ability.RESULTS:
Six PEMG patterns, varying from complete reciprocal to complete synchrony, were identified. Higher PEMG pattern scores were associated with better Brunnstrom's stages (r > .80), walking ability (r > .39), and some PSRs (r < -.37). PEMG patterns could separate patterns 1 and 2 from patterns 3 and 4 for patients with early Brunnstrom's stages 1 and 2. Patterns 1 and 2 (reduced agonist electromyographic activities) indicated weakness and resulted in the worst motor outcomes. Patterns 3 and 4 (cocontraction and coactivation) indicated spasticity and associated synergistic movements. Patients with patterns of 5 and 6 (reciprocal electromyographic activities) had more selective motor control.CONCLUSIONS:
PEMG patterns correlate with clinical UMN syndromes and may allow treatment strategy planning on the basis of underlying motor control, as well as the prediction of final motor outcomes soon after stroke, even in patients who cannot move their legs initially.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad de la Neurona Motora
/
Accidente Cerebrovascular
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Prognostic_studies
Límite:
Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2000
Tipo del documento:
Article
País de afiliación:
Taiwán