spinal cord lesion effects of and perspectives for treatment脊髓损伤治疗和观点的影响.pdfVIP

NEURAL PLASTICITY VOLUME 8, NOS. 1-2, 2001 Spinal Cord Lesion: Effects of and Perspectives for Treatment V. Dietz** ParaCare, Paraplegic Centre, University Hospital Balgrist, Forchstr. 340, CH-8008 Zurich, Switzerland SUMMARY level of electromyographic activity in the gastrocnemius (the main antigravity muscle Following central motor lesions, two forms during gait) is considerably lower in the patients of adaptation can be observed which lead to compared to healthy subjects. During the course improved mobility: (1) the development of spastic of a daily locomotor training program, the muscle tone, and (2) the activation of spinal amplitude of gastrocnemius, electromyographic locomotor centers induced by specific treadmill activity increases significantly during the stance training. Tension development during spastic phase, while inappropriate tibialis anterior gait is different from that during normal gait activation decreases. Patients with incomplete and appears to be independent of exaggerated paraplegia benefit from such training programs monosynaptic stretch reflexes. Exaggerated such that their walking ability on a stationary stretch reflexes are associated with an absence surface improves. The pathophysiology and or reduction of functionally essential polysynaptic functional significance of spastic muscle tone and reflexes. When supraspinal control of spinal the effects of treadmill training on the locomoto