リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

大学・研究所にある論文を検索できる 「パーキンソン病患者における下腿の筋活動評価方法について」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。
リケラボ

コピーが完了しました

URLをコピーしました

論文の公開元へ論文の公開元へ
書き出し

パーキンソン病患者における下腿の筋活動評価方法について

Taniguchi, Seira 谷口, 星来 タニグチ, セイラ 神戸大学

2020.03.25

概要

[Purpose]
This study investigates two types of toe tapping, i.e., “closed,” with both feet on the floor, and “open,” in which the foot does not touch the ground, and evaluates their usefulness in combination with monitoring of muscle activity during toe tapping.

[Subjects and Methods]
The study enrolled 11 patients with Parkinson’s disease (PD) and 9 controls (Controls). The tibialis anterior (TA) and gastrocnemius (GS) muscle activity during toe tapping was measured using surface electromyography.

[Results]
In closed tapping, the minima in GS activation with the first tap was significantly higher in patients with PD than in Controls. In open tapping, the coefficient of variation (CV) of local maxima in TA activation was significantly higher in patients with PD than in Controls. In both types of tapping, the CV of extrema in GS activities increased with disease duration, but this may be due to the long-term administration of Levodopa, which itself tends to cause excessive GS activities.

[Conclusion]
Closed tapping is suitable for the assessment of GS activity and can detect excessive activities, which is observed as visible movement. Open tapping, on the other hand, is suitable for assessment of TA activity

論文の公開元へ

この論文で使われている画像

関連論文

関連論文をもっと見る

参考文献

1) Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society UPDRS Revision Task Force: Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord, 2008, 23: 2129–2170. [Medline] [CrossRef]

2) Gunzler SA, Riley D, Walter E, et al.: Comparison of the toe tapping component of the MDS-UPDrs motor scale with leg agility and finger tapping. Mov Disord, 2010, 25, Suppl 2: 348–389.

3) Nieuwboer A, Dom R, De Weerdt W, et al.: Electromyographic profiles of gait prior to onset of freezing episodes in patients with Parkinson’s disease. Brain, 2004, 127: 1650–1660. [Medline] [CrossRef]

4) Dietz V, Quintern J, Berger W, IETZ V: Electrophysiological studies of gait in spasticity and rigidity. Evidence that altered mechanical properties of muscle contribute to hypertonia. Brain, 1981, 104: 431–449. [Medline] [CrossRef]

5) Burleigh A, Horak F, Nutt J, et al.: Levodopa reduces muscle tone and lower extremity tremor in Parkinson’s disease. Can J Neurol Sci, 1995, 22: 280–285. [Medline] [CrossRef]

6) Dietz V, Berger W, Horstmann GA: Posture in Parkinson’s disease: impairment of reflexes and programming: Ann Neurol, 1988, 24, 5: 660–669. [Medline] [CrossRef]

7) Glendinning DS, Enoka RM: Motor unit behavior in Parkinson’s disease: Phys Ther, 1994, 74, 1: 61–70. [Medline] [CrossRef]

8) Pedersen SW, Oberg B: Stretch-shortening contraction in Parkinson patients: evidence of normal muscle contraction execution with low efficiency. Scand J Rehabil Med, 1997, 29: 251–255. [Medline]

9) Elble RJ, Moody C, Leffler K, et al.: The initiation of normal walking. Mov Disord, 1994, 9: 139–146. [Medline] [CrossRef]

10) den Otter AR, Geurts AC, Mulder T, et al.: Speed related changes in muscle activity from normal to very slow walking speeds. Gait Posture, 2004, 19: 270–278. [Medline] [CrossRef]

11) Albani G, Sandrini G, Künig G, et al.: Differences in the EMG pattern of leg muscle activation during locomotion in Parkinson’s disease. Funct Neurol, 2003, 18: 165–170. [Medline]

12) Dietz V, Zijlstra W, Prokop T, et al.: Leg muscle activation during gait in Parkinson’s disease: adaptation and interlimb coordination. Electroencephalogr Clin Neurophysiol, 1995, 97: 408–415. [Medline] [CrossRef]

13) Cioni M, Richards CL, Malouin F, et al.: Characteristics of the electromyographic patterns of lower limb muscles during gait in patients with Parkinson’s disease when OFF and ON L-Dopa treatment. Ital J Neurol Sci, 1997, 18: 195–208. [Medline] [CrossRef]

14) Hallett M, Khoshbin S: A physiological mechanism of bradykinesia. Brain, 1980, 103: 301–314. [Medline] [CrossRef]

参考文献をもっと見る

全国の大学の
卒論・修論・学位論文
を
一発検索！

この論文の関連論文を見る