Abstract:
BACKGROUND:Alterations in the function of spinal neuronal circuits underlying locomotion after a spinal cord injury (SCI) are associated with changes in the behavior of spinal reflexes (SRs) in both rats and humans. In healthy subjects, the SR consists of a dominant early reflex component, whereas in chronic, severely affected SCI subjects, a later component dominates. OBJECTIVE:The aim of this study was to investigate the relationship between SR behavior and walking ability in para-/tetraplegic subjects. METHOD:The SR was evoked by nonnoxious tibial nerve stimulation. Walking ability was assessed by functional tests and questionnaires. RESULTS:There was a correlation between walking ability and SR behavior in chronic SCI: Severely affected SCI subjects unable to walk showed dominant late SR components, whereas in ambulatory SCI subjects an early SR component dominated. A functional training with an improvement of locomotor ability was accompanied by both a shift from a dominant to a smaller late and the appearance of an early SR component. CONCLUSIONS:Our findings indicate that SR can serve as a marker for the locomotor ability of SCI subjects. Neuronal plasticity exploited by a functional training is reflected in both an improvement of locomotor ability and a change in balance of SR components toward the early SR component.
journal_name
Neurorehabil Neural Repairjournal_title
Neurorehabilitation and neural repairauthors
Hubli M,Dietz V,Bolliger Mdoi
10.1177/1545968311420844subject
Has Abstractpub_date
2012-02-01 00:00:00pages
188-96issue
2eissn
1545-9683issn
1552-6844pii
1545968311420844journal_volume
26pub_type
杂志文章abstract:BACKGROUND:Functional electrical stimulation (FES) allows active exercises in stroke patients with upper extremity paralysis. OBJECTIVE:To investigate the effect of motor training with FES on motor recovery in acute and subacute stroke patients with severe to complete arm and/or hand paralysis. METHODS:For this pilot...
journal_title:Neurorehabilitation and neural repair
pub_type: 杂志文章,随机对照试验
doi:10.1177/1545968308324548
更新日期:2009-02-01 00:00:00
abstract::Implementation is the use of strategies to adopt and integrate evidence-based health interventions and to change practice patterns. In their article, "Implementation-the missing link in the research translation pipeline," Lynch et al1 report that only a small fraction of published stroke rehabilitation research in lea...
journal_title:Neurorehabilitation and neural repair
pub_type: 评论,杂志文章
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
pub_type: 杂志文章,随机对照试验
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journal_title:Neurorehabilitation and neural repair
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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pub_type: 共识发展会议,杂志文章,实务指引
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更新日期:2017-08-01 00:00:00
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-12-01 00:00:00
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journal_title:Neurorehabilitation and neural repair
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title:Neurorehabilitation and neural repair
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pub_type: 杂志文章
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