Spasticity: its physiology and management. Part I. Neurophysiology of spasticity: classical concepts.

Abstract:

:Spasticity, seen so frequently in clinical situations, presents motor signs resembling those produced experimentally by transecting the brain stem of a cat at the intercollicular level. This paper reviews experimental results which elucidate the roles of different brain regions in the genesis of classical decerebrate rigidity and demonstrate the function of the gamma motor system in the maintenance of the rigidity. Interruption of the gamma-spindle loop of a muscle (i.e. interrupting the monosynaptic reflex arc subserving the stretch reflexes) abolishes rigidity in that muscle. This reflex-mediated gamma support of decrebrate rigidity is also a prominent feature of clinical spasticity, making classical decerebrate rigidity a useful model for studying the neural mechanisms underlying spasticity. Not all rididities, however, are gamma dependent. Those rigidities surviving dorsal root rhizotomy are called alpha rigidity. Alpha rigidity results when a brain lesion disrupts descending systems which normally exert a net inhibitory effect upon alpha motoneurons.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Bishop B

doi

10.1093/ptj/57.4.371

subject

Has Abstract

pub_date

1977-04-01 00:00:00

pages

371-6

issue

4

eissn

0031-9023

issn

1538-6724

journal_volume

57

pub_type

杂志文章,评审
  • Rehabilitation for balance and ambulation in a patient with attention impairment due to intracranial hemorrhage.

    abstract:BACKGROUND AND PURPOSE:The purpose of this case report is to describe physical therapy to improve the balance and ambulation of a 16-year-old patient with attention impairment following intracranial hemorrhage. CASE DESCRIPTION:The patient initially had frequent losses of balance, especially in distracting environment...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Tappan RS

    更新日期:2002-05-01 00:00:00

  • Effectiveness of an Evidence-Based Amputee Rehabilitation Program: A Pilot Randomized Controlled Trial.

    abstract:BACKGROUND:Despite the prevalence of lower limb amputation (LLA), only a small percentage of people with LLA actually receive physical therapy post amputation and are rehabilitated to their full potential level of function. There is a need for the development of a rehabilitation program that targets impairments and lim...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzaa008

    authors: Gailey R,Gaunaurd I,Raya M,Kirk-Sanchez N,Prieto-Sanchez LM,Roach K

    更新日期:2020-05-18 00:00:00

  • Performance on clinical tests of balance in Parkinson's disease.

    abstract:BACKGROUND AND PURPOSE:Due to the high incidence of falls in people with idiopathic Parkinson's disease (PD), the assessment of standing balance is a key component of physical therapist evaluation. This study investigated performance on clinical tests of standing balance in subjects with and without PD. SUBJECTS:The s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.6.577

    authors: Smithson F,Morris ME,Iansek R

    更新日期:1998-06-01 00:00:00

  • Cinematographic analysis of the passive straight-leg-raising test for hamstring muscle length.

    abstract::Cinematography was used to compare increases in the angle of straight leg raising in relation to the horizontal with increases in the angle of straight leg raising in relation to the pelvis during five minutes of passive straight leg raising. Cinematography was also used to monitor increases in the angle of the pelvis...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/62.9.1269

    authors: Bohannon RW

    更新日期:1982-09-01 00:00:00

  • Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older.

    abstract:BACKGROUND:Balance is a composite ability requiring the integration of multiple systems. The Balance Evaluation Systems Test (BESTest) and 2 abbreviated versions (the Mini-BESTest and the Brief-BESTest) are balance assessment tools that target these systems. To date, no normative data exist for any version of the BESTe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130104

    authors: O'Hoski S,Winship B,Herridge L,Agha T,Brooks D,Beauchamp MK,Sibley KM

    更新日期:2014-03-01 00:00:00

  • Decreased shoulder range of motion on paretic side after stroke.

    abstract::The purposes of this investigation of patients with stroke were to 1) determine and compare shoulder lateral rotation range of motion (SLRROM) measured at the threshold of pain on the paretic and nonparetic sides; 2) establish the intrarater and interrater reliability of the measurements; and 3) determine the relation...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/69.9.768

    authors: Andrews AW,Bohannon RW

    更新日期:1989-09-01 00:00:00

  • Geographical challenges for physical therapy continuing education: preferences and influences.

    abstract:BACKGROUND AND PURPOSE:The purpose of this survey was to examine factors influencing participation in continuing education (CE) and preferences for CE program design. Therapists in the more densely populated region of southern Ontario were compared with those in the more rural northern Ontario region. SUBJECTS AND MET...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.3.285

    authors: Tassone MR,Speechley M

    更新日期:1997-03-01 00:00:00

  • Sequential analyses of postural reactions in nonhandicapped infants.

    abstract::The purpose of this study was to identify an empirically validated sequence of automatic postural reactions in a sample of 40 nonhandicapped infants. Using a cross-sectional design, we tested infants between the ages of 2 and 10 months for the presence of full and partial righting, equilibrium, and protective reaction...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.4.531

    authors: Haley SM

    更新日期:1986-04-01 00:00:00

  • The meaning of occupation, occupational need, and occupational therapy in a military context.

    abstract::Despite occupational therapists having strong historical ties to the Canadian military, there are currently no uniformed occupational therapists and only a few permanent occupational therapists employed by Canadian Forces. Occupational therapy is provided, in the main, through civilian occupational therapists. Occupat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120162

    authors: Brown HV,Hollis V

    更新日期:2013-09-01 00:00:00

  • Combined clinical and home rehabilitation: case report of an integrated knowledge-to-action study in a Dutch rehabilitation stroke unit.

    abstract:BACKGROUND AND PURPOSE:There is growing awareness that the poor uptake of evidence in health care is not a knowledge-transfer problem but rather one of knowledge production. This issue calls for re-examination of the evidence produced and assumptions that underpin existing knowledge-to-action (KTA) activities. Accordin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130495

    authors: Nanninga CS,Postema K,Schönherr MC,van Twillert S,Lettinga AT

    更新日期:2015-04-01 00:00:00

  • Effect of circuit exercise training on physical fitness of alcoholic patients.

    abstract::A group of patients with chronic alcoholism who participated in a circuit training exercise program were compared on a stair climbing task to a group of patients who did not participate in the program. After three weeks, the patients in the exercise group had gained significantly in the number of stairs which they cou...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.4.403

    authors: Piorkowski M,Axtell LA

    更新日期:1976-04-01 00:00:00

  • Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006.

    abstract:BACKGROUND:Based on changes in core physical therapy documents and problems with the earlier version, the Physical Therapist Clinical Performance Instrument (PT CPI): Version 1997 was revised to create the PT CPI: Version 2006. OBJECTIVE:The purpose of this study was to validate the PT CPI: Version 2006 for use with p...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20110129

    authors: Roach KE,Frost JS,Francis NJ,Giles S,Nordrum JT,Delitto A

    更新日期:2012-03-01 00:00:00

  • Application of the Modified Incremental Step Test for Pulmonary Rehabilitation.

    abstract:OBJECTIVE:A modified incremental step test (MIST) performed in the home may facilitate entirely home-based pulmonary rehabilitation programs. The aims of this study were to investigate the reliability and responsiveness, and the utility of the MIST for exercise prescription in people with stable chronic lung disease. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzab044

    authors: Burge AT,Rodrigues JC,Abramson MJ,Cox NS,Bondarenko J,Webb E,Marceau T,Handley E,Macdonald H,Askin A,Calasans GASA,do Amaral DP,Dreger J,Corso SD,Holland AE

    更新日期:2021-02-01 00:00:00

  • Perspective on Physical Therapist Management of Functional Constipation.

    abstract::Functional constipation is a common bowel disorder leading to activity restrictions and reduced health-related quality of life. Typically, this condition is initially managed with prescription of laxatives or fiber supplementation, or both. However, these interventions are often ineffective and fail to address the und...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20160110

    authors: George SE,Borello-France DF

    更新日期:2017-04-01 00:00:00

  • Noncontact ultrasound therapy for adjunctive treatment of nonhealing wounds: retrospective analysis.

    abstract:BACKGROUND AND PURPOSE:The optimal adjunctive therapy for wounds that fail to heal despite conventional wound care has not been established. Clinical evidence suggests improved healing in wounds treated with noncontact ultrasound therapy (NCUT). Although existing evidence supports the use of NCUT for enhanced wound hea...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080009

    authors: Bell AL,Cavorsi J

    更新日期:2008-12-01 00:00:00

  • Physical therapy management of patients with total ankle replacement.

    abstract::Ankle arthrodesis has been the treatment of choice for patients who have arthritic or degenerative ankly disease with disabling pain and loss of motion. But the results of long-term retrospective studies show a significant percentage of arthrodeses are unacceptable to patients and considered to be clinically poor or f...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.3.303

    authors: Smith CL

    更新日期:1980-03-01 00:00:00

  • Effect of a single 30-minute treatment of high voltage pulsed current on edema formation in frog hind limbs.

    abstract::The purpose of this study was to investigate the effect of a single treatment of high voltage pulsed current (HVPC) on edema formation. Twenty-four frogs were anesthetized, and both hind limbs of each frog were traumatized by impact. Limb volumes were measured by water displacement immediately before and after trauma ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/72.1.63

    authors: Taylor K,Fish DR,Mendel FC,Burton HW

    更新日期:1992-01-01 00:00:00

  • Implementation of the problem-oriented progress note in a skilled nursing facility.

    abstract::Problem-oriented style progress notes were implemented in a skilled nursing facility where problem-oriented medical records were not in use. The problem-oriented note consists of subjective information, objective information, analysis or assessment of the problems, and plan for treatment, and is called a SOAP note. Si...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.2.160

    authors: Shaughnessy MK,Burnett CN

    更新日期:1979-02-01 00:00:00

  • The hypothesis-oriented pediatric focused algorithm: a framework for clinical reasoning in pediatric physical therapist practice.

    abstract::Pediatric physical therapist practice presents unique challenges to the clinical reasoning processes of novice clinicians and physical therapist students. The purpose of this article is to present the Hypothesis-Oriented Pediatric Focused Algorithm (HOP-FA), a clinical framework designed to guide the clinical reasonin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120080

    authors: Kenyon LK

    更新日期:2013-03-01 00:00:00

  • Back Performance Scale for the assessment of mobility-related activities in people with back pain.

    abstract:BACKGROUND AND PURPOSE:Activities that require mobility of the trunk are often limited in patients with back problems. For this study, 5 tests (Sock Test, Pick-up Test, Roll-up Test, Fingertip-to-Floor Test, and Lift Test), all requiring sagittal-plane mobility, were performed, and the test scores were combined by the ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Strand LI,Moe-Nilssen R,Ljunggren AE

    更新日期:2002-12-01 00:00:00

  • Locomotor Training and Strength and Balance Exercises for Walking Recovery After Stroke: Response to Number of Training Sessions.

    abstract:Background:Evidence-based guidelines are needed to inform rehabilitation practice, including the effect of number of exercise training sessions on recovery of walking ability after stroke. Objective:The objective of this study was to determine the response to increasing number of training sessions of 2 interventions-l...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/ptj/pzx079

    authors: Rose DK,Nadeau SE,Wu SS,Tilson JK,Dobkin BH,Pei Q,Duncan PW

    更新日期:2017-11-01 00:00:00

  • Effect of inherent muscle length on isometric plantar flexion torque in healthy women.

    abstract::This study investigated the relationship between inherent muscle length and torque production in 59 healthy women. We recorded nondominant ankle range-of-motion values for each subject. These values were partitioned into quartiles for two knee positions. Women with "loose" plantar flexor muscles comprised the first qu...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.8.1191

    authors: Hornsby TM,Nicholson GG,Gossman MR,Culpepper M

    更新日期:1987-08-01 00:00:00

  • Comparison of two continuous passive motion protocols for patients with total knee implants.

    abstract::We compared the effects of continuous passive motion (CPM) given for a minimum of 20 hours a day to Group 1 patients (n = 15) or a maximum of 5 hours a day to Group 2 patients (n = 8) who received total knee joint replacements. Four variables were analyzed on the third and sixth days after surgery: 1) range of motion,...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.3.360

    authors: Basso DM,Knapp L

    更新日期:1987-03-01 00:00:00

  • Study of Hyperkyphosis, Exercise and Function (SHEAF) Protocol of a Randomized Controlled Trial of Multimodal Spine-Strengthening Exercise in Older Adults With Hyperkyphosis.

    abstract:BACKGROUND:Hyperkyphosis negatively affects health status, physical mobility, and quality of life, but there is no standard protocol for treating people with hyperkyphosis. Treatment options include targeted exercise. OBJECTIVES:This single-site randomized controlled trial (RCT) will determine the efficacy of a target...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20150171

    authors: Katzman WB,Vittinghoff E,Kado DM,Schafer AL,Wong SS,Gladin A,Lane NE

    更新日期:2016-03-01 00:00:00

  • Neural regulation of cardiovascular response to exercise: Part II.

    abstract::The changes in circulatory system behavior occurring in response to exercise stress are integrated by the central neural circulatory control system working in cooperation with local regulatory mechanisms. The regulatory events occurring during exercise may be analyzed using a closed-loop regulatory system model of the...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.10.1411

    authors: Littell EH

    更新日期:1981-10-01 00:00:00

  • Association between characteristics of locomotion and accomplishment of life habits in children with cerebral palsy.

    abstract:BACKGROUND AND PURPOSE:"Handicap situation" is defined in the literature as "a disruption in the accomplishment of a person's life habits (activities of daily living and social roles)." The purpose of this study was to determine the strength of association between various types of locomotion and the accomplishment of l...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.5.458

    authors: Lepage C,Noreau L,Bernard PM

    更新日期:1998-05-01 00:00:00

  • Physical therapy for patients after bone marrow transplantation.

    abstract::The purpose of this article is to provide an overview of bone marrow transplantation (BMT) as it relates to the practice of physical therapy based on experiences at a cancer research center. This overview includes information on the diseases treated with BMT, patient treatment regimens during hospitalization, and comp...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.6.946

    authors: James MC

    更新日期:1987-06-01 00:00:00

  • Exploration of Functional Limitation Codes for Outpatient Physical Therapy in the Medicare Population: A Retrospective Cohort Study.

    abstract:Background:The Centers for Medicare & Medicaid Services (CMS) introduced functional limitation reporting (FLR) to capture patient progress in functional status in outpatient rehabilitation settings. FLR along with the severity modifier (SM) measure the effectiveness of the rehabilitation services at the physical therap...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy104

    authors: Warren M,Smith HL

    更新日期:2018-12-01 00:00:00

  • Neonatal assessment: an overview.

    abstract::The purpose of this paper is to provide an overview of assessment techniques used by physical therapists in the assessment of the neonate. An additional purpose is to provide a review of prenatal and postnatal development in the areas of muscle tone, range of motion, somatosensory skills, and reflex development. The r...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/65.10.1505

    authors: Connolly BH

    更新日期:1985-10-01 00:00:00

  • Pharmacological and nonpharmacological interventions in the treatment of Parkinson's disease.

    abstract::Parkinson's disease is a neurodegenerative disorder of older persons that eventually leads to disability. It is characterized by tremor, rigidity, bradykinesia, and postural instability. Progressive stages can be identified, each with unique problems. The optimal management of Parkinson's disease requires multiple pro...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/75.5.363

    authors: Cutson TM,Laub KC,Schenkman M

    更新日期:1995-05-01 00:00:00