Investigation of the H reflexes, F waves and sympathetic skin response with electromyography (EMG) in patients with stroke and the determination of the relationship with functional capacity

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• 作者：Tuncay ?ak?r ; Fatma Deniz Evcik ; Volkan Suba??…
• 关键词：Hemiplegia ; H reflex ; Electromyography ; Stroke ; Sympathetic nervous system
• 刊名：Acta Neurologica Belgica
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：115
• 期：3
• 页码：295-301
• 全文大小：372 KB
• 参考文献：1.WHO Monica Project Principal Investigators (1988) The World Health Organization Monica project (Monitoring trends and determinant in cardiovascular diseases): a major collaboration. J Clin Epidemiol 41:105-14CrossRef
  2.Roth EJ, Harvey RL (2000) Rehabilitation of stroke syndromes. In: Braddom RL (eds) Physical Medicine and Rehabilitation. 2nd edn. WB Saunders, PP 1117-163
  3.Dincer K (2000) ?nme. In: Beyazova M, G?k?e Kutsal Y (eds) Fiziksel T?p ve Rehabilitasyon. Günes Kitabevi, Ankara, pp 1935-950
  4.Brandstater ME (1998) Stroke rehabilitation. In: DeLisa JA, Gans BM (eds) Rehabilitation Medicine, 3rd edn. Lippincott–Raven Publishers, Philadelphia, pp 1165-189
  5.Ertekin C (2006) Santral ve periferik EMG Otonom sinir sistemi, pp 884-09
  6.Akyüz G (2003) Elektrodiagnoz Otonom sinir sistemi elektrofizyolojisi, pp 437-63
  7.Eskiyurt N, Sakar NK (2005) ?nme sendromlar?n?n rehabilitasyonu. In: Aras?l T (ed) Fiziksel t?p ve rehabilitasyon el kitab?. Güne? Kitabevi, Ankara, pp 727-56
  8.Kirby RL (1998) Impairment, disability and handicap. In: DeLisa JA, Gans BM (eds) Rehabilitation medicine, 3rd edn. Lippincott–Raven Publishers, Philadelphia, pp 55-0
  9.Brandstater ME. ?nme (2007) Rehabilitasyonu. In: Delisa JA, Aras?l T (eds). Fiziksek T?p ve Rehabilitasyon ?lkekeler ve Uygulamalar. Second Edititon.United States, Güne? T?p Kitapevi, pp 1655-676
  10.Linden D, Berlit P (1995) Sympathetic skin responses (SSRs) in monofocal braim lesions: topographical aspects of central sympathetic pathways. Acta Neurol Scand 91:372-76CrossRef PubMed
  11.Vetrugno R, Liguari R, Cortelli P, Montagna P (2003) Sympathetic skin response: basic mechanisms and clinical applications. Clin Auton Res 13:256-70CrossRef PubMed
  12.Korpelainen JT, Tolonen U, Sotaniemi KA, Myllyla VV (1993) Suppressed sympathetic skin response in brain infarction. Stroke 24:1389-392CrossRef PubMed
  13.Bordet R, Benhadjali J, Deste A, Hurtevent JF, Bourriez JL, Guieu JD (1996) Sympathetic skin response and R-R interval variability in multiple system atrophy and idiopathic Parkinson’s disease. Mov Disord 11:268-72CrossRef PubMed
  14.Muslumanoglu L, Akyuz G, Aki S, Karsidag S (2002) Evaluation of autonomic nervous system functions in post-stroke patients. Am J Phys Med Rehabil 81:721-25CrossRef PubMed
  15.Erciyas H, Topalkara K, Topakta? S, Akyüz G (1999) Suppression of cardiac parasympathetic functions in patients with right hemispheric stroke. Eur J Neurol 6:685-90CrossRef PubMed
  16.Sel?uk B, Atl? D, Kurtaran A, ?nan?r M, Akyüz M (2003) Serebrovasküler olay sonras? hemipleji geli?en hastalarda sempatik deri yan?tlar?. Türkiye Fiziksel T?p ve Rehabilitasyon dergisi 49 ?zel Say?
  17.Muslumanoglu L, Aki S, Turkdogan D, Us O, Akyuz G (2004) Involvement of Sympathetic Reflex Activity in Patients With Acute and Chronic Stroke: a Comparison With Functional Motor Capacity. Arch Phys Med Rehabi 85:470-73CrossRef
  18.Oh SJ (1993) Clinical electromyography: nerve conduction studies, 2nd edn. Williams & Wilkins, Baltimore
  19.Kimura J (1989) Elektrodiagnosis in disease of nerve and muscle: principles and practice. Oxford University Press, Baltimore
  20.Goodgold J (1988) Rehabilitation medicine. Mosby Company, The CV, pp 61-7
  21.Drory VE (1993) F-wave characteristics following acute and chronic upper motor neuron lesions. Electromyogr Clin Neurophysiol 33:441-46PubMed
  22.Fisher MA, Shahani BT, Young RR (1978) Assessing segmental excitability after acute rostral lesions. I. The F response. Neurology 28:1265-271CrossRef PubMed
  23.Leis AA, Stetkarova I, Beric A, Stokic DS (1996) The relative sensitivity of F wave and H reflex to changes in motoneuronal excitability. Muscle Nerve 19:1342-344CrossRef PubMed
  24.Morris A, Fisher MD (1992) AAEM minimonograph 13: H reflex and F waves: Physiology and clinical indications. Muscle Nerve 15:1223-233CrossRef
  25.Cho SH, Lee JH (2013) Comparison of the amplitudes of the H-reflex of post-stroke?hemiplegia patients and normal adults during walking. J Phys Ther Sci 25(6):729-32PubMed Central CrossRef PubMed
  26.Phadke CP, Robertson CT, Condliffe EG, Patten C (2012) Upper-extremity?H-reflex?measurement post-stroke: reliability and inter-limb differences. Clin Neurophysiol 123(8):1606-615CrossRef PubMed
  27.Benecke R, Berthold A, Conrad B (1983) Denervation activity in the EMG of patients with upper motor neuron lesions: time course, local distribution and pathogenetic aspects. J Neurol 230:143-51CrossRef PubMed
  
• 作者单位：Tuncay ?ak?r (1)
  Fatma Deniz Evcik (2)
  Volkan Suba?? (3)
  ümit Se?il Demirdal (4)
  Vural Kavuncu (5)
  
  1. Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
  2. Faculty of Medicine, Physical Medicine and Rehabilitation, Ankara University, Ankara, Turkey
  3. Physical Medicine and Rehabilitation, Private Ozgur Yasam Physical Medicine and Rehabilitation Center, GMK No:396, Mersin, Turkey
  4. Faculty of Medicine, Physical Medicine and Rehabilitation, Izmir Katip Celebi University, Izmir, Turkey
  5. Faculty of Medicine, Physical Medicine and Rehabilitation, Afyon Kocatepe University, Afyonkarahisar, Turkey
  
• 刊物主题：Neurosciences; Neurology; Neuroradiology; Medicine/Public Health, general;
• 出版者：Springer Milan
• ISSN：2240-2993

文摘

The purpose of the study was to evaluate the relationship between sympathetic skin responses (SSR), electrodiagnostic reflex activities (F wave, H reflex), and functional capacity in post-stroke patients. The study comprised 40 hemiplegia patients (mean age 57.8 ± 10.9 years) and 40 healthy volunteers (mean age 557 ± 85 years). In electrophysiological studies, SSR, F wave and H reflex were evaluated and for the functional capacities of patients, FIM scores and Brunnstrom stages were calculated. There was no statistical significant difference between SSR latency and amplitude in the hemiplegic and non-hemiplegic extremities of patients (p > 0.05). SSR latency values of patients were higher than those of controls (p < 0.05). Amplitude values of paretic arms were significantly lower than the control group extremities (p < 0.05). There was a significant correlation between SSR amplitude values and FIM scores. A significant increase in H _max/M _max amplitude rate was detected in the affected side (p < 0.05) and F-wave mean latency values of the affected side were found to be significantly lower in the control group (p < 0.05). Keywords Hemiplegia H reflex Electromyography Stroke Sympathetic nervous system