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Evaluation of EMG Methods used in the Diagnosis of Central Motor Disturbances

 

作者: W.G. Buist,   S.L. Visser,   J.F. Folkerts,  

 

期刊: European Neurology  (Karger Available online 1972)
卷期: Volume 8, issue 5  

页码: 270-285

 

ISSN:0014-3022

 

年代: 1972

 

DOI:10.1159/000114586

 

出版商: S. Karger AG

 

关键词: Electromyography;Supranuclear lesions;Spasticity;Parkinson syndrome;Vibrations reflex;H reflex;Silent period

 

数据来源: Karger

 

摘要:

The literature lists a number of methods of EMG examination which afford information on supranuclear motor disturbances. A number of these tests were selected for further evaluation. These tests yielded 24 EMG variables. Three groups of test subjects were studied: 39 normal test subjects, 27 patients with spastic syndrome and 23 patients with a Parkinson syndrome. Efforts were made to establish which EMG tests can contribute to differentiation of these three categories. The following test battery yielded sufficient relevant information: (a) testing the KJR, ATR and HR, using skin electrodes; (b) testing an agonist and antagonist at relaxation and slow passive stretching, using needle electrodes; (c) if necessary, supplementary testing of the vibration reflex. Spastic patients show an increased KJR with Jendrassik (m 4.6 mV), A/M quotient (m 0.31), H/M quotient (m 0.50), and usually a positive stretch reflex; the vibration reflex is diminished (m 8.2°). Parkinson patients show no electrical silence at relaxation but spontaneous action potentials, irregular groups of action potentials and/or tremor (frequency m 4.6/sec), and usually a positive stretch reflex

 

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