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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