Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Anticipatory Postural Adjustment in Selected Trunk Muscles Associated With Voluntary Arm and Leg Movement in the Persons With Stoke

뇌졸중 환자에서 수의적인 상·하지 움직임 시 선택적인 체간 근육의 선행적 자세조절

  • Jung, Kyoung-Sim (Dept. of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Jung, Yi-Jung (Dept. of Physical Therapy, College of Health Welfare, Sahmyook University)
  • 정경심 (삼육대학교 대학원 물리치료학과) ;
  • 정이정 (삼육대학교 보건복지대학 물리치료학과)
  • Published : 2009.05.21
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Abstract

Anticipatory postural adjustments is an example of the ability of the central nervous system to predict the consequence of the mechanical effect of movement on posture and helps minimize a forth coming disturbance. The aim of this study was to evaluate the sequence of activation of the trunk muscles during the performance of hip and shoulder movement and to determine the relationship between anticipatory activity and subjects' motor and functional status in subjects with hemiplegia post stroke. Twenty-four poststroke hemiparetic patients enrolled in this study. Electromyographic activity of the lumbar erector spinae, latissimus dorsi, and of the obliquus internus muscles was recorded bilaterally during flexion of both arm and from the rectus abdominis, obliquus externus, and obliquus internus muscles during flexion of both hip. Onset latencies of trunk muscles were partially delayed in the subjects with hemiplegia post stroke (p<.05). With upper limb flexion, the onset of erector spinae muscle and latissimus dorsi muscle activity preceded the onset of deltoid on both side respectively (p<.05). A similar sequence of activation occurred with lower limb flexion. Also the onset of external oblique muscle and rectus abdominis muscle activity preceded the onset of rectus femoris muscle on both side (p<.05). Major impairments in the activity of trunk muscles in hemiparetic subjects were manifested in delayed onset between activation of pertinent muscular pairs. These problems were associated with motor and functional deficits and warrant specific consideration during physical rehabilitation of post stroke hemiparetic patients.

Keywords

References

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