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KMID : 0357220100220040015
Journal of Korean Society Physical Therapy
2010 Volume.22 No. 4 p.15 ~ p.20
Changes in the Spinal Motor Neuron Excitability Depending on Postural Changes in Post Stoke Hemiplegics
Park Young-Hyun

Kim Yong-Nam
Kim Su-Hyeon
Oh Seok
Choi Ji-Ho
Kim Tae-Yeol
Abstract
Purpose: The purpose of this study was to measure changes in the H-reflex and V wave under loading conditions (e.g. prone and standing position) and to investigate whether postural change would affect the H-reflex and V wave in post stroke hemiplegic patients.

Methods: Thirty persons with hemiplegia resulting from stroke (20 males, 10 females) participated in this study. Electromyography (EMG) was used to electrically stimulate and record the soleus H-reflexes and V waves under various loading conditions. The normality of the distribution of each variable (H latency, ratio, ratio) was tested using the Kolmogorov-Smirnov test. The means of normally distributed continuous data were assessed by independent t-test (=0.05).

Results: There were statistically significant differences in ratio (p<0.01), ratio (p<0.01), H latency (p<0.01) among the prone and standing position.

Conclusion: We found that the H-reflex and V wave in standing position was more active to weight bearing load than prone position.
KEYWORD
Loading, H-reflex, V wave, Stroke
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