KMID : 0357220100220040015
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Journal of Korean Society Physical Therapy 2010 Volume.22 No. 4 p.15 ~ p.20
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Changes in the Spinal Motor Neuron Excitability Depending on Postural Changes in Post Stoke Hemiplegics
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Park Young-Hyun
Kim Yong-Nam Kim Su-Hyeon Oh Seok Choi Ji-Ho Kim Tae-Yeol
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Abstract
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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.
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KEYWORD
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Loading, H-reflex, V wave, Stroke
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