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Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle

机译:帕金森氏硬度显示出取决于肘关节角度的可变属性

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Parkinsonian rigidity has been thought to be constant through a full range of joint angle. The aim of this study was to perform a detailed investigation of joint angle dependency of rigidity. We first measured muscle tone at the elbow joint in 20 healthy subjects and demonstrated that an angle of approximately 60° of flexion marks the division of two different angle-torque characteristics. Then, we measured muscle tone at the elbow joint in 24 Parkinson’s Disease (PD) patients and calculated elastic coefficients in flexion and extension in the ranges of 10°–60° (distal) and 60°–110° (proximal). Rigidity as represented by the elastic coefficient in the distal phase of elbow joint extension was best correlated with the UPDRS rigidity score (). A significant difference between the UPDRS rigidity score 0 group and 1 group was observed in the elastic coefficient in the distal phase of extension (), whereas no significant difference was observed in the proximal phase of extension and in each phase of flexion. Parkinsonian rigidity shows variable properties depending on the elbow joint angle, and it is clearly detected at the distal phase of elbow extension.
机译:帕金森氏刚度在整个关节角度范围内都是恒定的。这项研究的目的是对刚性的关节角度依赖性进行详细的研究。我们首先在20位健康受试者的肘关节中测量了肌张力,并证明了大约60°的屈曲角度标志着两种不同角度-扭矩特性的划分。然后,我们测量了24名帕金森氏病(PD)患者的肘关节肌肉张力,并计算了屈曲和伸展的弹性系数在10°–60°(远端)和60°–110°(近端)范围内。肘关节伸展远端阶段的弹性系数代表的刚度与UPDRS刚度评分()最好相关。 UPDRS刚度评分0组和1组之间在伸展的远端阶段的弹性系数()观察到显着差异,而在伸展的近端阶段和每个屈曲阶段均未观察到显着差异。帕金森氏硬度显示出取决于肘关节角度的可变属性,并且在肘延伸的远端阶段可以清楚地检测到。

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