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首页> 外文期刊>Journal of NeuroEngineering Rehabilitation >Transient changes in paretic and non-paretic isometric force control during bimanual submaximal and maximal contractions
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Transient changes in paretic and non-paretic isometric force control during bimanual submaximal and maximal contractions

机译:在Bimanual Subsaximal和最大收缩期间静脉分析和非剖视等距控制的瞬态变化

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The purpose of this study was to investigate transient bimanual effects on the force control capabilities of the paretic and non-paretic arms in individuals post stroke across submaximal and maximal force control tasks. Fourteen chronic stroke patients (mean age?=?63.8?±?15.9; stroke duration?=?38.7?±?45.2?months) completed two isometric force control tasks: (a) submaximal control and (b) maximal sustained force production. Participants executed both tasks with their wrist and fingers extending across unimanual (paretic and non-paretic arms) and bimanual conditions. Mean force, force variability using coefficient of variation, force regularity using sample entropy were calculated for each condition. During the submaximal force control tasks (i.e., 5, 25, and 50% of maximum voluntary contraction), the asymmetrical mean force between the paretic and non-paretic arms decreased from unimanual to bimanual conditions. The asymmetry of force variability and regularity between the two arms while executing unimanual force control tended to decrease in the bimanual condition because of greater increases in the force variability and regularity for the non-paretic arm than those for the paretic arm. During the maximal sustained force production tasks (i.e., 100% of maximum voluntary contraction), the paretic arm increased maximal forces and decreased force variability in the bimanual condition, whereas the non-paretic arm reduced maximal forces and elevated force variability from unimanual to bimanual conditions. The current findings support a proposition that repetitive bimanual isometric training with higher execution intensity may facilitate progress toward stroke motor recovery.
机译:本研究的目的是研究瞬态生理对突出和最大力量控制任务的个体后脑卒中中的瘫痪和非剖面臂的力量控制能力。十四次慢性卒中患者(平均年龄?= 63.8?±15.9;行程持续时间?=?38.7?±45.2个月)完成了两个等距力控制任务:(a)潜水控制和(b)最大持续力量生产。与会者的手腕和手指在不一致(窥探和非瘫痪臂)和生物条件下延伸。根据每个条件计算使用变异系数的力变异性,使用样品熵的力规律性。在潜水力控制任务(即5,25和50%的最大自愿收缩)期间,瘫痪和非瘫痪臂之间的不对称平均力从不那么增加到生理条件下降。两个臂之间的力变异性和规律性的不对称性,同时执行单个力量控制倾向于减小了生理条件,因为非瘫痪臂的力变异性和规则性比渐进式臂的力量更大增加。在最大持续的力量生产任务(即,最大自愿收缩的100%)中,静脉臂增加最大力并降低了生理条件的迫使变异性,而非剖视臂降低最大力,从不那么自我造成的力量减少和升高的力变异性状况。目前的调查结果支持一个主题,即具有较高执行强度的重复的Bimanual等距训练可以促进行程电动机恢复的进展。

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