期刊
MUSCLE & NERVE
卷 24, 期 5, 页码 673-681出版社
JOHN WILEY & SONS INC
DOI: 10.1002/mus.1054
关键词
coactivation; fingers; reciprocal inhibition; stroke; voluntary control
Subjects with chronic hemiplegia following stroke attempted to perform voluntary isometric, isokinetic, and free contractions of the extensor muscles of the metacarpophalangeal (MCP) joints. We recorded torque, metacarpophalangeal joint angle and velocity, and electromyographic (EMG) activity of the extrinsic extensors and flexors and the first dorsal interosseous (FDI), We found that voluntary MCP joint extension in hemiparetic subjects was greatly impaired in comparison with control subjects: only two of the 11 stroke subjects were able to generate even 0.21 N-m of isometric extension torque, only two could produce positive finger extension with no load, and none could develop an isokinetic concentric extension. Deficits seemed to result from a combination of coactivation of the finger flexor and extensor muscles and decreased voluntary excitation of the extensors, as normalized flexor and FDI EMG activity were greater for stroke than for control subjects (P < 0,001), but normalized extensor activity was reduced (P < 0,001), (C) 2001 John Wiley & Sons, Inc.
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