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Changes in the Spinal Motor Neuron Excitability Depending on Postural Changes in Post Stoke Hemiplegics  

Park, Young-Hyun (Department of Physical Therapy, Chun-buk National University Hospital)
Kim, Yong-Nam (Department of Physical Therapy, Nambu University)
Kim, Su-Hyon (Department of Physical Therapy, Graduate School)
Oh, Seok (Department of Physical Therapy, Graduate School)
Choi, Ji-Ho (Department of Physical Therapy, Graduate School)
Kim, Tae-Youl (Department of Physical Therapy, Dongshin University)
Publication Information
The Journal of Korean Physical Therapy / v.22, no.4, 2010 , pp. 15-20 More about this Journal
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, $H_{max}/M_{max}$ ratio, $V_{max}/M_{max}$ ratio) was tested using the Kolmogorov-Smirnov test. The means of normally distributed continuous data were assessed by independent t-test (${\alpha}$=0.05). Results: There were statistically significant differences in $H_{max}/M_{max}$ ratio (p<0.01), $V_{max}/M_{max}$ 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.
Keywords
Loading; H-reflex; V wave; Stroke;
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