뇌졸중 환자에서 경골신경 비복근 운동분지 알코올 차단 후 변화

Other Titles
The Changes after Alcohol Neurolysis of the Tibial Nerve Motor Branches to Gastrocnemius Muscles in Poststroke Patients
Authors
박기영노혜정김종민
Department
Dept. of Rehabilitation Medicine (재활의학)
Issue Date
2003
Citation
대한재활의학회지, Vol.27(4) : 545-550, 2003
ISSN
1225-584X
Abstract
Objective: To evaluate the effectiveness and electrophysiological changes after alcohol neurolysis of the tibial nerve motor branches to gastrocnemius muscles on the treatment of ankle spasticity in stroke patients. Method: Fourteen poststroke hemiplegic patients who had an abnormal gait pattern due to the ankle spasticity participated. They were evaluated by modified Ashworth scale (MAS) score, passive range of motion (PROM) of ankle, and ankle clonus, and were studied using electrophysiological measurements such as amplitude and latency of H-reflex and M response, and H/M ratio. 50% alcohol was injected into the tibial nerve motor branches to the both gastrocnemius muscles with electromyography guidance. Follow-up evaluations were performed immediately, and then, at the oneweek, one-month, and three-months following the neurolysis. Results: The MAS scores significantly decreased and the PROM of the ankle significantly increased. The M response and H-reflex amplitude of gastrocnemius muscles significantly decreased after the neurolysis and they had a tendency to increase at the 3-months follow-up. Also, H/M ratio significantly decreased. There were no serious postinjection complications. Conclusion: Alcohol neurolysis of the tibial nerve motor branches was an effective and safe method for the treatment of the ankle spasticity in poststroke hemiplegic patients.
Keywords
StrokeAlcohol neurolysisTibial nerveElectrophysiological study
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39456
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
Keimyung Author(s)
박기영
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