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뇌졸중 환자에서 경골신경 비복근 운동분지 알코올 차단 후 변화

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Author(s)
박기영노혜정김종민
Keimyung Author(s)
Park, Gi Young
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
대한재활의학회지
Issued Date
2003
Volume
27
Issue
4
Keyword
StrokeAlcohol neurolysisTibial nerveElectrophysiological study
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.
Alternative Title
The Changes after Alcohol Neurolysis of the Tibial Nerve Motor Branches to Gastrocnemius Muscles in Poststroke Patients
Keimyung Author(s)(Kor)
박기영
Publisher
School of Medicine
Citation
박기영 et al. (2003). 뇌졸중 환자에서 경골신경 비복근 운동분지 알코올 차단 후 변화. 대한재활의학회지, 27(4), 545–550.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39456
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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