Force regulation is deficient in patients with parietal lesions: a system-analytic approach

H.-Ch. Scholle , U. Bradl , H. Hefter , Ch. Dohle , H.-J. Freund
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引用次数: 10

Abstract

By means of a quantitative system-analytic investigation strategy, the postural motor control of the fingers was evaluated, to characterise the possible deficit of force regulation in patients with parietal lesions. In spite of a normal response to short torque pulses, the parietal-lesion patients had difficulties in returning to the preload level after the application of an additional step torque load to fingers II–IV of their left or right hands. The control offset (measured 500 ms after step torque application) was significantly larger in the patient group. This deficit in the investigated patients with parietal lesions to compensate for step torque loads was not due to a paresis, but rather resulted from a disturbance in the generation of a sufficient counterforce against the applied step torque within an adequate time window and motor pattern. This distinct force-regulation deficit was found in patients with left- and right-sided parietal lesions.

力调节是缺乏患者顶骨病变:一个系统分析的方法
通过定量系统分析调查策略,评估了手指的姿势运动控制,以表征顶骨病变患者可能存在的力调节缺陷。尽管对短扭矩脉冲的反应正常,但顶骨病变患者在左手或右手的手指II-IV上施加额外的步进扭矩负荷后,很难恢复到预负荷水平。对照组偏移量(步进扭矩施加后500 ms测量)在患者组中明显更大。在研究的顶叶病变患者中,这种补偿台阶扭矩负荷的缺陷不是由于麻痹,而是由于在足够的时间窗口和运动模式内产生足够的反作用力以对抗施加的台阶扭矩的干扰。这种明显的力调节缺陷在左侧和右侧顶叶病变患者中发现。
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