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Volume 28, Issue 10
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1991 Volume 28 Issue 10 Pages 755-759
Published: October 18, 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSDownload PDF (3303K) -
[in Japanese]1991 Volume 28 Issue 10 Pages 765-773
Published: October 18, 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSDownload PDF (1506K) -
[in Japanese]1991 Volume 28 Issue 10 Pages 774-778
Published: October 18, 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSDownload PDF (809K) -
Meigen LIU, Morimasa TAKAHASHI, Shigeru SONODA, Tomoyuki NAKAGAWA, Nao ...1991 Volume 28 Issue 10 Pages 779-786
Published: October 18, 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSThe problem of osteoporosis was studied in sixty-two hemiplegics with a mean age of 63.5 years old and median duration of illness of 8.0 months (1 to 144 months). Systemic osteoporosis was examined by means of quantitative CT evaluation of bone mineral content (q-CT) of the third lumbar vertebra. Local osteoporosis of the hand and femoral neck was evaluated by microdensitometry method of the second metacarpal bone (MD method) and Singh index respectively. The following results were obtained.
1) The bone mineral content of the third lumbar vertebra as evaluated by q-CT was decreased in 17% of cases when compared to normal values. On the basis of multiple regression analysis, it was significantly correlated with age, but not with sex, degree of motor paralysis, duration of illness, mental scale and Barthel index.
2) The number of cases with smaller MCI and ΣGS/D (the parameters of osteoporosis in MD method) on the affected side as compared to the sound side was significantly greater in cases with severe paralysis of the hand.
3) Singh index was smaller on the affected side than on the sound side in cases with moderate to severe paralysis of the lower extremity.
Our study confirmed the presence of local osteoporosis on the affected side of the hemiplegics, which was related to the degree of motor impairment. Further study is needed to clarify the mechanism of osteoporosis in the hemiplegics and its therapeutic implications.View full abstractDownload PDF (1209K) -
Tomihiro IMAI, Ryoji MINAMI, Hiroyuki MATSUMOTO1991 Volume 28 Issue 10 Pages 787-790
Published: October 18, 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSF waves were recorded from the thenar and hypothenar muscles by the stimulation of the median and ulnar nerves at the elbow in 11 patients with Werdnig-Hoffmann disease (7 with functional motor level 1 (L1), 4 with the level 0 (L0)) and 25 normal subjects. F waves were analysed with regard to the frequency of appearance and the amplitude. F wave conduction velocity (FCV) from the cervical cord to the elbow was also measured. The following results were obtained; In Werdnig-Hoffmann disease the frequency of F wave appearance, and the amplitude of M and F waves were reduced as compared with normal subjects. With deteriorating the functional motor level, however, the amplitude of M and F waves significantly decreased in L0 than in L1. Knowing the above characteristics of the F wave, F wave analysis is recommended as a complimentary testing procedure to assess the functional motor level of Werdnig-Hoffmann disease.View full abstractDownload PDF (682K) -
1991 Volume 28 Issue 10 Pages 791
Published: 1991
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSDownload PDF (111K)
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