Author/Editor		Gregorič, M
Title		Nevrofiziološke in biomehanske preiskave v rehabilitaciji bolnikov z gibalnimi motnjami
Translated title		Neurophysiological and biomechanical investigations in rehabilitation of patients with movement disorderds
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 64, št. Suppl 1
Publication year		1995
Volume		str. I-31-I-35
Language		slo
Abstract		Background. Functional diagnostics of movement disorders by means of neurophysiological and biomechanical methods is important for selection and guidance of rehabilitation procedures and for evaluation of their effectiveness. This article presents a review of investigations which are most important for rehabilitation of patients with movement disorders and are used also in our institution. Methods. The electromyographic and related investigations are used for diagnosis of disorders of the peripheral nervous system and muscles and are important also for planning and following of some physical therapeutic procedures, for instance electrical neuromuscular stimulation. The investigations of sensory and motor evoked potentials allow an assessment of the integrity of the central neruous system structures and of conduction along the long pathways; the findings also have prognostic value. The characteristics of movements in isolated joints and the contractile muscle properties may be studied by a simultaneous use of electromyographic (dynamic or kinesiological EMG) and biomechanical methods. The measuring braces allow assessment of muscle strength and endurance during an isometric, isotonic or isokinetic contraction. The changes in muscle tone are evaluated as resistire torques on passive movements at individual joints. The functions of posture and static equilibrium are investigated by means of a force measuring platform (posturography, stabilometry). Special investigation methods are used for evaluation of the kinematic and kinetic values and EMG activity during gait. Conclusions. The neurophysiological and biomechanical assessment as used in planning and guiding the treatment procedures in rehabilitation, can significantly improve their effectiveness. It may also contribute to development of new therapeutic procedures and aids.
Descriptors		MOVEMENT DISORDERS ELECTROMYOGRAPHY EVOKED POTENTIALS MUSCLE CONTRACTION BIOMECHANICS GAIT POSTURE WALKING