Characteristics of motor disturbance in Parkinson's disease and strategies for movement rehabilitation

被引:57
作者
Morris, ME
Iansek, R
机构
[1] LA TROBE UNIV,SCH PHYSIOTHERAPY,BUNDOORA,VIC 3083,AUSTRALIA
[2] LA TROBE UNIV,SCH BEHAV HLTH SCI,BUNDOORA,VIC 3083,AUSTRALIA
关键词
Parkinson's disease; physical therapy; rehabilitation; movement disorders;
D O I
10.1016/0167-9457(96)00020-6
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Recent advances in the fields of cerebral blood flow analysis, single cell brain recordings and human motor performance have elaborated the unique characteristics of movement disturbance in Parkinson's disease. These lines of research suggest that the basal ganglia have two major functions in motor control. The first is concerned with the maintenance of preparedness for movement, known as 'motor set'. The second function is the provision of internal motor cues which act to trigger submovements in well learned sequences. Disturbance to these mechanisms leads to the classic hallmarks of Parkinson's disease: hypokinesia, akinesia, rigidity and tremor. Knowledge of the motor control mechanisms associated with these movement disorders is used as a theoretical basis for movement rehabilitation strategies in Parkinson's disease.
引用
收藏
页码:649 / 669
页数:21
相关论文
共 83 条
[31]  
HARRINGTON DL, 1991, BRAIN, V114, P99
[32]   REACTION-TIMES IN PARKINSON DISEASE [J].
HEILMAN, KM ;
BOWERS, D ;
WATSON, RT ;
GREER, M .
ARCHIVES OF NEUROLOGY, 1976, 33 (02) :139-140
[33]  
Hurwitz A, 1989, J Neurosci Nurs, V21, P180
[34]  
IANSEK R, 1995, MOTOR CONTROL SENSOR
[35]   SIMPLE AND CHOICE REACTION-TIME AND THE USE OF ADVANCE INFORMATION FOR MOTOR PREPARATION IN PARKINSONS-DISEASE [J].
JAHANSHAHI, M ;
BROWN, RG ;
MARSDEN, CD .
BRAIN, 1992, 115 :539-564
[36]  
KINSMAN R, 1986, PHYSIOTHERAPY, V72, P385
[37]  
KNOTT M, 1957, Phys Ther Rev, V37, P229
[38]   ANALYSIS OF PARKINSONIAN GAIT [J].
KNUTSSON, E .
BRAIN, 1972, 95 :475-&
[39]  
KOLLER WC, 1989, CLIN NEUROPHARMACOL, V12, P98
[40]  
Lohr J.B., 1987, Movement disorders: A neuropsychiatric approach