"Importance of electromyography in the reconstructive surgery of the upper extremity"@en . "4"^^ . "55662" . "C\u00EDl studie: \u0160lacho-svalov\u00E9 transfery jsou u\u017E\u00EDv\u00E1ny v r\u00E1mci komplexn\u00EDho p\u0159\u00EDstupu v \u0159e\u0161en\u00ED spasticity. C\u00EDlem pr\u00E1ce je upozornit na rozd\u00EDlnou aktivaci jednotliv\u00FDch sval\u016F u spastick\u00E9 horn\u00ED kon\u010Detiny, a t\u00EDm nezbytnou nutnost realizovat funk\u010Dn\u00ED zhodnocen\u00ED pomoc\u00ED EMG p\u0159ed ka\u017Ed\u00FDm rekonstruk\u010Dn\u00EDm v\u00FDkonem. Soubor a metodika: V letech 2009-2012 bylo podrobn\u011B vy\u0161et\u0159eno 17 pacient\u016F v\u011Bkov\u00E9ho pr\u016Fm\u011Bru 34 (7-71) let, s d\u00E9lkou trv\u00E1n\u00ED spastick\u00E9 deformity ruky v pr\u016Fm\u011Bru 11 (3-24) let, se spasticitou horn\u00ED kon\u010Detiny, u nich\u017E byla pl\u00E1nov\u00E1na chirurgick\u00E1 rekonstrukce na p\u0159edlokt\u00ED. Pomoc\u00ED EMG byla hodnocena \u00FArove\u0148 aktivity t\u011Bchto sval\u016F v z\u00E1vislosti na poloze ruky, zapojen\u00ED p\u0159i \u00FAchopu a p\u0159i jeho uvoln\u011Bn\u00ED. C\u00EDlem chirurgick\u00E9ho v\u00FDkonu byla redukce spastick\u00FDch projev\u016F svalstva p\u0159edlokt\u00ED p\u0159i voln\u00EDm pohybu akra. V\u00FDsledky: Svaly p\u0159edlokt\u00ED, kter\u00E9 jsou u zdrav\u00E9 osoby agonistick\u00E9 \u010Di synergistick\u00E9 ke konkr\u00E9tn\u00EDmu pohybu akra, vykazovaly u spastick\u00E9ho syndromu vlastnosti antagonistick\u00E9ho svalu v 17% (dev\u011Bt sval\u016F) z celkov\u00E9ho po\u010Dtu 52 vy\u0161et\u0159en\u00FDch sval\u016F. U poloviny pacient\u016F (53 %) byl p\u0159\u00EDtomen alespo\u0148 jeden sval, kter\u00FD vykazoval vlastnosti antagonistick\u00E9ho svalu v\u016F\u010Di fyziologick\u00E9mu stavu. Z\u00E1v\u011Br: Spastick\u00E9 svaly se p\u0159i pohybech ruky aktivuj\u00ED u jednotliv\u00FDch nemocn\u00FDch v\u00FDrazn\u011B rozd\u00EDln\u00FDm zp\u016Fsobem, a to podle individu\u00E1ln\u00EDho pohybov\u00E9ho vzorce. Funk\u010Dn\u00ED zhodnocen\u00ED svalstva pomoc\u00ED EMG p\u0159ed rekonstruk\u010Dn\u00ED operac\u00ED poskytuje nezbytn\u00E9 informace, jak efektivn\u011B vyu\u017E\u00EDt projevy spasticity (kokontrakce, synkin\u00E9zy) v pozitivn\u00EDm efektu na \u00FAchopovou funkci ruky."@cs . "V\u00FDznam elektromyografie v chirurgick\u00E9 rekonstrukci spasticity horn\u00ED kon\u010Detiny"@cs . . "25520" . . "V\u00FDznam elektromyografie v chirurgick\u00E9 rekonstrukci spasticity horn\u00ED kon\u010Detiny" . . "1210-7859" . . . "V\u00FDznam elektromyografie v chirurgick\u00E9 rekonstrukci spasticity horn\u00ED kon\u010Detiny"@cs . "[1743870F2DCE]" . "Importance of electromyography in the reconstructive surgery of the upper extremity"@en . . . "P\u0159ikryl, P." . . "Dufek, J." . . . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . . "4"^^ . "1" . . "\u010Ci\u017Em\u00E1\u0159, I." . "Ehler, Edvard" . "CZ - \u010Cesk\u00E1 republika" . "RIV/00216275:25520/14:39898751" . "Aim of the study: Muscle-tendon transfers are used as part of a complex approach in management of spasticity. The aim of the study was to highlight varied activation of individual muscles in a spastic upper extremity, and to emphasise that it is absolutely necessary to implement a functional EMG assessment before each reconstructive intervention. Methodology: Between 2009 and 2012, a group of 17 patients with spasticity of the upper limb was scheduled for surgical reconstruction of the forearm. The mean age of the group was 34 (7-71) years, the mean duration of spastic deformity was 11 (3-24) years. Activity level of the muscles with respect to the position of the hand, involvement when gripping and releasing the grip was assessed using EMG. The aim of the surgery was to eliminate symptoms of spastic forearm muscles during volitional movement of the hand. Results: While in a healthy person, forearm muscles are agonistic or synergistic to a specific acral movements, the same muscles showed antagonistic muscle properties in 17% (nine muscles) of the 52 examined muscles of patients with the spastic syndrome. In half of the patients (53%), at least one muscle with antagonistic muscle characteristics - a reverse muscle - was present. Conclusion: During hand movement, there are significant differences between patients in how spastic muscles are activated, depending on individual movement paterns. Functional assessment of muscles before reconstructive surgery using EMG provides the necessary information on how to utilize spasticity symptoms (contraction, synkinesis) effectively to achieve a positive effect on the function of the hnad grip."@en . "1"^^ . . "I" . "RIV/00216275:25520/14:39898751!RIV15-MSM-25520___" . "tendon transfer; upper extremity; functional electromyography; elasticity"@en . "C\u00EDl studie: \u0160lacho-svalov\u00E9 transfery jsou u\u017E\u00EDv\u00E1ny v r\u00E1mci komplexn\u00EDho p\u0159\u00EDstupu v \u0159e\u0161en\u00ED spasticity. C\u00EDlem pr\u00E1ce je upozornit na rozd\u00EDlnou aktivaci jednotliv\u00FDch sval\u016F u spastick\u00E9 horn\u00ED kon\u010Detiny, a t\u00EDm nezbytnou nutnost realizovat funk\u010Dn\u00ED zhodnocen\u00ED pomoc\u00ED EMG p\u0159ed ka\u017Ed\u00FDm rekonstruk\u010Dn\u00EDm v\u00FDkonem. Soubor a metodika: V letech 2009-2012 bylo podrobn\u011B vy\u0161et\u0159eno 17 pacient\u016F v\u011Bkov\u00E9ho pr\u016Fm\u011Bru 34 (7-71) let, s d\u00E9lkou trv\u00E1n\u00ED spastick\u00E9 deformity ruky v pr\u016Fm\u011Bru 11 (3-24) let, se spasticitou horn\u00ED kon\u010Detiny, u nich\u017E byla pl\u00E1nov\u00E1na chirurgick\u00E1 rekonstrukce na p\u0159edlokt\u00ED. Pomoc\u00ED EMG byla hodnocena \u00FArove\u0148 aktivity t\u011Bchto sval\u016F v z\u00E1vislosti na poloze ruky, zapojen\u00ED p\u0159i \u00FAchopu a p\u0159i jeho uvoln\u011Bn\u00ED. C\u00EDlem chirurgick\u00E9ho v\u00FDkonu byla redukce spastick\u00FDch projev\u016F svalstva p\u0159edlokt\u00ED p\u0159i voln\u00EDm pohybu akra. V\u00FDsledky: Svaly p\u0159edlokt\u00ED, kter\u00E9 jsou u zdrav\u00E9 osoby agonistick\u00E9 \u010Di synergistick\u00E9 ke konkr\u00E9tn\u00EDmu pohybu akra, vykazovaly u spastick\u00E9ho syndromu vlastnosti antagonistick\u00E9ho svalu v 17% (dev\u011Bt sval\u016F) z celkov\u00E9ho po\u010Dtu 52 vy\u0161et\u0159en\u00FDch sval\u016F. U poloviny pacient\u016F (53 %) byl p\u0159\u00EDtomen alespo\u0148 jeden sval, kter\u00FD vykazoval vlastnosti antagonistick\u00E9ho svalu v\u016F\u010Di fyziologick\u00E9mu stavu. Z\u00E1v\u011Br: Spastick\u00E9 svaly se p\u0159i pohybech ruky aktivuj\u00ED u jednotliv\u00FDch nemocn\u00FDch v\u00FDrazn\u011B rozd\u00EDln\u00FDm zp\u016Fsobem, a to podle individu\u00E1ln\u00EDho pohybov\u00E9ho vzorce. Funk\u010Dn\u00ED zhodnocen\u00ED svalstva pomoc\u00ED EMG p\u0159ed rekonstruk\u010Dn\u00ED operac\u00ED poskytuje nezbytn\u00E9 informace, jak efektivn\u011B vyu\u017E\u00EDt projevy spasticity (kokontrakce, synkin\u00E9zy) v pozitivn\u00EDm efektu na \u00FAchopovou funkci ruky." . "V\u00FDznam elektromyografie v chirurgick\u00E9 rekonstrukci spasticity horn\u00ED kon\u010Detiny" . .