Titlebook: Spasticity; Mechanisms and Manag A. F. Thilmann,David James Burke,William Zev Rymer Conference proceedings 1993 Springer-Verlag Berlin Heid

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Discussion Summarychange with time. Certainly, the magnitude of strength changes with time. Additionally, with the passage of time, there might be confounding changes such as patterns of disuse and deconditioning. Dr. Gandevia noted that while patients in his studies had been seen from 2 weeks to 2 years following th

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Discussion Summarye. The EMG did not distinguish brachioradialis or brachialis from biceps brachii. No attempt was made to investigate alternating movements, but Fellows commented that unidirectional movements about the elbow include a component of reaching or retrieving.

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Discussion Summaryon, depend on task-dependent feedback from muscle, skin, and other receptors was pointed out by Dr. D. Burke. Attention was also drawn by Dr. S. Miller and Dr. H. Hultborn to the occurrence of parallel actions of corticospinal neurons: by directly exciting motoneurons and by selecting reflex neuronal systems most appropriate to the task.

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Factors Underlying Abnormal Posture and Movement in Spastic Hemiparesisgns are treated effectively, or when they resolve spontaneously, the resulting incoordination and motor impairment is still severe. It is therefore likely that in many hemiparetic stroke subjects, neither increases in muscle tone nor muscular weakness are the primary sources of movement dysfunction or of their global disability.

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ork has been based on new insights from animal experiments into the basis of normal motor control and the development of experimental techniques that could be used in patients with neurological disturbances. For this reason, on the initiative of Alfred Thilmann, the editors of this volume organized