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脊髓步行中枢模式发生器
引用本文:张缨,纪树荣.脊髓步行中枢模式发生器[J].中国康复理论与实践,2006,12(12):1017-1020.
作者姓名:张缨  纪树荣
作者单位:1. 首都医科大学康复医学院,北京市,100068
2. 首都医科大学康复医学院,北京市,100068;北京博爱医院,北京市,100068
摘    要:一般认为,哺乳动物(包括人在内)都是通过脊髓步行中枢模式发生器(CPG)控制步行运动,而CPG网络的边界是灵活的,脊髓损伤后脊髓步行CPG可实现网络重组。研究显示,减重步行平板训练(BWSTT)可使脊髓横断猫完全恢复后肢步行能力;临床也发现,脊髓损伤患者可通过BWSTT提高步行能力,表明脊髓可能具有运动学习的能力。因此,如何利用脊髓步行CPG的神经可塑性,为脊髓损伤患者制定最佳的步行训练方案,是令人关注的问题。

关 键 词:脊髓损伤  步行  中枢模式发生器  综述
文章编号:1006-9771(2006)12-1017-04
收稿时间:2006-07-26
修稿时间:2006年7月26日

Spinal Locomotor Pattern Generator (review)
ZHANG Ying,JI Shu-rong.Spinal Locomotor Pattern Generator (review)[J].Chinese Journal of Rehabilitation Theory and Practice,2006,12(12):1017-1020.
Authors:ZHANG Ying  JI Shu-rong
Abstract:It is generally accepted that locomotion in mammals, including humans, is based on the activity of neuronal circuits within the spinal cord (the central pattern generator, CPG). Recent studies indicate a plastic behavior of the spinal neuronal circuits following a spinal cord injuries (SCI). Studies have shown that body weight support treadmill training (BWSTT) is effective in restoring locomotor function in cats with a complete spinal lesion. It has become possible to regain some locomotor activity in patients with spinal cord injury through an intense training on BWSTT, as in cat. So, it is a staired problem how to take advantage of the plasticity of spinal locomotor pattern generator and design the gait training program for SCI patients.
Keywords:spinal cord injuries  locomotion  central pattern generator  review
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