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NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS
Official Journal of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics
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Search Results for “search_doc_txt.php” – NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS
Search in texts for 'muscle weakness' - Neurosonology.net'
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muscle weakness
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1.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 7, 2011, No. 2
,
,
,
The contemporary approach regarding the hereditary neuromuscular disorders (Duchenne/ Becker muscular dystrophy, myotonic dystrophies, Pompe disease, mitochondrial myopathies, hereditary inclusion body myopathy ect.) is multidisciplinary due to the multisystem involvement of these diseases, characterized by progressive
muscle
weakness
, cardiomyopathy and respiratory insufficiency.
The contemporary approach regarding the hereditary neuromuscular disorders (Duchenne/ Becker muscular dystrophy, myotonic dystrophies, Pompe disease, mitochondrial myopathies, hereditary inclusion body myopathy ect.) is multidisciplinary due to the multisystem involvement of these diseases, characterized by progressive muscle weakness, cardiomyopathy and respiratory insufficiency.
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Axial
muscle
weakness
with difficulties in getting up from lying position.
revealed myopathic syndrome, more pronounced for the distal muscles of the four extremities with relatively spared function of m. quadriceps femoris. MRC scale: Flexors, extensors, abductors, adductors of the shoulder 4/5, flexors, extensors in the elbow 4/5, suppinators and pronators in the elbow 4-/5, extensors of the wrist 4-5, mm. interossei palmares and dorsales 3/5, flexors, extensors, abductors and adductors of the thumb 3-/5, extensors of the fingers 3-/5, flexors of the fingers 3/5. Flexors, extensors, abductors in the hip joints 3+/5, flexors 4/5 in the knee joint and extensors 5/5 in the knee joint, right ankledorsiflexors1+/5,leftankledorsiflexors 1/5, ankle plantar flexors 2-/5, toe flexors, dorsiflexrs of toes 2/5.
Axial muscle weakness with difficulties in getting up from lying position.
Areflexia for the achilles tendon reflexes and hyporeflexia for the stiloradial reflexes and preserved patellar, biceps and triceps tendon reflexes. The gait was steppage. Lumbal hyperlordosis and bilateral hypotrophy of distal limb muscles were observed. The coordination and sensory systems, blooder and cognitive functions were preserved.
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2.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 8, 2012, No. 1
,
,
,
Manual
muscle
testing showed distal
muscle
weakness
of four limbs (interossei dorzales and palmares 4/5, flexor, extensor, abductor and adductor of the thumb 4/5, dorsal flexors of ankle joint 0/5, plantar flexors of ankle joint 4/ 5 , flexor, extensor of the thumb and fingers 3/5).
Neurological examination found a polyneuropathic syndrome, more severe in the legs bilateral peroneal paralysis, tibial paresis, slapping gait, tendon areflexia on four legs, paresthesia and pain in feet, distal hypoesthesia for superficial and deep sensibility in lower limbs.
Manual muscle testing showed distal muscle weakness of four limbs (interossei dorzales and palmares 4/5, flexor, extensor, abductor and adductor of the thumb 4/5, dorsal flexors of ankle joint 0/5, plantar flexors of ankle joint 4/ 5 , flexor, extensor of the thumb and fingers 3/5).
Hypotrophy of thigh muscles (Fig. 1), thenar, hypothenar and interossei, left Achilles tendon contractures and
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3.
NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 13, 2017, No. 2
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,
,
Signs and symptoms of peripheral neuropathy are often worse at night, and may include: numbness or reduced ability to feel pain or temperature changes; a tingling or burning sensation; sharp pains or cramps; increased sensitivity to touch for some people, even the weight of a bed sheet can be agonizing;
muscle
weakness
; loss of reflexes, especially Achilles’; loss of balance and coordination; serious foot problems, such as ulcers, infections, deformities, and bone and joint pain [12].
Diabetic neuropathy (DN) is the most frequent complication. It affects 22,5% то 28,5% of all diabetic patients worldwide, and on national scale the morbidity reaches 50-70% of the affected patients [14]. Тhe feet and legs are often affected first, followed by hands and arms.
Signs and symptoms of peripheral neuropathy are often worse at night, and may include: numbness or reduced ability to feel pain or temperature changes; a tingling or burning sensation; sharp pains or cramps; increased sensitivity to touch for some people, even the weight of a bed sheet can be agonizing; muscle weakness; loss of reflexes, especially Achilles’; loss of balance and coordination; serious foot problems, such as ulcers, infections, deformities, and bone and joint pain [12].
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A study on the strength of extensors and flexors of the knee and ankle joints found that
muscle
weakness
was linked to the severity of neuropathy and disturbed the pattern of walking of the patients [29].
A major problem with patients with DN is the motor dysfunction.
A study on the strength of extensors and flexors of the knee and ankle joints found that muscle weakness was linked to the severity of neuropathy and disturbed the pattern of walking of the patients [29].
To improve
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In patients with DN, balance is impaired as a result of sensory disturbances that are largely offset by the visual analyzer and impaired biomechanical balance factors (center of gravity, line of gravity, weight-bearing area and stability limits), due to
muscle
weakness
in the distal parts of the lower limbs, decreased movement of the ankle joint and pain [17].
In patients with DN, balance is impaired as a result of sensory disturbances that are largely offset by the visual analyzer and impaired biomechanical balance factors (center of gravity, line of gravity, weight-bearing area and stability limits), due to muscle weakness in the distal parts of the lower limbs, decreased movement of the ankle joint and pain [17].
Based on the indicated static balance disturbances, the principal recommendations for PT effect on sensory ataxia in neuropathy are aimed at improving proprioreception by excluding or destabilizing the visual analyzer when the patient is standing on a solid basis [9].
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morning. Ptosis, diplopia, difficulty speaking, chewing and swallowing, nasal speech, and
muscle
weakness
in upper and lower extremities developed later on.
morning. Ptosis, diplopia, difficulty speaking, chewing and swallowing, nasal speech, and muscle weakness in upper and lower extremities developed later on.
Neurorehabilitation is appointed for a 6-week period at home. The complex includes medication therapy with Prostigmin (15 mg per os) and corticosteroids. The kinesitherapy is performed 3 times a week for one hour, with medium intensity, rest between the separate exercises, without reaching tiredness. Breathing exercises, passive/active exercises, analytical exercises for upper and lower extremities, exercises for improvement of muscle strength, balance and coordination in siting and standing exercises and massages are also used. Muscle weakness tests (MMT), measuring the volume of muscles, Bal’s score of subjective pain complains, and squats per minute are used to follow the effect of the applied therapy.
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Muscle
weakness
tests (MMT), measuring the volume of muscles, Bal’s score of subjective pain complains, and squats per minute are used to follow the effect of the applied therapy.
morning. Ptosis, diplopia, difficulty speaking, chewing and swallowing, nasal speech, and muscle weakness in upper and lower extremities developed later on. Neurorehabilitation is appointed for a 6-week period at home. The complex includes medication therapy with Prostigmin (15 mg per os) and corticosteroids. The kinesitherapy is performed 3 times a week for one hour, with medium intensity, rest between the separate exercises, without reaching tiredness. Breathing exercises, passive/active exercises, analytical exercises for upper and lower extremities, exercises for improvement of muscle strength, balance and coordination in siting and standing exercises and massages are also used.
Muscle weakness tests (MMT), measuring the volume of muscles, Bal’s score of subjective pain complains, and squats per minute are used to follow the effect of the applied therapy.
The changes in patient’s motor activities are checked twice at home.
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Measuring the
muscle
volume in centimeters and the
muscle
weakness
by MMT show improvement of
muscle
volume and strength, due to the systematic kinesitherapy and strength exercises for upper and lower extremities.
Measuring the muscle volume in centimeters and the muscle weakness by MMT show improvement of muscle volume and strength, due to the systematic kinesitherapy and strength exercises for upper and lower extremities.
The score of subjective complains is lower with decreasing the pain, and the results in the test of squats per minute are significantly improved due to the improved strength of the lower extremities.
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kinesitherapy, myasthenia gravis,
muscle
weakness
, neurorehabilitation.
kinesitherapy, myasthenia gravis, muscle weakness, neurorehabilitation.
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