title: [Forced imitative synkinesis as an approach to rehabilitation in central hemiparesis].
abstract: With the aid of EMG registrations the author investigated the possibility of using imitational synkinesia (from the normal hand to the affected) in a rehabilitative training of patients with postapopleptic hemiparesis and hemiplegia. A total of 50 individuals were studied (20 normals and 30 patients with hemiparesis). After bioelectrical activity registration in an attempt to make a maximum voluntary flexion or extension of the paretic hand the examinec were to make a combined attempt of voluntary movements at a command and pathological synkinesia of the same type. This synkinesia was forced, i. e. called by a maximum by strength muscular contraction of the normal hand (against resistance). EMG permitted in some cases to overcome the global synkinesia (a posture-statical and nonadaptive by character) by imitational (kinetic). If this effect was not seen the use of this method was considered purposeless. The proposed method is desinhibition of structures with a deficit of excitation, a contralateral alleviation and a new organization of movements, appearing as a result of conditioned combinations.
mesh_terms: D000368:Aged; D004576:Electromyography; D006429:Hemiplegia / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Forsirovannye imitatsionnye sinkinezii kak priem vosstanovitel'noĭ terapii pri tsentral'nykh gemiparezakh.