Literatur
O’Dwyer NJ, Ada L (1996) Reflex hyperexcitability and muscle contracture in relation to spastic hypertonia. Curr Opin Neurol 9:451–455
Dietz V (2002) Proprioception and locomotor disorders. Nat Rev Neurosci 3:781–790
Ibrahim IK, Berger W, Dietz V (1993) Stretch- induced electromyographic activity and torque in spastic elbow muscles. Brain 116:971–989
Dietz V, Quintern J, Berger W (1981) Electrophysiological studies of gait in spasticity and rigidity. Brain 104:431–449
Kloter E, Wirz M, Dietz V (2011) Locomotion in stroke subjects: interactions between unaffected and affected sides. Brain 134:721–731
Dietz V, Sinkjaer T (2007) Spastic movement dis- order: impaired reflex function and altered muscle mechanics. Lancet Neurol 6:725–733
Beauparlant J, van den Brand R, Barraud Q et al (2013) Undirected compensatory plasticity contributes to neuronal dysfunction after severe spinal cord injury. Brain 136:3347–3361
Dietz V, Colombo G, Jensen L, Baumgartner L (1995) Locomotor capacity of spinal cord in paraplegic patients. Ann Neurol 37:574–582
Dietz V, Fouad K (2013) Restoration of sensori- motor functions after spinal cord injury. (Review). Brain 137:654–667
Dietz V, Sinkjaer T (2020) Secondary changes after damage of the central nervous system: significance of spastic muscle tone in rehabilitation. In: Dietz V, Ward N (Hrsg) Oxford textbook of neurorehabilitation, 2. Aufl. (chapter 9)
Riener R, Lünenburger L, Maier IC et al (2010) Locomotor training in subjects with sensori-motor deficits: an overview of the robotic gait orthosis Lokomat. J Healthc Engin 1:197–216
Dietz V, Müller R (2004) Degradation of neuronal function following a spinal cord injury: mechanisms and countermeasures. Brain 127:2221–2231
Dietz V, Grillner S, Trepp A et al (2009) Changes in spinal reflex and locomotor activity after complete spinal cord injury: a common mechanism? Brain 132:2196–2205
Dietz V (2013) Klinik der Spastik-spastische Bewegungsstörung. Nervenarzt 84:1508–1511
Dietz V, Schöls L (2018) Syndrom der spastischen Parese und spastische Spinalparalysen. In: Diener HC, Dietrich M, Gerloff C (Hrsg) Therapie und Verlauf neurologischer Erkrankungen, 7. Aufl. Kohlhammer, Stuttgart, S 1246–1258
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Dieser Leserbrief beruht in wesentlichen Teilen auf einem Beitrag für Pharma Fokus ZNS: Dietz V (2014) Pathophysiologie der Spastik: Konsequenzen für die Therapie. 11:48–50. Der Beitrag wurde gekürzt, aktualisiert und im Hinblick auf die Leitlinie „Therapie des spastischen Syndroms“ überarbeitet.
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Dietz, V. Das spastische Syndrom: Therapie gesteigerter Reflexe?. DGNeurologie 3, 96–99 (2020). https://doi.org/10.1007/s42451-019-00137-w
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DOI: https://doi.org/10.1007/s42451-019-00137-w