Literature DB >> 15003755

The effects of repetitive proprioceptive stimulation on corticomotor representation in intact and hemiplegic individuals.

Gwyn N Lewis1, Winston D Byblow.   

Abstract

OBJECTIVE: To determine the effects of a passive wrist movement intervention on cortical representation of forearm musculature.
METHODS: Transcranial magnetic stimulation was used to map cortical representation of a forearm flexor muscle in healthy individuals and in individuals following stroke before and immediately after a 30 min session of passive wrist movement.
RESULTS: In the healthy individuals, no changes in map area or map centre of gravity were noted after the intervention; however, map volume increased significantly across all subjects. In the stroke patient group there were no significant changes in any parameters following the intervention.
CONCLUSIONS: It is speculated that the enlargement in map volume following the passive movement intervention arose through a heightened synaptic efficacy of the corticospinal pathway in response to the increase in afferent information. Short-term proprioceptive stimulation can induce alterations in corticomotor excitability in the target musculature. SIGNIFICANCE: These findings provide a potential neural substrate to account for alterations in motor and sensory function in stroke patients in response to long-term passive movement interventions.

Entities:  

Mesh:

Year:  2004        PMID: 15003755     DOI: 10.1016/j.clinph.2003.11.014

Source DB:  PubMed          Journal:  Clin Neurophysiol        ISSN: 1388-2457            Impact factor:   3.708


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