Cortical Reorganization Following Bimanual Training and Somatosensory Stimulation in an Individual With Cervical Spinal Cord Injury: A Case Report
نویسندگان
چکیده
Background and Purpose Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. Detrimental cortical reorganization, however, may create further loss of function. The purpose of this case report is to describe the cortical changes associated with a combination intervention using bimanual massed practice training with somatosensory stimulation.
منابع مشابه
Cortical reorganization following bimanual training and somatosensory stimulation in cervical spinal cord injury: a case report.
BACKGROUND AND PURPOSE Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. Detrimental cortical reorganization, however, may create further loss of function. The purpose of this case report is to describe the cortical changes associated with a combination intervention using bimanual massed practice training with somatosensory sti...
متن کاملDisability, atrophy and cortical reorganization following spinal cord injury
The impact of traumatic spinal cord injury on structural integrity, cortical reorganization and ensuing disability is variable and may depend on a dynamic interaction between the severity of local damage and the capacity of the brain for plastic reorganization. We investigated trauma-induced anatomical changes in the spinal cord and brain, and explored their relationship to functional changes i...
متن کاملFunctional reorganization and stability of somatosensory-motor cortical topography in a tetraplegic subject with late recovery.
The functional organization of somatosensory and motor cortex was investigated in an individual with a high cervical spinal cord injury, a 5-year absence of nearly all sensorymotor function at and below the shoulders, and rare recovery of some function in years 6-8 after intense and sustained rehabilitation therapies. We used functional magnetic resonance imaging to study brain activity to vibr...
متن کاملPreserved somatosensory conduction in a patient with complete cervical spinal cord injury.
OBJECTIVE Neurophysiological investigation has shown that patients with clinically complete spinal cord injury can have residual motor sparing ("motor discomplete"). In the current study somatosensory conduction was assessed in a patient with clinically complete spinal cord injury and a novel methodology for assessing such preservation is described, in this case indicating "sensory discomplete"...
متن کاملShort-term cortical plasticity associated with feedback-error learning after locomotor training in a patient with incomplete spinal cord injury.
BACKGROUND AND PURPOSE For rehabilitation strategies to be effective, training should be based on principles of motor learning, such as feedback-error learning, that facilitate adaptive processes in the nervous system by inducing errors and recalibration of sensory and motor systems. This case report suggests that locomotor resistance training can enhance somatosensory and corticospinal excitab...
متن کامل