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1.
Neuroimage ; 46(2): 500-4, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19249371

RESUMO

Mirror therapy is one of the promising rehabilitation therapeutic interventions but the neural basis of the therapeutic effect remains unknown. It has been reported that the 20-Hz rhythmic activity is induced in the primary motor cortex after median nerve stimulation and the amount of the induced activity is decreased when the primary motor cortex is activated. In the present study, to elucidate the neural mechanisms underlying mirror therapy, we investigated whether the mirror reflection of a hand holding a pencil modulates the stimulus-induced 20-Hz activity. Neuromagnetic brain activities were recorded from 11 healthy right-handed subjects while they were viewing their hand holding a pencil or its mirror reflection. The right median nerve was stimulated and the stimulus-induced 20-Hz activity over the left rolandic cortex dominantly innervating right-hand movements was quantified. The stimulus-induced 20-Hz activity was strongly suppressed when subjects viewed the right hand holding a pencil or the mirror reflection of the left hand looking like the right hand holding a pencil, compared with when subjects viewed the left hand holding a pencil or the mirror reflection of the right hand looking like the left hand holding a pencil. These results suggest that the human left primary motor cortex is strongly activated when the subjects view not only the right hand holding a pencil but also the mirror reflection of the left hand looking like the right hand holding a pencil. This may be one of the neural mechanisms responsible for the therapeutic effect of mirror therapy.


Assuntos
Dominância Cerebral/fisiologia , Potencial Evocado Motor/fisiologia , Lateralidade Funcional/fisiologia , Mãos/fisiologia , Córtex Motor/fisiologia , Movimento/fisiologia , Modalidades de Fisioterapia , Adulto , Relógios Biológicos/fisiologia , Feminino , Humanos , Masculino , Adulto Jovem
2.
Res Dev Disabil ; 36C: 413-418, 2015 01.
Artigo em Inglês | MEDLINE | ID: mdl-25462501

RESUMO

Many children with cerebral palsy (CP) use a wheelchair during activities of daily living and often extend their hand upward and downward to reach objects in a seated position in a wheelchair. However, the effect of shoulder position on reaching movements of children with CP is not established. The purpose of this study was to determine the effect of the angle of shoulder flexion on the reach trajectory of children with spastic CP. Seven children with mild CP [Manual Ability Classification System (MACS) levels I-II], five children with severe CP (MACS levels III-V) and six typically developing (TD) children participated. We prepared the device to have a top board with variable tilting angle in order to reduce the effect of gravity imposing on reaching movements. By using this device, the subjects could extend their arm by sliding it on the board to push a target button. The reaching movements were performed with the more affected hand at three angles (60°, 90° and 120°) of shoulder flexion and captured using a camera motion analysis system. Subjects in the TD and mild CP groups reached the target at 60°, 90° and 120° of shoulder flexion. Subjects of the severe CP group reached the target at 60° and 90° of shoulder flexion, but two of the subjects could not reach the target at 120° of shoulder flexion. The TD and mild CP groups showed smooth and almost straight trajectories at all three angles of shoulder flexion; however, the reach trajectory in the subjects with severe CP changed with the angle of shoulder flexion. A large angle of shoulder flexion induced great outward deviation in the trajectory. These findings suggest that the difficulty of the reaching task is changed depending on the shoulder joint angle in children with severe CP and that therapeutic interventions for children with severe CP should be provided in a manner appropriate for the shoulder joint angle.

3.
PLoS One ; 6(11): e28226, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22140555

RESUMO

Mirror therapy is an effective technique for pain relief and motor function recovery. It has been demonstrated that magnetic 20-Hz activity is induced in the primary motor cortex (M1) after median nerve stimulation and that the amount of the stimulus-induced 20-Hz activity is decreased when the M1 is activated. In the present study, we investigated how the image or the mirror reflection of a hand holding a pencil modulates the stimulus-induced 20-Hz activity in the M1. Neuromagnetic brain activity was recorded from 13 healthy right-handed subjects while they were either viewing directly their hand holding a pencil or viewing a mirror reflection of their hand holding a pencil. The 20-Hz activity in the left or the right M1 was examined after the right or the left median nerve stimulation, respectively, and the suppression of the stimulus-induced 20-Hz in the M1 by viewing directly one hand holding a pencil or by viewing the mirror image of the hand holding a pencil was assumed to indicate the activation of the M1. The results indicated that the M1 innervating the dominant hand was suppressed either by viewing directly the dominant hand holding a pencil or by viewing the mirror image of the non-dominant hand holding a pencil. On the other hand, the M1 innervating the non-dominant hand was activated by viewing the mirror image of the dominant hand holding a pencil, but was not activated by viewing directly the non-dominant hand holding a pencil. The M1 innervating either the dominant or the non-dominant hand, however, was not activated by viewing the hand on the side ipsilateral to the M1 examined or the mirror image of the hand on the side contralateral to the M1 exaimined. Such activation of the M1 might induce some therapeutic effects of mirror therapy.


Assuntos
Mapeamento Encefálico , Mãos/fisiologia , Córtex Motor/fisiologia , Fenômenos Ópticos , Adulto , Estimulação Elétrica , Feminino , Humanos , Magnetoencefalografia , Masculino , Nervo Mediano/fisiologia , Descanso/fisiologia , Fatores de Tempo , Adulto Jovem
4.
Neurosci Res ; 64(3): 335-7, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19447302

RESUMO

Using magnetoencephalography, we measured 20-Hz activity induced after the common peroneal nerve (CPN) stimulation in 15 healthy subjects during the execution of foot movement or its motor imagery, and examined whether the 20-Hz activity is suppressed during motor imagery of foot movement. The prominent 20-Hz activity was contralaterally induced in the paracentral area after CPN stimulation, and it was almost completely suppressed during execution of the foot movement and partially suppressed during its motor imagery. These results suggest that the modulation of the 20-Hz activity is a useful indicator of the motor imagery of foot movement.


Assuntos
Imaginação/fisiologia , Extremidade Inferior/fisiologia , Atividade Motora/fisiologia , Adolescente , Adulto , Estimulação Elétrica/métodos , Feminino , Humanos , Magnetoencefalografia , Masculino , Córtex Motor/fisiologia , Movimento , Desempenho Psicomotor
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