Veldema, Jitka ; Bösl, Kathrin ; Nowak, Dennis Alexander
Alternative Links zum Volltext:DOIVerlag
Dokumentenart: | Artikel |
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Titel eines Journals oder einer Zeitschrift: | Journal of Neurology |
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Verlag: | SPRINGER HEIDELBERG |
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Ort der Veröffentlichung: | HEIDELBERG |
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Band: | 265 |
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Nummer des Zeitschriftenheftes oder des Kapitels: | 5 |
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Seitenbereich: | S. 1071-1078 |
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Datum: | 2018 |
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Institutionen: | Humanwissenschaften > Institut für Sportwissenschaft |
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Identifikationsnummer: | Wert | Typ |
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10.1007/s00415-018-8802-2 | DOI |
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Stichwörter / Keywords: | TRANSCRANIAL MAGNETIC STIMULATION; CORTICAL EXCITABILITY; UNAFFECTED HEMISPHERE; FOLLOW-UP; POSTSTROKE; CORTEX; REORGANIZATION; OUTPUT; AREA; Stroke; Hand motor function; Cortico-spinal excitability |
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Dewey-Dezimal-Klassifikation: | 100 Philosophie und Psychologie > 150 Psychologie |
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Status: | Veröffentlicht |
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Begutachtet: | Ja, diese Version wurde begutachtet |
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An der Universität Regensburg entstanden: | Ja |
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Dokumenten-ID: | 47241 |
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Web of Science
Zusammenfassung
To describe the relationship between changes of cortico-spinal excitability and motor recovery of the affected hand after stroke. Eighteen hemiparetic stroke patients with a severe-to-mild upper limb motor impairment were randomized. Cortico-spinal excitability measures (resting motor thresholds and motor evoked potentials) obtained from a distal (abductor pollicis brevis) and proximal (biceps ...
Zusammenfassung
To describe the relationship between changes of cortico-spinal excitability and motor recovery of the affected hand after stroke. Eighteen hemiparetic stroke patients with a severe-to-mild upper limb motor impairment were randomized. Cortico-spinal excitability measures (resting motor thresholds and motor evoked potentials) obtained from a distal (abductor pollicis brevis) and proximal (biceps brachii) upper limb muscle were assessed for both hemispheres. Motor function of the affected hand was tested by the Wolf Motor Function and Action Research Arm tests. The evaluations were performed at baseline and weekly over 7 weeks of in-patient neurological rehabilitation. Severe hand dysfunction was associated with a strong suppression of ipsilesional cortico-spinal excitability and a shift of excitability towards the contralesional hemisphere. Mild hand impairment was associated with a shift of cortico-spinal excitability towards the ipsilesional hemisphere. Favorable motor recovery correlated with an increase of ipsilesional cortico-spinal excitability.