Sensorimotor training and neural reorganization after stroke: a case series.
Identifieur interne : 000A24 ( PubMed/Corpus ); précédent : 000A23; suivant : 000A25Sensorimotor training and neural reorganization after stroke: a case series.
Auteurs : Alexandra L. Borstad ; Travis Bird ; Seongjin Choi ; Lindsay Goodman ; Petra Schmalbrock ; Deborah S. Nichols-LarsenSource :
- Journal of neurologic physical therapy : JNPT [ 1557-0584 ] ; 2013.
English descriptors
- KwdEn :
- Aged, Brain (pathology), Brain (physiopathology), Diffusion Magnetic Resonance Imaging (instrumentation), Diffusion Magnetic Resonance Imaging (methods), Discrimination (Psychology) (physiology), Exercise Test (utilization), Female, Humans, Magnetic Resonance Imaging (instrumentation), Magnetic Resonance Imaging (methods), Male, Middle Aged, Movement Disorders (etiology), Movement Disorders (rehabilitation), Neuronal Plasticity (physiology), Neuropsychological Tests, Physical Therapy Modalities, Pilot Projects, Psychomotor Performance (physiology), Sensation Disorders (etiology), Sensation Disorders (rehabilitation), Severity of Illness Index, Stroke (complications), Stroke (rehabilitation), Touch Perception (physiology), Treatment Outcome, Upper Extremity (physiopathology).
- MESH :
- complications : Stroke.
- etiology : Movement Disorders, Sensation Disorders.
- instrumentation : Diffusion Magnetic Resonance Imaging, Magnetic Resonance Imaging.
- methods : Diffusion Magnetic Resonance Imaging, Magnetic Resonance Imaging.
- pathology : Brain.
- physiology : Discrimination (Psychology), Neuronal Plasticity, Psychomotor Performance, Touch Perception.
- physiopathology : Brain, Upper Extremity.
- rehabilitation : Movement Disorders, Sensation Disorders, Stroke.
- utilization : Exercise Test.
- Aged, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Physical Therapy Modalities, Pilot Projects, Severity of Illness Index, Treatment Outcome.
Abstract
Impaired hand function decreases quality of life after stroke. The purpose of this study was to pilot a novel 2-week upper extremity sensorimotor training program. This case series describes the training program and highlights outcome measures used for documenting behavioral change and neural reorganization.
DOI: 10.1097/NPT.0b013e318283de0d
PubMed: 23399924
Links to Exploration step
pubmed:23399924Le document en format XML
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Borstad.2@osu.edu</nlm:affiliation></affiliation></author><author><name sortKey="Bird, Travis" sort="Bird, Travis" uniqKey="Bird T" first="Travis" last="Bird">Travis Bird</name></author><author><name sortKey="Choi, Seongjin" sort="Choi, Seongjin" uniqKey="Choi S" first="Seongjin" last="Choi">Seongjin Choi</name></author><author><name sortKey="Goodman, Lindsay" sort="Goodman, Lindsay" uniqKey="Goodman L" first="Lindsay" last="Goodman">Lindsay Goodman</name></author><author><name sortKey="Schmalbrock, Petra" sort="Schmalbrock, Petra" uniqKey="Schmalbrock P" first="Petra" last="Schmalbrock">Petra Schmalbrock</name></author><author><name sortKey="Nichols Larsen, Deborah S" sort="Nichols Larsen, Deborah S" uniqKey="Nichols Larsen D" first="Deborah S" last="Nichols-Larsen">Deborah S. Nichols-Larsen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="doi">10.1097/NPT.0b013e318283de0d</idno><idno type="RBID">pubmed:23399924</idno><idno type="pmid">23399924</idno><idno type="wicri:Area/PubMed/Corpus">000A24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sensorimotor training and neural reorganization after stroke: a case series.</title><author><name sortKey="Borstad, Alexandra L" sort="Borstad, Alexandra L" uniqKey="Borstad A" first="Alexandra L" last="Borstad">Alexandra L. Borstad</name><affiliation><nlm:affiliation>School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA. Borstad.2@osu.edu</nlm:affiliation></affiliation></author><author><name sortKey="Bird, Travis" sort="Bird, Travis" uniqKey="Bird T" first="Travis" last="Bird">Travis Bird</name></author><author><name sortKey="Choi, Seongjin" sort="Choi, Seongjin" uniqKey="Choi S" first="Seongjin" last="Choi">Seongjin Choi</name></author><author><name sortKey="Goodman, Lindsay" sort="Goodman, Lindsay" uniqKey="Goodman L" first="Lindsay" last="Goodman">Lindsay Goodman</name></author><author><name sortKey="Schmalbrock, Petra" sort="Schmalbrock, Petra" uniqKey="Schmalbrock P" first="Petra" last="Schmalbrock">Petra Schmalbrock</name></author><author><name sortKey="Nichols Larsen, Deborah S" sort="Nichols Larsen, Deborah S" uniqKey="Nichols Larsen D" first="Deborah S" last="Nichols-Larsen">Deborah S. Nichols-Larsen</name></author></analytic><series><title level="j">Journal of neurologic physical therapy : JNPT</title><idno type="eISSN">1557-0584</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Brain (pathology)</term><term>Brain (physiopathology)</term><term>Diffusion Magnetic Resonance Imaging (instrumentation)</term><term>Diffusion Magnetic Resonance Imaging (methods)</term><term>Discrimination (Psychology) (physiology)</term><term>Exercise Test (utilization)</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging (instrumentation)</term><term>Magnetic Resonance Imaging (methods)</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (etiology)</term><term>Movement Disorders (rehabilitation)</term><term>Neuronal Plasticity (physiology)</term><term>Neuropsychological Tests</term><term>Physical Therapy Modalities</term><term>Pilot Projects</term><term>Psychomotor Performance (physiology)</term><term>Sensation Disorders (etiology)</term><term>Sensation Disorders (rehabilitation)</term><term>Severity of Illness Index</term><term>Stroke (complications)</term><term>Stroke (rehabilitation)</term><term>Touch Perception (physiology)</term><term>Treatment Outcome</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Movement Disorders</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Diffusion Magnetic Resonance Imaging</term><term>Magnetic Resonance Imaging</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diffusion Magnetic Resonance Imaging</term><term>Magnetic Resonance Imaging</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Discrimination (Psychology)</term><term>Neuronal Plasticity</term><term>Psychomotor Performance</term><term>Touch Perception</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Movement Disorders</term><term>Sensation Disorders</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Exercise Test</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Physical Therapy Modalities</term><term>Pilot Projects</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Impaired hand function decreases quality of life after stroke. The purpose of this study was to pilot a novel 2-week upper extremity sensorimotor training program. This case series describes the training program and highlights outcome measures used for documenting behavioral change and neural reorganization.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23399924</PMID><DateCreated><Year>2013</Year><Month>02</Month><Day>14</Day></DateCreated><DateCompleted><Year>2013</Year><Month>08</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-0584</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>1</Issue><PubDate><Year>2013</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Journal of neurologic physical therapy : JNPT</Title><ISOAbbreviation>J Neurol Phys Ther</ISOAbbreviation></Journal><ArticleTitle>Sensorimotor training and neural reorganization after stroke: a case series.</ArticleTitle><Pagination><MedlinePgn>27-36</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/NPT.0b013e318283de0d</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Impaired hand function decreases quality of life after stroke. The purpose of this study was to pilot a novel 2-week upper extremity sensorimotor training program. This case series describes the training program and highlights outcome measures used for documenting behavioral change and neural reorganization.</AbstractText><AbstractText Label="CASE DESCRIPTION" NlmCategory="METHODS">Behavioral/performance changes were identified via sensorimotor evaluation. Activity-induced neural reorganization was examined using sensory functional magnetic resonance imaging, diffusion tensor tractography, and brain volume measurement. Participant 1 was a 75-year-old right-handed man 1 year post-right hemisphere stroke, with severe sensory impairment across domains in his left hand; he reported limited left-hand/arm use. Participant 2 was a 63-year-old right-handed woman who had experienced a left hemisphere stroke 9 months earlier, resulting in mild sensory impairment across domains in her right hand, as well as mild motor deficit.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">Participants were trained 4 hours per day, 5 days per week for 2 weeks. Training tasks required sensory discrimination of temperature, weights, textures, shapes, and objects in the context of active exploration with the involved hand. Random multimodal feedback was used.</AbstractText><AbstractText Label="OUTCOMES" NlmCategory="RESULTS">Both participants had improved scores on the Wolf Motor Function Test after training. Participant 1 had no measurable change in sensory function, while participant 2 improved in touch perception, proprioception, and haptic performance. Sensory functional magnetic resonance imaging suggested neural reorganization in both participants; participant 1 had a small increase in brain volume, while superior thalamic radiation white matter connectivity was unchanged in either participant.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Participating in sensorimotor training focused on sensory discrimination during manual manipulation was feasible for both participants. Future research to determine efficacy and identify optimal measures of sensory function and neural reorganization is recommended.</AbstractText><AbstractText Label="VIDEO ABSTRACT AVAILABLE" NlmCategory="BACKGROUND">(see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A38) for more insights from the authors.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Borstad</LastName><ForeName>Alexandra L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH 43210, USA. Borstad.2@osu.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bird</LastName><ForeName>Travis</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Seongjin</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Goodman</LastName><ForeName>Lindsay</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Schmalbrock</LastName><ForeName>Petra</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Nichols-Larsen</LastName><ForeName>Deborah S</ForeName><Initials>DS</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>TL1 RR025753</GrantID><Acronym>RR</Acronym><Agency>NCRR NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal 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