1995
DOI: 10.1002/ana.410380106
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Central motor reorganization after anastomosis of the musculocutaneous and intercostal nerves following cervical root avulsion

Abstract: In 4 patients with a complete upper limb palsy due to traumatic cervical root avulsion, surgical anastomosis of intercostal to musculocutaneous nerves was performed to restore function in the biceps brachii muscle. Four to 6 months after the operation, motor unit discharges were recorded from the biceps muscle on the operated side during deep breathing and by cortical magnetic stimulation. The motor unit discharges became independent from respirations gradually over 1 to 2 years. The latencies of the motor pot… Show more

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Cited by 105 publications
(60 citation statements)
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“…This type of change, either morphological or functional, has been described as brain plasticity. Evidence of motor cortex reorganization has also been observed in subjects with chronic neurological disorders including cerebral tumor, amyotrophic lateral sclerosis (Seitz et al, 1995), after hemispherectomy (Cohen et al, 1991), after anastomosis of the musculocutaneous nerve and intercostals nerves following cervical root avulsion (Mano et al, 1995), and after limb amputation (Brasil-Neto et al, 1993). The findings of the present study further support the notion that the primary motor cortex can be reorganized by motor practice even in a single training period (Muellbacher et al, 2001).…”
Section: Discussionsupporting
confidence: 83%
“…This type of change, either morphological or functional, has been described as brain plasticity. Evidence of motor cortex reorganization has also been observed in subjects with chronic neurological disorders including cerebral tumor, amyotrophic lateral sclerosis (Seitz et al, 1995), after hemispherectomy (Cohen et al, 1991), after anastomosis of the musculocutaneous nerve and intercostals nerves following cervical root avulsion (Mano et al, 1995), and after limb amputation (Brasil-Neto et al, 1993). The findings of the present study further support the notion that the primary motor cortex can be reorganized by motor practice even in a single training period (Muellbacher et al, 2001).…”
Section: Discussionsupporting
confidence: 83%
“…Thus the extent of the M1 map correlates with motor skill. Whereas there are reports of animals recovering skills following CS system damage without concomitant map reorganization (Nudo and Milliken 1996;Plautz et al 2003), the preponderance of evidence shows strong support for the reemergence of and shifts in M1 representations with recovery after injury (Chen et al 2002;Mano et al 1995;Ward and Cohen 2004). The bulk of evidence shows that the M1 motor representation in maturity is necessary for producing many forms of skilled limb movements.…”
Section: M1 Map Is Necessary But Not Sufficient For Expression Of Accmentioning
confidence: 99%
“…The rapidly changing magnetic field produces electrical currents, which activate neurons [1]. TMS has been used to cause muscle contraction by trans-synaptic stimulation of the pyramidal tract [2,3]. Trains of repetitive TMS (rTMS) can change cortical function [4], and is thought to have therapeutic effects such as an improvement in the symptoms of Parkinson's disease [5,6].…”
Section: Introductionmentioning
confidence: 99%