Coupled bilateral movements and active neuromuscular stimulation: Intralimb transfer evidence during bimanual aiming

Cauraugh, James H.; Kim, Sang Bum; Duley, Aaron R.

doi:10.1016/j.neulet.2005.02.060

Cited by 68 publications

(48 citation statements)

References 25 publications

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“…In addition, compensatory training of the nonparetic limb is often used in acute care during periods of flaccidity or when UE paresis is severe and may contribute to learned nonuse. Bilateral training incorporating the use of both limbs in therapy has also shown functional gains in patients with mild and moderate stroke severity (9)(10)(11)(12)(13)(14)(15)(16)(17). In this training paradigm the emphasis is on exercising the proximal muscles and targeting patients with moderate levels of impairment.…”

Section: Introductionmentioning

confidence: 99%

Intracortical inhibition and facilitation with unilateral dominant, unilateral nondominant and bilateral movement tasks in left- and right-handed adults

Waller

Forrester

Villagra

et al. 2008

Journal of the Neurological Sciences

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Purpose-To investigate intracortical inhibition and facilitation in response to unilateral dominant, nondominant and bilateral biceps activation and short-term upper extremity training in right and left-handed adults.Methods-Paired-pulse transcranial magnetic stimulation was used to measure intracortical excitability in motor dominant and nondominant cortices of 26 nondisabled adults. Neural facilitation and inhibition were measured in each hemisphere during unilateral dominant, nondominant and bilateral arm activation and after training in each condition.Results-No differences were seen between right and left-handed subjects. Intracortical facilitation and decreased inhibition were seen in each hemisphere with unilateral activation/ training of contralateral muscles and bilateral muscle activation/training. Persistent intracortical inhibition was seen in each hemisphere with ipsilateral muscle activation/training. Inhibition was greater in the nondominant hemisphere during dominant hemisphere activation (dominant arm contraction). Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusion-Strongly NIH Public Access

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Section: Introductionmentioning

confidence: 99%

Intracortical inhibition and facilitation with unilateral dominant, unilateral nondominant and bilateral movement tasks in left- and right-handed adults

Waller

Forrester

Villagra

et al. 2008

Journal of the Neurological Sciences

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“…1,2 Various contemporary rehabilitation strategies which aim to improve upper extremity motor deficits after stroke based on repetitive practice, such as constraint-induced therapy (CIT) 3,4 and bilateral arm training (BAT), 5,6 have come into wide use. CIT first proposed by Taub et al 3 involves restraint of the less affected UE over an extended period, in combination with intensive task-specific training of the more affected limb.…”

mentioning

confidence: 99%

“…9 -11 BAT is an alternative treatment approach. 5,12 The unaffected UE performs the spatiotemporal pattern of movement as that performed by the affected UE. 13 Practice of the bilateral movement allows the activation of the intact hemisphere to facilitate the activation of the damaged hemisphere 14,15 and subsequently improves the motor function of the affected UE.…”

mentioning

confidence: 99%

Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Hsieh

Lin

et al. 2009

Stroke

198

147

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Background and Purpose-This study investigated and compared the responsiveness and validity of the Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), and the Wolf Motor Function Test (WMFT) for patients after stroke rehabilitation. Methods-A total of 57 patients with stroke received 1 of 3 rehabilitation treatments for 3 weeks. At pretreatment and posttreatment, the 3 outcome measures, as well as the Functional Independence Measure (FIM) as the external criterion, were administered. The standardized response mean (SRM) and the Wilcoxon signed rank test were used to examine the responsiveness. Construct validity and predictive validity were examined by the Spearman correlation coefficient (). Results-The responsiveness of the FMA, ARAT, and WMFT functional ability scores was large (SRMϭ0.95-1.42), whereas the WMFT performance time score was small (SRMϭ0.38). The responsiveness of the FMA was significantly larger than those of the ARAT and the WMFT-TIME, but not the WMFT functional ability scores. With respect to construct validity, correlations between the FMA and other measures were relatively high (ϭ0.42-0.76). The FMA and the WMFT performance time scores at pretreatment had moderate predictive validity with the FIM scores at posttreatment (ϭ0.42-0.47). In addition, the ARAT and the WMFT functional ability scores revealed a low predictive validity with the FIM (ϭ0.17-0.26). Conclusions-The

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“…1 In patients recovering from stroke these bimanual tasks help in functional recovery thus maximizing the potential for positive neuroplastic change. 2 Driving as a motor skill when learnt progresses from high attention seeking stage to advanced automatic stage. Acquisition of motor skill like driving induces neuroplastic changes in the brain.…”

Section: Introductionmentioning

confidence: 99%

Study of efficiency of bimanual coordination among drivers

Shetty

Shankar

Annamalai

2013

Int Jour of Biomed Res

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Coupled bilateral movements and active neuromuscular stimulation: Intralimb transfer evidence during bimanual aiming

Cited by 68 publications

References 25 publications

Intracortical inhibition and facilitation with unilateral dominant, unilateral nondominant and bilateral movement tasks in left- and right-handed adults

Intracortical inhibition and facilitation with unilateral dominant, unilateral nondominant and bilateral movement tasks in left- and right-handed adults

Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Study of efficiency of bimanual coordination among drivers

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