Involvement of the corticospinal tract in the control of human gait

Barthélemy, Dorothy; Grey, Michael J.; Nielsen, Jens Bo; Bouyer, Laurent J.

doi:10.1016/b978-0-444-53355-5.00012-9

Cited by 86 publications

(59 citation statements)

References 118 publications

(127 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Los centros supraespinales desempeñan un papel importante en la recuperación de la función locomotora (17).…”

Section: Resultsunclassified

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

Esteban¹,

Sanz²,

Jorge³

et al. 2017

Eur J Pod

View full text Add to dashboard Cite

Review of the therapeutic approach by the vojta principle in neurological patients with gait disordersRevisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos Results: After using the criteria of inclusion and exclusion were collected 3 thesis, 35 articles and 7 relevant books of different databases. During the reflex locomotion therapy (RLT), the central nervous system (CNS) seems to be activated probably due to the influence of the posture and stimulus points. All the afferent propioceptive information could cause an innate response in locomotion coordination complex which humans use during gait. Conclusions:Patients with neurological disorders could be improved by the of Vojta therapy in different gait parameters. Vojta therapy (VT) could obtain the activation of cortical and subcortical levels that intervenes during locomotion. More randomized clinical trial are necessary to increase the evidence about Vojta therapy in gait pattern of neurological diseases.Key Words: Physical therapy modalities, gait disorders, neurologic, locomotion, gait rehabilitation, cerebral stroke, cerebral palsy, multiple sclerosis. ResumenObjetivos: Revisar en la bibliografía el abordaje terapéutico del principio Vojta y la importancia de la activación de los programas motores innatos para la mejora funcional de la marcha. Métodos: Se recopilan los datos tras una búsqueda en las bases PUBMED, MEDLINE, otros recursos como Google Scholar y la biblioteca de la Universidad Europea de Madrid, siguiendo los criterios Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) y checklist. Se recogen los datos durante los meses de enero y febrero del 2017. Resultados: Tras aplicar los criterios de inclusión y exclusión resultan relevantes 3 tesis doctorales, 35 artículos y 7 libros de las distintas bases de datos. Durante la terapia de locomoción refleja (TLR) parece producirse una importante activación del sistema nervioso central (SNC) posiblemente debido a la influencia de la postura y la activación de los puntos de estímulo. Toda la información aferente propioceptiva podría provocar la respuesta innata de los complejos de coordinación locomotores que utiliza el ser humano durante la marcha. Conclusiones: Los pacientes con alteraciones neurológicas podrían beneficiarse de la terapia Vojta (TV) al obtener mejorías en diferentes parámetros de la marcha. La TV podría conseguir activar zonas a nivel cortical y subcortical que intervienen durante el movimiento locomotor. Son necesarios ensayos clínicos aleatorizados que aumenten la evidencia científica de la terapia Vojta en los patrones de marcha de patologías neurológicas.Palabras Clave: Fisioterapia, locomoción, rehabilitación de la marcha, alteraciones de la marcha, neurológicas, daño cerebral, parálisis cerebral, esclerosis múltiple.

show abstract

“…Los centros supraespinales desempeñan un papel importante en la recuperación de la función locomotora (17).…”

Section: Resultsunclassified

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

Esteban¹,

Sanz²,

Jorge³

et al. 2017

Eur J Pod

View full text Add to dashboard Cite

show abstract

“…Some studies have reported that chronic stroke patients were able to walk in spite of complete injury of the lateral CST (Ahn et al, 2006;Cho et al, 2012). Therefore, it has been suggested that the CST is not essential to walking ability in stroke patients (York, 1987;Christensen et al, 1998;Ahn et al, 2006;Dawes et al, 2008;Jang, 2009Jang, , 2010Barthelemy et al, 2011;Cho et al, 2012). With regard to the exact role of the CST in gait, only a few studies have reported on the relation of the CST and gait (Beloozerova & Sirota, 1993a, 1993bBarthelemy et al, 2011).…”

Section: Discussionmentioning

confidence: 95%

“…The role of the CST in walking has not been clearly elucidated (York, 1987;Christensen et al, 1998;Ahn et al, 2006;Jang, 2009Jang, , 2010Barthelemy et al, 2011;Cho et al, 2012). Some studies have reported that chronic stroke patients were able to walk in spite of complete injury of the lateral CST (Ahn et al, 2006;Cho et al, 2012).…”

Section: Discussionmentioning

confidence: 96%

“…The primary role of the lateral CST is control of distal muscles, especially fine motor activity of the hand (York, 1987;Davidoff, 1990;Kim et al, 1993;Ahn et al, 2006;Schaechter et al, 2009;Lo, Gitelman, Levy, Hulvershorn, & Parrish, 2010;Wang et al, 2010). However, little is known about the role of the lateral CST in gait (York, 1987;Christensen, Petersen, Morita, & Nielsen, 1998;Ahn et al, 2006;Jang, 2009Jang, , 2010Barthelemy, Grey, Nielsen, & Bouyer, 2011;Cho et al, 2012).…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

The difference of gait pattern according to the state of the corticospinal tract in chronic hemiparetic stroke patients

Seo

Hee

Jung

et al. 2014

NRE

View full text Add to dashboard Cite

OBJECTIVES:The lateral corticospinal tract (CST) is one of the most important neuronal pathways that mediate voluntary movements in the human brain. However, little is known about the role of the lateral CST on the gait. We attempted to investigate differences in gait pattern using a motion analysis system according to the integrity of the contralateral CST, which was classified using diffusion tensor tractography (DTT) in chronic hemiparetic stroke patients. METHODS: We recruited 16 chronic hemiparetic stroke patients and 12 normal subjects for this study. DTT findings of the CST for patients were classified into two groups: group A (eight patients); the integrity of the CST was preserved, group B (eight patients) -the CST was discontinued at or below the stroke lesion. We compared variables of gait between group A, group B, and normal controls using the motion analysis system. RESULTS: Group A and the control group showed a significantly higher peak angle for ankle dorsiflexion, knee internal rotation, and hip flexion, compared with group B (p < 0.05). On the other hand, the peak angle for ankle plantarflexion/external rotation, knee flexion/abduction, and hip extension of group A and group B were significantly lower than those of the control group (p < 0.05). CONCLUSION: We found that severe injury of the contralateral CST caused decreased movement of ankle dorsiflexion, knee internal rotation, and hip flexion in chronic hemiparetic stroke patients. As a result, the circumduction and abduction gait pattern in stroke patients is closely associated with severe injury of the contralateral CST.

show abstract

“…Volitional ambulation is activated by neural impulses travelling primarily via the corticospinal tract (CST) [15]. These descending CST pathways transmit signals primarily to the contralateral extremities, with a small percentage of signals transmitted ipsilaterally [16].…”

Section: Introductionmentioning

confidence: 99%

Navigated Transcranial Magnetic Stimulation: A Biologically-Based Assay of Lower Extremity Impairment and Gait Velocity?

Peters

Dunning

Belagaje

et al. 2016

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Objectives. (a) To determine associations among motor evoked potential (MEP) amplitude, MEP latency, lower extremity (LE) impairment, and gait velocity and (b) determine the association between the presence of a detectable MEP signal with LE impairment and with gait velocity. Method. 35 subjects with chronic, stable LE hemiparesis were undergone TMS, the LE section of the Fugl-Meyer Impairment Scale (LE FM), and 10-meter walk test. We recorded presence, amplitude, and latency of MEPs in the affected tibialis anterior (TA) and soleus (SO). Results. MEP presence was associated with higher LEFM scores in both the TA and SO. MEP latency was larger in subjects with lower LEFM and difficulty walking. Conclusion. MEP latency appears to be an indicator of LE impairment and gait. Significance. Our results support the precept of using TMS, particularly MEP latency, as an adjunctive LE outcome measurement and prognostic technique.

show abstract

Involvement of the corticospinal tract in the control of human gait

Cited by 86 publications

References 118 publications

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

The difference of gait pattern according to the state of the corticospinal tract in chronic hemiparetic stroke patients

Navigated Transcranial Magnetic Stimulation: A Biologically-Based Assay of Lower Extremity Impairment and Gait Velocity?

Contact Info

Product

Resources

About