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Recent Advances in the Neural Control of Movements: Lessons for Functional Recovery
Phys Ther Res. 2021 Sep 29;25(1):1-11. doi: 10.1298/ptr.R0018. eCollection 2022.ABSTRACTWe review the current views on the control and coordination of movements following the traditions set by Nikolai Bernstein. In particular, we focus on the theory of neural control of effectors - from motor units to individual muscles, to joints, limbs, and to the whole body - with spatial referent coordinates organized into a hierarchy with multiple few-to-many mappings. Further, we discuss synergies ensuring stability of natural human movements within the uncontrolled manifold hypothesis. Synergies are organized within the neural contr...
Source: Physical Therapy - May 18, 2022 Category: Physiotherapy Authors: Mark L Latash Momoko Yamagata Source Type: research

Implementing the PREP2 algorithm to predict upper limb recovery potential after stroke in clinical practice: a qualitative study.
CONCLUSIONS: The PREP2 prediction tool was successfully implemented in clinical practice at ADHB. Barriers and facilitators to implementation success were identified, and implementation strategies were described. Lessons learned can aid future development and implementation of prediction models in clinical practice. IMPACT: Translating evidence-based interventions into clinical practice can be challenging and slow; however, shortly after its local validation, PREP2 was successfully implemented into clinical practice at the same site in New Zealand. In parallel to further model validation, organizations and practices c...
Source: Physical Therapy - January 30, 2021 Category: Physiotherapy Authors: Connell LA, Chesworth B, Ackerley S, Smith MC, Stinear CM Tags: Phys Ther Source Type: research

Influence of Combined Transcranial Direct Current Stimulation and Motor Training on Corticospinal Excitability in Children With Unilateral Cerebral Palsy
Conclusion This proof-of-principle study evaluated the influence of cathodal contralesional tDCS on corticospinal excitability in pediatric participants with UCP. A hypothesized decrease in contralesional excitability was noted in participants in the Active+CIMT group, however, the efficacy of tDCS to modulate corticospinal excitability was not statistically different than the Sham+CIMT group. A more detailed understanding of how tDCS impacts M1 neurophysiology will be essential to inform future clinical trials on the optimal dosing parameters, based on individual brain circuitry, to explore the potential functional benef...
Source: Frontiers in Human Neuroscience - April 23, 2019 Category: Neuroscience Source Type: research

Benefits of Motor Imagery for Human Space Flight: A Brief Review of Current Knowledge and Future Applications
Conclusion: How to Implement MI Into the Preparation and Mission of the Astronauts Motor imagery should ideally be performed before, during, and after exposure to microgravity to prepare for the lack of gravity, counteract the effects of weightlessness and promote the re-adaptation to normogravity. A quite similar theoretical viewpoint had been nicely proposed by Bock et al. (2015), who more specifically focused on the preparation period few days before landing. These authors developed two phases of individual MI training program to reach an optimal level of preparation before exposure to microgravity. In the first phase,...
Source: Frontiers in Physiology - April 10, 2019 Category: Physiology Source Type: research

Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
Rationale: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding. Patient Concerns: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness. Diagnoses: Head computed tomography revealed moderate acute inferior cerebellar infarct in the territory of the posterior inferior cerebellar...
Source: Medicine - August 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Delayed recovery of the affected finger extensors at chronic stage in a stroke patient: A case report
Rationale: A 33-year-old male presented with complete weakness of the right extremities due to corona radiata infarct. Patient concerns: The main concerns of the patient is recovery of hand function especially related to finger extension. Diagnoses: Right corona radiata infarct. Interventions: He underwent physical therapy and occupational therapy at the outpatient clinic of the rehabilitation department of the same university hospital until 2 years after onset. In addition, he underwent neuromuscular electrical stimulation for the right finger extensors continuously until 4 years after onset. Outcomes: At 6 ...
Source: Medicine - October 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Restoration of the ascending reticular activating system compressed by hematoma in a stroke patient
In conclusion, restoration of nonreconstructed neural tracts of the lower ARAS with the resolution of the hematoma and perihematomal edema was demonstrated in a stroke patient, using DTT.
Source: Medicine - February 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research