The brain changes that underlie therapy-induced improvement in motor function after stroke remain obscure. This study sought to demonstrate the feasibility and utility of measuring motor system physiology in a clinical trial of intensive upper extremity rehabilitation in chronic stroke-related hemiparesis. This was a substudy of two multi-center clinical trials of intensive robotic and intensive conventional therapy arm therapy in chronic, significantly hemiparetic, stroke patients.
View Article and Find Full Text PDFThe aim of this study was to determine the relationship between motor skill and attentional reserve. Participants practiced a reaching task with the dominant upper extremity, to which a distortion of the visual feedback was applied, while a control group performed the same task without distortion. Event-related brain potentials (ERPs), elicited by auditory stimuli were recorded throughout practice.
View Article and Find Full Text PDFArch Phys Med Rehabil
November 2011
Objectives: To determine the efficacy of 2 distinct 6-week robot-assisted reaching programs compared with an intensive conventional arm exercise program (ICAE) for chronic, stroke-related upper-extremity (UE) impairment. To examine whether the addition of robot-assisted training out of the horizontal plane leads to improved outcomes.
Design: Randomized controlled trial, single-blinded, with 12-week follow-up.
Cortical rhythms in the alpha/mu frequency range (7-12 Hz) have been variously related to "idling," anticipation, seizure, and short-term or working memory. This overabundance of interpretations suggests that sensory cortex may be able to produce more than one (and even more than two) distinct alpha/mu rhythms. Here we describe simultaneous local field potential and single-neuron recordings made from primary sensory (gustatory) cortex of awake rats and reveal three distinct 7-12 Hz de novo network rhythms within single sessions: an "early," taste-induced approximately 11 Hz rhythm, the first peak of which was a short-latency gustatory evoked potential; a "late," significantly lower-frequency (approximately 7 Hz) rhythm that replaced this first rhythm at approximately 750-850 ms after stimulus onset (consistently timed with a previously described shift in taste temporal codes); and a "spontaneous" spike-and-wave rhythm of intermediate peak frequency (approximately 9 Hz) that appeared late in the session, as part of a oft-described reduction in arousal/attention.
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