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Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping
The grasp reflex is a distressing symptom but the need to treat or suppress it has rarely been discussed in the literature. We report the case of a 17-year-old man who had suffered cerebral infarction of the right putamen and temporal lobe 10 years previously. Forced grasping of the hemiparetic left...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5317149/ https://www.ncbi.nlm.nih.gov/pubmed/28265475 http://dx.doi.org/10.1155/2017/1028390 |
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author | Arima, Michiko Ogata, Atsuko Kawahira, Kazumi Shimodozono, Megumi |
author_facet | Arima, Michiko Ogata, Atsuko Kawahira, Kazumi Shimodozono, Megumi |
author_sort | Arima, Michiko |
collection | PubMed |
description | The grasp reflex is a distressing symptom but the need to treat or suppress it has rarely been discussed in the literature. We report the case of a 17-year-old man who had suffered cerebral infarction of the right putamen and temporal lobe 10 years previously. Forced grasping of the hemiparetic left upper limb was improved after a unique combined treatment. Botulinum toxin type A (BTX-A) was first injected into the left biceps, wrist flexor muscles, and finger flexor muscles. Forced grasping was reduced along with spasticity of the upper limb. In addition, repetitive facilitative exercise and object-related training were performed under low-amplitude continuous neuromuscular electrical stimulation. Since this 2-week treatment improved upper limb function, we compared brain activities, as measured by near-infrared spectroscopy during finger pinching, before and after the combined treatment. Brain activities in the ipsilesional sensorimotor cortex (SMC) and medial frontal cortex (MFC) during pinching under electrical stimulation after treatment were greater than those before. The results suggest that training under electrical stimulation after BTX-A treatment may modulate the activities of the ipsilesional SMC and MFC and lead to functional improvement of the affected upper limb with forced grasping. |
format | Online Article Text |
id | pubmed-5317149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-53171492017-03-06 Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping Arima, Michiko Ogata, Atsuko Kawahira, Kazumi Shimodozono, Megumi Case Rep Neurol Med Case Report The grasp reflex is a distressing symptom but the need to treat or suppress it has rarely been discussed in the literature. We report the case of a 17-year-old man who had suffered cerebral infarction of the right putamen and temporal lobe 10 years previously. Forced grasping of the hemiparetic left upper limb was improved after a unique combined treatment. Botulinum toxin type A (BTX-A) was first injected into the left biceps, wrist flexor muscles, and finger flexor muscles. Forced grasping was reduced along with spasticity of the upper limb. In addition, repetitive facilitative exercise and object-related training were performed under low-amplitude continuous neuromuscular electrical stimulation. Since this 2-week treatment improved upper limb function, we compared brain activities, as measured by near-infrared spectroscopy during finger pinching, before and after the combined treatment. Brain activities in the ipsilesional sensorimotor cortex (SMC) and medial frontal cortex (MFC) during pinching under electrical stimulation after treatment were greater than those before. The results suggest that training under electrical stimulation after BTX-A treatment may modulate the activities of the ipsilesional SMC and MFC and lead to functional improvement of the affected upper limb with forced grasping. Hindawi Publishing Corporation 2017 2017-02-06 /pmc/articles/PMC5317149/ /pubmed/28265475 http://dx.doi.org/10.1155/2017/1028390 Text en Copyright © 2017 Michiko Arima et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Arima, Michiko Ogata, Atsuko Kawahira, Kazumi Shimodozono, Megumi Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title | Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title_full | Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title_fullStr | Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title_full_unstemmed | Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title_short | Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping |
title_sort | improvement and neuroplasticity after combined rehabilitation to forced grasping |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5317149/ https://www.ncbi.nlm.nih.gov/pubmed/28265475 http://dx.doi.org/10.1155/2017/1028390 |
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