Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping
Joint Authors
Arima, Michiko
Ogata, Atsuko
Kawahira, Kazumi
Shimodozono, Megumi
Source
Case Reports in Neurological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Arima, Michiko& Ogata, Atsuko& Kawahira, Kazumi& Shimodozono, Megumi. 2017. Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1147066
Modern Language Association (MLA)
Arima, Michiko…[et al.]. Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1147066
American Medical Association (AMA)
Arima, Michiko& Ogata, Atsuko& Kawahira, Kazumi& Shimodozono, Megumi. Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1147066
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147066