Neuroimaging of recovery of function after stroke: Implications for rehabilitation

被引:6
作者
Ances, BM
D'Esposito, M
机构
[1] Univ Penn, Dept Neurol, Sch Med, Philadelphia, PA 19104 USA
[2] Univ Calif Berkeley, Dept Psychiat, Berkeley, CA 94720 USA
关键词
stroke; rehabilitation; neuroimaging; primary motor cortex; aphasia;
D O I
10.1177/154596830001400302
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Stroke is a leading cause of morbidity and mortality in individuals. Many patients have good functional recovery after stroke. The mechanisms of recovery remain largely unknown. Neuroimaging of patients recovering from stroke may provide important insight into the mechanisms of recovery as well as assist in the development of new rehabilitation techniques. The first part of this article reviews previous neuroimaging studies that have monitored the reorganization within the motor and language areas after stroke. In the second section, a unifying theory based on John Hughlings Jackson's "Principles of Compensation" is presented as a possible theory for recovery of function. In the final portion of the article, possible implications and future applications of neuroimaging studies for rehabilitation are presented.
引用
收藏
页码:171 / 179
页数:9
相关论文
共 95 条
[11]   Computerized measurement of motor performance after stroke [J].
Cramer, SC ;
Nelles, G ;
Schaechter, JD ;
Kaplan, JD ;
Finklestein, SP .
STROKE, 1997, 28 (11) :2162-2168
[12]   A functional MRI study of subjects recovered from hemiparetic stroke [J].
Cramer, SC ;
Nelles, G ;
Benson, RR ;
Kaplan, JD ;
Parker, RA ;
Kwong, KK ;
Kennedy, DN ;
Finklestein, SP ;
Rosen, BR .
STROKE, 1997, 28 (12) :2518-2527
[13]   A pilot study of somatotopic mapping after cortical infarct [J].
Cramer, SC ;
Moore, CI ;
Finklestein, SP ;
Rosen, BR .
STROKE, 2000, 31 (03) :668-671
[14]   Event-related functional MRI: Implications for cognitive psychology [J].
D'Esposito, M ;
Zarahn, E ;
Aguirre, GK .
PSYCHOLOGICAL BULLETIN, 1999, 125 (01) :155-164
[15]  
DELISA JA, 1982, AM FAM PHYSICIAN, V26, P207
[16]  
DELISA JA, 1982, AM FAM PHYSICIAN, V26, P143
[17]  
DEMEURISSE G, 1987, APHASIOLOGY, V1, P307
[18]   FOCUSED STROKE REHABILITATION PROGRAMS DO NOT IMPROVE OUTCOME [J].
DOBKIN, BH .
ARCHIVES OF NEUROLOGY, 1989, 46 (06) :701-703
[19]   MEASUREMENT OF MOTOR RECOVERY AFTER STROKE - OUTCOME ASSESSMENT AND SAMPLE-SIZE REQUIREMENTS [J].
DUNCAN, PW ;
GOLDSTEIN, LB ;
MATCHAR, D ;
DIVINE, GW ;
FEUSSNER, J .
STROKE, 1992, 23 (08) :1084-1089
[20]   INCREASED CORTICAL REPRESENTATION OF THE FINGERS OF THE LEFT HAND IN STRING PLAYERS [J].
ELBERT, T ;
PANTEV, C ;
WIENBRUCH, C ;
ROCKSTROH, B ;
TAUB, E .
SCIENCE, 1995, 270 (5234) :305-307