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. 1997 Jan;62(1):77–81. doi: 10.1136/jnnp.62.1.77

Impairment and recovery of left motor function in patients with right hemiplegia.

P Marque 1, A Felez 1, M Puel 1, J F Demonet 1, B Guiraud-Chaumeil 1, C F Roques 1, F Chollet 1
PMCID: PMC486699  PMID: 9010404

Abstract

OBJECTIVE: To assess the motor function of the left, supposedly unaffected, limbs of patients with an acute right vascular hemiplegia. METHODS: Fifteen patients with an acute vascular right hemiplegia and 16 matched healthy controls were studied. Motor function of the left limbs of each patient was evaluated on days 20 and 90 after their stroke using four validated tools (hand dynamometer, isokinetic dynamometer, finger tapping, and nine hole peg test). RESULTS: There was a significant impairment of motor function of the left limbs of patients at day 20 compared with controls. The impairment had recovered almost completely at day 90 after the stroke. CONCLUSION: These results show the bilateral cerebral representation of the human motor system and suggest the participation of ipsilateral motor pathways in recovery after a stroke.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams R. W., Gandevia S. C., Skuse N. F. The distribution of muscle weakness in upper motoneuron lesions affecting the lower limb. Brain. 1990 Oct;113(Pt 5):1459–1476. doi: 10.1093/brain/113.5.1459. [DOI] [PubMed] [Google Scholar]
  2. Benecke R., Meyer B. U., Freund H. J. Reorganisation of descending motor pathways in patients after hemispherectomy and severe hemispheric lesions demonstrated by magnetic brain stimulation. Exp Brain Res. 1991;83(2):419–426. doi: 10.1007/BF00231167. [DOI] [PubMed] [Google Scholar]
  3. Brodal A. Self-observations and neuro-anatomical considerations after a stroke. Brain. 1973 Dec;96(4):675–694. doi: 10.1093/brain/96.4.675. [DOI] [PubMed] [Google Scholar]
  4. Carr L. J., Harrison L. M., Evans A. L., Stephens J. A. Patterns of central motor reorganization in hemiplegic cerebral palsy. Brain. 1993 Oct;116(Pt 5):1223–1247. doi: 10.1093/brain/116.5.1223. [DOI] [PubMed] [Google Scholar]
  5. Chollet F., DiPiero V., Wise R. J., Brooks D. J., Dolan R. J., Frackowiak R. S. The functional anatomy of motor recovery after stroke in humans: a study with positron emission tomography. Ann Neurol. 1991 Jan;29(1):63–71. doi: 10.1002/ana.410290112. [DOI] [PubMed] [Google Scholar]
  6. Chollet F., Weiller C. Imaging recovery of function following brain injury. Curr Opin Neurobiol. 1994 Apr;4(2):226–230. doi: 10.1016/0959-4388(94)90077-9. [DOI] [PubMed] [Google Scholar]
  7. Cohen L. G., Meer J., Tarkka I., Bierner S., Leiderman D. B., Dubinsky R. M., Sanes J. N., Jabbari B., Branscum B., Hallett M. Congenital mirror movements. Abnormal organization of motor pathways in two patients. Brain. 1991 Feb;114(Pt 1B):381–403. doi: 10.1093/brain/114.1.381. [DOI] [PubMed] [Google Scholar]
  8. Colebatch J. G., Gandevia S. C. The distribution of muscular weakness in upper motor neuron lesions affecting the arm. Brain. 1989 Jun;112(Pt 3):749–763. doi: 10.1093/brain/112.3.749. [DOI] [PubMed] [Google Scholar]
  9. De Renzi E., Faglioni P., Sorgato P. Modality-specific and supramodal mechanisms of apraxia. Brain. 1982 Jun;105(Pt 2):301–312. doi: 10.1093/brain/105.2.301. [DOI] [PubMed] [Google Scholar]
  10. De Renzi E., Motti F., Nichelli P. Imitating gestures. A quantitative approach to ideomotor apraxia. Arch Neurol. 1980 Jan;37(1):6–10. doi: 10.1001/archneur.1980.00500500036003. [DOI] [PubMed] [Google Scholar]
  11. Demeurisse G., Demol O., Robaye E. Motor evaluation in vascular hemiplegia. Eur Neurol. 1980;19(6):382–389. doi: 10.1159/000115178. [DOI] [PubMed] [Google Scholar]
  12. Di Piero V., Chollet F. M., MacCarthy P., Lenzi G. L., Frackowiak R. S. Motor recovery after acute ischaemic stroke: a metabolic study. J Neurol Neurosurg Psychiatry. 1992 Nov;55(11):990–996. doi: 10.1136/jnnp.55.11.990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Fries W., Danek A., Witt T. N. Motor responses after transcranial electrical stimulation of cerebral hemispheres with a degenerated pyramidal tract. Ann Neurol. 1991 Jun;29(6):646–650. doi: 10.1002/ana.410290612. [DOI] [PubMed] [Google Scholar]
  14. Frontera W. R., Hughes V. A., Dallal G. E., Evans W. J. Reliability of isokinetic muscle strength testing in 45- to 78-year-old men and women. Arch Phys Med Rehabil. 1993 Nov;74(11):1181–1185. [PubMed] [Google Scholar]
  15. Haaland K. Y., Delaney H. D. Motor deficits after left or right hemisphere damage due to stroke or tumor. Neuropsychologia. 1981;19(1):17–27. doi: 10.1016/0028-3932(81)90040-3. [DOI] [PubMed] [Google Scholar]
  16. Jones R. D., Donaldson I. M., Parkin P. J. Impairment and recovery of ipsilateral sensory-motor function following unilateral cerebral infarction. Brain. 1989 Feb;112(Pt 1):113–132. doi: 10.1093/brain/112.1.113. [DOI] [PubMed] [Google Scholar]
  17. Knapik J. J., Ramos M. U. Isokinetic and isometric torque relationships in the human body. Arch Phys Med Rehabil. 1980 Feb;61(2):64–67. [PubMed] [Google Scholar]
  18. Palmer E., Ashby P., Hajek V. E. Ipsilateral fast corticospinal pathways do not account for recovery in stroke. Ann Neurol. 1992 Oct;32(4):519–525. doi: 10.1002/ana.410320407. [DOI] [PubMed] [Google Scholar]
  19. Pierrot-Deseilligny E. Le système propriospinal C3-C4: exemple d'intégration dans le système moteur et voie possible pour la récupération motrice. Rev Neurol (Paris) 1994;150(5):327–329. [PubMed] [Google Scholar]
  20. Roland P. E., Meyer E., Shibasaki T., Yamamoto Y. L., Thompson C. J. Regional cerebral blood flow changes in cortex and basal ganglia during voluntary movements in normal human volunteers. J Neurophysiol. 1982 Aug;48(2):467–480. doi: 10.1152/jn.1982.48.2.467. [DOI] [PubMed] [Google Scholar]
  21. Sabatini U., Chollet F., Rascol O., Celsis P., Rascol A., Lenzi G. L., Marc-Vergnes J. P. Effect of side and rate of stimulation on cerebral blood flow changes in motor areas during finger movements in humans. J Cereb Blood Flow Metab. 1993 Jul;13(4):639–645. doi: 10.1038/jcbfm.1993.82. [DOI] [PubMed] [Google Scholar]
  22. Sheikh K., Smith D. S., Meade T. W., Brennan P. J., Ide L. Assessment of motor function in studies of chronic disability. Rheumatol Rehabil. 1980 May;19(2):83–90. doi: 10.1093/rheumatology/19.2.83. [DOI] [PubMed] [Google Scholar]
  23. Shibasaki H., Sadato N., Lyshkow H., Yonekura Y., Honda M., Nagamine T., Suwazono S., Magata Y., Ikeda A., Miyazaki M. Both primary motor cortex and supplementary motor area play an important role in complex finger movement. Brain. 1993 Dec;116(Pt 6):1387–1398. doi: 10.1093/brain/116.6.1387. [DOI] [PubMed] [Google Scholar]
  24. VAUGHAN H. G., Jr, COSTA L. D. Performance of patients with lateralized cerebral lesions. II. Sensory and motor tests. J Nerv Ment Dis. 1962 Mar;134:237–243. doi: 10.1097/00005053-196203000-00004. [DOI] [PubMed] [Google Scholar]
  25. Wassermann E. M., Fuhr P., Cohen L. G., Hallett M. Effects of transcranial magnetic stimulation on ipsilateral muscles. Neurology. 1991 Nov;41(11):1795–1799. doi: 10.1212/wnl.41.11.1795. [DOI] [PubMed] [Google Scholar]
  26. Weiller C., Chollet F., Friston K. J., Wise R. J., Frackowiak R. S. Functional reorganization of the brain in recovery from striatocapsular infarction in man. Ann Neurol. 1992 May;31(5):463–472. doi: 10.1002/ana.410310502. [DOI] [PubMed] [Google Scholar]
  27. Winter D. A., Wells R. P., Orr G. W. Errors in the use of isokinetic dynamometers. Eur J Appl Physiol Occup Physiol. 1981;46(4):397–408. doi: 10.1007/BF00422127. [DOI] [PubMed] [Google Scholar]

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