脑卒中后左右制衡机制及其对上肢手功能康复的意义

doi:10.3969/j.issn.1006-9771.2018.12.001

Abstract

Abstract: The bilateral coordination and counterbalance is a major principle that governs the normal function of upper limbs and hands, and its disturbances are the important mechanism underling the dysfunction of upper limbs and hands after stroke. This paper proposed the concept of Left-Right Coordination and Counterbalance of the upper limbs and hands, summarized the normal pattern and abnormal characteristics after stroke, introduced associated neural mechanisms, and analyzed the application in the assessments and rehabilitation after stroke and the prospects in the future. It might be useful to consider this concept in practice to improve the effects of upper limb and hand function rehabilitation.

Key words: stroke, Left-Right Coordination and Counterbalance, hand function, rehabilitation, assessment, review

CLC Number:

R743.3

JIA Jie. Implication of Left-Right Coordination and Counterbalance for Rehabilitation of Upper Limbs and Hand Function post Stroke (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1365-1370.

References

[1] 国家卫生计生委脑卒中防治工程工作委员会. 中国脑卒中防治报告[M]. 北京:中国协和医科大学出版社, 2015.
[2] Dijkerman HC, De Haan EH. Somatosensory processes subserving perception and action [J]. Behav Brain Sci, 2007, 30(2): 189-201; discussion 201-239.
[3] Valchev N, Curcic-Blake B, Renken RJ, et al.cTBS delivered to the left somatosensory cortex changes its functional connectivity during rest[J]. Neuroimage, 2015, 114: 386-397.
[4] Corbetta M.Functional connectivity and neurological recovery[J]. Dev Psychobiol, 2012, 54(3): 239-253.
[5] Vukovic N, Feurra M, Shpektor A, et al.Primary motor cortex functionally contributes to language comprehension: An online rTMS study[J]. Neuropsychologia, 2017, 96: 222-229.
[6] 贾杰. “上下肢一体化”整体康复:脑卒中后手功能康复新理念[J]. 中国康复理论与实践, 2017, 23(1): 1-3.
[7] Cheung VCK, Turolla A, Agostini M, et al.Muscle synergy patterns as physiological markers of motor cortical damage[J]. Proc Natl Acad Sci U S A, 2012, 109(36): 14652-14656.
[8] Coscia M, Monaco V, Martelloni C, et al.Muscle synergies and spinal maps are sensitive to the asymmetry induced by a unilateral stroke[J]. J Neuroeng Rehabil, 2015, 12: 39.
[9] Roh J, Rymer WZ, Perreault EJ, et al.Alterations in upper limb muscle synergy structure in chronic stroke survivors[J]. J Neurophysiol, 2013, 109(3): 768-781.
[10] Pelton TA, Wing AM, Fraser D, et al.Differential effects of parietal and cerebellar stroke in response to object location perturbation[J]. Front Hum Neurosci, 2015, 9: 293.
[11] Deluca C, Moretto G, Di Matteo A, et al.Hemi- and monoataxia in cerebellar hemispheres and peduncles stroke lesions: topographical correlations[J]. Cerebellum, 2012, 11(4): 917-924.
[12] Carey LM, Matyas TA.Frequency of discriminative sensory loss in the hand after stroke in a rehabilitation setting[J]. J Rehabil Med, 2011, 43(3): 257-263.
[13] Sullivan JE, Hedman LD.Sensory dysfunction following stroke: incidence, significance, examination, and intervention[J]. Top Stroke Rehabil, 2008, 15(3): 200-217.
[14] Landau WM, Wetzel RD. Influence of somatosensory input on motor function in patients with chronic stroke [J]. Ann Neurol, 2005, 57(3): 465-466; author reply 466-467.
[15] Karnath HO.Pusher syndrome–a frequent but little-known disturbance of body orientation perception[J]. J Neurol, 2007, 254(4): 415-424.
[16] Ocklenburg S, Ball A, Wolf CC, et al.Functional cerebral lateralization and interhemispheric interaction in patients with callosal agenesis[J]. Neuropsychology, 2015, 29(5): 806-815.
[17] Harris-Love ML, Perez MA, Chen R, et al.Interhemispheric inhibition in distal and proximal arm representations in the primary motor cortex[J]. J Neurophysiol, 2007, 97(3): 2511-2515.
[18] Ward NS, Brown MM, Thompson AJ, et al.Neural correlates of outcome after stroke: a cross-sectional fMRI study[J]. Brain, 2003, 126(Pt 6): 1430-1448.
[19] Kokotilo KJ, Eng JJ, McKeown MJ, et al. Greater activation of secondary motor areas is related to less arm use after stroke[J]. Neurorehabil Neural Repair, 2010, 24(1): 78-87.
[20] Schaechter JD, Perdue KL, Wang R.Structural damage to the corticospinal tract correlates with bilateral sensorimotor cortex reorganization in stroke patients[J]. Neuroimage, 2008, 39(3): 1370-1382.
[21] Golestani AM, Tymchuk S, Demchuk A, et al.Longitudinal evaluation of resting-state fMRI after acute stroke with hemiparesis[J]. Neurorehabil Neural Repair, 2013, 27(2): 153-163.
[22] Bütefisch CM, Wessling M, Netz J, et al.Relationship between interhemispheric inhibition and motor cortex excitability in subacute stroke patients[J]. Neurorehabil Neural Repair, 2008, 22(1): 4-21.
[23] Shimizu T, Hosaki A, Hino T, et al.Motor cortical disinhibition in the unaffected hemisphere after unilateral cortical stroke[J]. Brain, 2002, 125(Pt 8): 1896-1907.
[24] Murase N, Duque J, Mazzocchio R, et al.Influence of interhemispheric interactions on motor function in chronic stroke[J]. Ann Neurol, 2004, 55(3): 400-409.
[25] Lefaucheur JP, Andre-Obadia N, Antal A, et al.Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS)[J]. Clin Neurophysiol, 2014, 125(11): 2150-2206.
[26] Auriat AM, Neva JL, Peters S, et al.A review of transcranial magnetic stimulation and multimodal neuroimaging to characterize post-stroke neuroplasticity[J]. Front Neurol, 2015, 6: 226.
[27] Takeuchi N, Oouchida Y, Izumi S.Motor control and neural plasticity through interhemispheric interactions[J]. Neural Plasticity, 2012, 2012: 823285.
[28] Cai J, Ji Q, Xin R, et al.Contralesional cortical structural reorganization contributes to motor recovery after sub-cortical stroke: a longitudinal voxel-based morphometry study[J]. Front Hum Neurosci, 2016, 10: 393.
[29] Buetefisch CM.Role of the contralesional hemisphere in post-stroke recovery of upper extremity motor function[J]. Front Neurol, 2015, 6: 214.
[30] Bestmann S, Swayne O, Blankenburg F, et al.The role of contralesional dorsal premotor cortex after stroke as studied with concurrent TMS-fMRI[J]. J Neurosci, 2010, 30(36): 11926-11937.
[31] Rehme AK, Fink GR, von Cramon DY, et al. The role of the contralesional motor cortex for motor recovery in the early days after stroke assessed with longitudinal fMRI[J]. Cereb Cortex, 2011, 21(4): 756-768.
[32] Wang LE, Tittgemeyer M, Imperati D, et al.Degeneration of corpus callosum and recovery of motor function after stroke: a multimodal magnetic resonance imaging study[J]. Hum Brain Mapp, 2012, 33(12): 2941-2956.
[33] Lewis GN, Perreault EJ.Side of lesion influences interhemispheric inhibition in subjects with post-stroke hemiparesis[J]. Clin Neurophysiol, 2007, 118(12): 2656-2663.
[34] Vidal AC, Banca P, Pascoal AG, et al.Bilateral versus ipsilesionalcortico-subcortical activity patterns in stroke show hemispheric dependence[J]. Int J Stroke, 2018. doi: 10.1177/1747493018767164.[Epub ahead of print].
[35] Wang L, Yu C, Chen H, et al.Dynamic functional reorganization of the motor execution network after stroke[J]. Brain, 2010, 133(Pt 4): 1224-1238.
[36] Rehme AK, Volz LJ, Feis DL, et al.Individual prediction of chronic motor outcome in the acute post-stroke stage: behavioral parameters versus functional imaging[J]. Hum Brain Mapp, 2015, 36(11): 4553-4565.
[37] Song J, Young BM, Nigogosyan Z, et al.Characterizing relationships of DTI, fMRI, and motor recovery in stroke rehabilitation utilizing brain-computer interface technology[J]. Front Neuroeng, 2014, 7: 31.
[38] Faver I, Zeffiro TA, Detante O, et al.Upper limb recovery after stroke is associated with ipsilesional primary motor cortical activity: a meta-analysis[J]. Stroke, 2014, 45(4): 1077-1083.
[39] Tang Q, Li G, Liu T, et al.Modulation of interhemispheric activation balance in motor-related areas of stroke patients with motor recovery: systematic review and meta-analysis of fMRI studies[J]. Neurosci Biobehav Rev, 2015, 57: 392-400.
[40] Schaechter JD, Fricker ZP, Perdue KL, et al.Microstructural status of ipsilesional and contralesional corticospinal tract correlates with motor skill in chronic stroke patients[J]. Hum Brain Mapp, 2009, 30(11): 3461-3474.
[41] Kwakkel G, Veerbeek JM, Wegen EEHV, et al.Constraint-induced movement therapy after stroke[J]. Lancet Neurol, 2015, 14: 224-234.
[42] Altschuler EL, Wisdom SB, Stone L, et al.Rehabilitation of hemiparesis after stroke with a mirror[J]. Lancet, 1999, 353: 2035-2036.
[43] Thieme H, Morkisch N, Mehrholz J, et al.Mirror Therapy for Improving Motor Function after Stroke[M]. The Cochrane Library. John Wiley & Sons, Ltd, 2010.
[44] Pollock A, Farmer SE, Brady MC, et al.Interventions for Improving Upper Limb Function after Stroke[M]. The Cochrane Library. John Wiley & Sons, Ltd., 2013.
[45] Moseley GL.Graded motor imagery for pathologic pain: a randomized controlled trial[J]. Neurology, 2006, 67(12): 2129-2134.
[46] Sirigu A, Duhamel JR, Cohen L, et al.The mental representation of hand movements after parietal cortex damage[J]. Science, 1996, 273(5281): 1564-1568.
[47] 丁力, 贾杰. “镜像疗法”作为一种康复治疗技术的新进展[J]. 中国康复医学杂志, 2015, 30(5): 509-512.
[48] 李周,施加加,徐雄伟,等. 矫形按摩联合肌肉能量技术对脑卒中患者上肢运动功能的疗效[J]. 中国康复, 2016, 31(3): 174-176.
[49] Lewit K, Simons DG.Myofascial pain: relief by post-isometric relaxation[J]. Arch Phys Med Rehabil, 1984, 65(8): 452-456.
[50] 侯来永,谢欲晓,孙启良. 骨盆控制能力训练对偏瘫患者步态和步行能力的影响[J]. 中国康复医学杂志, 2004, 19(12): 906-908.
[51] 李哲,郭钢花,白蓉,等. 骨盆带控制训练对脑卒中偏瘫患者步行能力的影响[J]. 中国康复医学杂志, 2007, 22(7): 648-649.
[52] Di Pino G, Pellegrino G, Assenza G, et al.Modulation of brain plasticity in stroke: a novel model for neurorehabilitation[J]. Nat Rev Neurol, 2014, 10(10): 597-608.
[53] Dodd KC, Nair VA, Prabhakaran V.Role of the contralesional vs. ipsilesional hemisphere in stroke recovery[J]. Front Hum Neurosci, 2017, 11: 469.
[54] 贾杰. “中枢-外周-中枢”闭环康复——脑卒中后手功能康复新理念[J]. 中国康复医学杂志, 2016, 31(11): 1180-1182.

Implication of Left-Right Coordination and Counterbalance for Rehabilitation of Upper Limbs and Hand Function post Stroke (review)

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