完全性脊髓损伤亚急性期脑运动控制功能变化的功能磁共振研究

doi:10.3969/j.issn.1006-9771.2020.07.004

Abstract

Abstract:

Objective To study the changes of brain motor control function in patients with complete spinal cord injury within three to six months. Methods From January, 2017 to January, 2019, eleven inpatients with complete spinal cord injury and twelve healthy controls were screened with functional magnetic resonance imaging during attempted/executive movement (MA/ME) and motor imagery (MI). The involved area and activation were compared between the groups under tasks. Results More areas were activated in the patients than in the controls as MA/ME, such as bilateral primary sensorimotor cortex, supplementary motor area, lateral globus pallidus, cerebellum, contralateral thalamus and putamen. During MI, the activation was more in the patients in ipsilateral primary motor cortex, supplementary motor area, dorsal premotor area, contralateral supplementary motor area, insular and basal ganglia. The patients induced more activation as MA than as MI in ipsilateral primary motor cortex, bilateral supplementary motor area and cingulate motor area, and contralateral cerebellum.Conclusion The activation remains normal in primary motor cortex and supplementary motor area for subacute complete spinal cord injury patients when undergoing motor tasks, but some reorganization may occur in parietal lobe and cerebellum that involve in sensorimotor integration.

Key words: spinal cord injury, brain function, motor control, functional magnetic resonance imaging

CLC Number:

R651.2

LIU Shu-jia,ZHANG Jun-wei,WANG Fang-yong,TANG He-hu,BAI Jin-zhu,LÜ Zhen,LI Jian-jun. Motor Control Function of Brain in Subacute Complete Spinal Cord Injured Patients: A Functional Magnetic Resonance Imaging Study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 757-765.

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组别	n	性别 (男/女, n)	年龄(岁)	VMIQ
对照组	12	9/3	32.58±2.42	42.67±2.51
患者组	11	9/2	32.64±2.61	41.00±3.10
t值			0.015	0.419
P值			0.988	0.679

Motor Control Function of Brain in Subacute Complete Spinal Cord Injured Patients: A Functional Magnetic Resonance Imaging Study

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