지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background and Purpose We aimed to investigate the usefulness of combining transcranial magnetic stimulation (TMS) and diffusion tensor tractography (DTT) to evaluate corticospinal tract (CST) integrity and subsequently predict ambulatory function after middle cerebral artery (MCA) stroke.
Methods Forty-three patients with first MCA stroke underwent TMS and DTT to evaluate CST integrity. Patients were classified into four groups according to the presence of motor-evoked potentials (MEPs) obtained from the tibialis anterior muscle and CST integrity. Motor impairment and functional status were assessed using the Fugl-Meyer Assessment, Functional Ambulation Category, and Korean modified Barthel Index, both at the time of admission and after 4 weeks of rehabilitation.
Results Patients with the presence of both measurable MEPs and a preserved CST showed better motor recovery and ambulatory function than other groups at the 4-week follow-up. Intact CSTs were not visualized in patients without detectable MEPs. Among the patients displaying MEPs, those with preserved CSTs showed better recovery of paretic lower extremities.
Conclusions Combined assessment using TMS and DTT to evaluate CST integrity confers advantages in predicting motor and ambulation recovery in patients with MCA stroke.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
Hallett M / 1998 / Cortical mechanisms of recovery of function after stroke / NeuroRehabilitaion 10:131~142
Watanabe T / 2001 / Three-dimensional anisotropy contrast magnetic resonance axonography to predict the prognosis for motor function in patients suffering from stroke / J Neurosurg 94:955~960
Trompetto C / 2000 / Motor recovery following stroke : a transcranial magnetic stimulation study / Clin Neurophysiol 111:1860~1867
Escudero JV / 1998 / Prognostic value of motor evoked potential obtained by transcranial magnetic brain stimulation in motor function recovery in patients with acute ischemic stroke / Stroke 29:1854~1859
김기욱 / 2015 / Can Motor Evoked Potentials Be an Objective Parameter to Assess Extremity Function at the Acute or Subacute Stroke Stage? / Annals of Rehabilitation Medicine 39(2):253~261
Watanabe T / 2001 / Three-dimensional anisotropy contrast magnetic resonance axonography to predict the prognosis for motor function in patients suffering from stroke / J Neurosurg 94:955~960
Trompetto C / 2000 / Motor recovery following stroke : a transcranial magnetic stimulation study / Clin Neurophysiol 111:1860~1867
Escudero JV / 1998 / Prognostic value of motor evoked potential obtained by transcranial magnetic brain stimulation in motor function recovery in patients with acute ischemic stroke / Stroke 29:1854~1859
김기욱 / 2015 / Can Motor Evoked Potentials Be an Objective Parameter to Assess Extremity Function at the Acute or Subacute Stroke Stage? / Annals of Rehabilitation Medicine 39(2):253~261
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