Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2010-11-24
pubmed:abstractText
Current treatment protocols for flexor tendon injuries of the hand generally result in an acceptable function, which can be quantified by objective parameters such as range of motion. The latter does not always match the patients' subjective experiences of persisting dysfunction. This raises the question whether changes in the cerebral control of movement might contribute to the perceived deficit. The main objective of the present positron emission tomography (PET) study was to characterise the cerebral responses in movement-associated areas during simple finger flexion immediately after dynamic immobilisation and after a subsequent 6-week period of active training. Ten subjects with flexor tendon injury participated in the PET study. Electromyography (EMG) recordings were made during finger flexion and extension in an additional subject. The main finding was that the (ventral) putamen contralateral to flexor movement was not activated immediately after release from splinting, while such activation reappeared after a period of training. This indicates a temporary loss of efficient motor control of over-learnt movements. The increase of unwanted co-contractions during flexion in a first EMG session, and not during extension, supports a concept of lost skills.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1878-0539
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
63
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1953-61
pubmed:meshHeading
pubmed-meshheading:20303841-Adult, pubmed-meshheading:20303841-Brain, pubmed-meshheading:20303841-Dominance, Cerebral, pubmed-meshheading:20303841-Electromyography, pubmed-meshheading:20303841-Female, pubmed-meshheading:20303841-Finger Injuries, pubmed-meshheading:20303841-Humans, pubmed-meshheading:20303841-Immobilization, pubmed-meshheading:20303841-Male, pubmed-meshheading:20303841-Middle Aged, pubmed-meshheading:20303841-Motor Cortex, pubmed-meshheading:20303841-Motor Skills, pubmed-meshheading:20303841-Movement, pubmed-meshheading:20303841-Muscle Contraction, pubmed-meshheading:20303841-Nerve Regeneration, pubmed-meshheading:20303841-Parietal Lobe, pubmed-meshheading:20303841-Positron-Emission Tomography, pubmed-meshheading:20303841-Postoperative Complications, pubmed-meshheading:20303841-Putamen, pubmed-meshheading:20303841-Tendon Injuries
pubmed:year
2010
pubmed:articleTitle
Cerebral consequences of dynamic immobilisation after primary digital flexor tendon repair.
pubmed:affiliation
Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands. stenekes@plastisch-chirurg.eu
pubmed:publicationType
Journal Article