Primary Motor Cortex Representation of Handgrip Muscles in Patients with Leprosy.
| Autor: | Vagner Wilian Batista E Sá, Maria Katia Gomes, Maria Luíza Sales Rangel, Tiago Arruda Sanchez, Filipe Azaline Moreira, Sebastian Hoefle, Inaiacy Bittencourt Souto, Antônio José Ledo Alves da Cunha, Ana Paula Fontana, Claudia Domingues Vargas |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | PLoS Neglected Tropical Diseases, Vol 9, Iss 7, p e0003944 (2015) |
| Druh dokumentu: | article |
| ISSN: | 1935-2727 1935-2735 |
| DOI: | 10.1371/journal.pntd.0003944 |
| Popis: | Leprosy is an endemic infectious disease caused by Mycobacterium leprae that predominantly attacks the skin and peripheral nerves, leading to progressive impairment of motor, sensory and autonomic function. Little is known about how this peripheral neuropathy affects corticospinal excitability of handgrip muscles. Our purpose was to explore the motor cortex organization after progressive peripheral nerve injury and upper-limb dysfunction induced by leprosy using noninvasive transcranial magnetic stimulation (TMS).In a cross-sectional study design, we mapped bilaterally in the primary motor cortex (M1) the representations of the hand flexor digitorum superficialis (FDS), as well as of the intrinsic hand muscles abductor pollicis brevis (APB), first dorsal interosseous (FDI) and abductor digiti minimi (ADM). All participants underwent clinical assessment, handgrip dynamometry and motor and sensory nerve conduction exams 30 days before mapping. Wilcoxon signed rank and Mann-Whitney tests were performed with an alpha-value of p |
| Databáze: | Directory of Open Access Journals |
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