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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Protocols of the Functional Communication Profile were compared for 17 treated and 18 untreated aphasic patients. All subjects were post-CVA, right-handed, right hemiplegic native speakers of English representing fluent, non-fluent and global aphasics. All treated patients received a minimum of a half hour of individual and an hour of group speech therapy daily, for 8 wk. during a period between 4 and 12 wk. post-onset. Statistical comparisons of treated and untreated groups did not yield significant differences. Patients who received traditional speech therapy could not be differentiated from untreated control patients.
Percept Mot Skills 1978 Aug
PMID:Effects of speech therapy on aphasics' responses to Functional Communication Profile. 70 42

As part of a series of investigations on the control of fine finger movements in the macaque, spontaneous use of the hand in grooming, scratching, and manipulation was observed before and after interruption of fasciculus cuneatus (FC). Videotaped observations were made of four stumptail macaques (Macaca arctoides) living outdoors in social groups. The monkeys were followed for 1 to 3 years postoperatively. For the first 2 weeks following surgery, all monkeys neglected the affected hand and did not use it for support, locomotion, climbing, scratching, foraging, or grooming. Recovery of gross arm and hand movements occurred over a 1- to 3-month period. All the monkeys eventually used the hand for support, climbing, and object manipulation, but fine control of the fingers did not recover. Also, there was an apparent hypotonia of the fingers, imparting a "floppy" appearance to the hand. The animals coped with the loss of fine control by decreasing the frequency of some behaviors, eliminating others, and developing alternative strategies. Exploratory movements that were utilized for investigating the anogenital area or foraging for small food items were eliminated by FC interruption. There were obvious deficits in grip formation and grasp of small food objects (see Glendinning et al., this issue), but effects on similar movements during grooming only became obvious after repeated inspection of videotaped records. Self-scratching and sweeps of the hand in grooming were preserved but altered in form and frequency. The component movements in these behaviors were relatively uncoordinated, and the fingers were splayed (abducted). Often the hand was formed in a rigid posture throughout the sweeping motion, and the fingers did not stroke the skin individually. Frame-by-frame analysis of videotapes revealed that the morphology of the precision grip during grooming, in movements termed "plucks," was permanently altered. Preoperatively, the monkeys kept the index finger and thumb closely apposed and routinely made contact on the distal surfaces of the digits, as has been described for precision grip in humans. Postoperatively, this relationship was altered. The index finger frequently missed the thumb tip and made contact on the proximal part of the phalanx, or missed the thumb altogether. Thus, the dorsal column input is important for proprioceptive guidance of movements that achieve "tactile foveation," when objects or surfaces are actively contacted by the receptive areas of keenest sensitivity (on the fingertips).
Somatosens Mot Res 1992
PMID:Alterations of natural hand movements after interruption of fasciculus cuneatus in the macaque. 159 23

Responses of single neurons were recorded from the ventroposterolateral nucleus (VPL) of the thalamus while a monkey stroked its fingertips over gratings. Monkeys were trained to stroke the gratings with consistent downward applied force and velocity of hand motion. Neurons were selected with receptive fields on the glabrous digits. Average firing rate was computed for a range of grating groove widths; groove width corresponded to roughness. Force and velocity were measured. VPL responses were compared to previously reported responses in primary somatosensory cortex (SI) under identical stimulus conditions, and to reports of peripheral afferent fiber responses to passively applied gratings. VPL responses more closely resembled those of peripheral afferent fibers than those of SI in important respects: lack of independent responses to roughness, force, and velocity; high temporal and force fidelity; and response patterns that closely followed the shape of elevated metal strips used to separate pairs of gratings. The presence in cortex of response patterns not seen in the thalamus, such as response independence and negative correlations to groove width, suggests that they stem from cortical processing.
Somatosens Mot Res 1991
PMID:Neuronal responses in ventroposterolateral nucleus of thalamus in monkeys (Macaca mulatta) during active touch of gratings. 166 56

The preservation of visuospatial ability relative to verbal ability following right middle cerebral artery stroke was assessed in 19 left- and 19 right-handed male patients who were group-matched on the basis of age, education, and time elapsed since stroke. Analysis of covariance (covarying education) indicated that the left- and right-handed groups were significantly different with regard to the discrepancy between Verbal IQ and Performance IQ, with the left-handed patients showing a smaller difference than the right-handers. These results provide further evidence that sinistrality may be associated with less hemispheric specialization.
Percept Mot Skills 1991 Oct
PMID:Neuropsychological sequelae of stroke as a function of handedness. 176 86

16 right hemisphere and 16 left hemisphere, nonaphasic brain-injured stroke patients were compared with 16 matched normal controls on the verbal and visuospatial paired-associate tasks developed by Stark in 1961 as a partial replication to a more severely impaired population. Right brain-injured patients showed a significant visuospatial deficit and contralateral motor impairment; while left brain-injured patients, screened for aphasia, showed contralateral motor impairment but did not show impairment on the verbal task. Examination of the areas of infarct resulting from the cerebrovascular accident in the left-hemisphere patients suggested that the presence of a contralateral motor deficit without verbal impairment results from specific focal occlusions of branches of the middle cerebral artery in this selective group of patients.
Percept Mot Skills 1991 Jun
PMID:Cognitive and motor deficits in selected unilateral brain-injured patients. 189 14

This study was performed to describe and compare the accuracy of weightbearing at three target levels (25, 50, and 75% of body weight) of 14 ambulatory stroke subjects and 14 matched healthy subjects. Weightbearing through a designated lower extremity (stroke subjects-paretic, healthy subjects-randomly selected) was measured with digital scales. No significant difference was found in magnitude of weightbearing (%) between the stroke and healthy groups. Although making significantly greater errors in weightbearing than healthy subjects, stroke subjects did not consistently weightbear under target. Subjects with stroke tested in earlier studies were neither asked to stand symmetrically nor examined to judge whether they were capable of accepting the required weight through the paretic lower extremity. Before assuming that weightbearing asymmetry is a problem in patients with stroke, clinicians should examine weightbearing behavior more specifically.
Percept Mot Skills 1991 Jun
PMID:Accuracy of weightbearing estimation by stroke versus healthy subjects. 189 31

Measurements of muscle strength have been clearly established as predictors of gait performance in patients with stroke. By examining the previously published data, strength deficits of the paretic side of 26 patients with stroke are also shown to correlate with gait performance (speed [r = -.638]). Paretic muscle strength deficits, then, may also be considered valid predictors of gait performance.
Percept Mot Skills 1991 Aug
PMID:Strength deficits also predict gait performance in patients with stroke. 194 78

24 hemiplegic patients completed patterned functional electrical stimulation (PFES) upon the afflicted arm and leg. The multichannel PFES program was mathematically derived from the EMG agonist/antagonist pattern recorded from each subject's unaffected limbs during a series of monitored, voluntary movements. The average improvement in volitional range of motion for the group's paralyzed limbs was 90% for the upper extremities and 69% for the lower extremities. For partially paralyzed limbs, there was an average increase in range of movement of 68% for the upper extremities and 26% for the lower extremities. These findings support the relearning-based, PFES open-loop theory which uses individualized therapeutic PFES-derived from EMG coordination patterns modeled from specific, ballistic limb movements to rehabilitate patients who have been immobilized after stroke.
Percept Mot Skills 1990 Dec
PMID:Restoration of volitional limb movement of hemiplegics following patterned functional electrical stimulation. 229 89

Ball games are characterized by perceptual uncertainty and time-pressure. Of interest is the visual-search pattern carried out when these characteristics change. This is the case in table-tennis situations when comparing a drill situation, when one kind of stroke is constantly repeated, and a match situation, when the stroke is more often unpredictable. We analysed, during play, the visual-search pattern of five expert table tennis players to examine the effect of uncertainty on visual behavior. Direction of gaze was recorded by a video-oculographic recorder (NAC Eye Mark Recorder IV). Analysis showed that (i) visual fixations towards opponent player were only systematic in a match contrary to drill where they occurred less frequently. (ii) Whatever the situation, only the first part of the ball's trajectory was visually tracked. This occurred immediately after the opponent's release of the ball. Nevertheless, visual tracking was more frequent and of longer duration in a match. (iii) Analysis of motor behavior showed that the duration of the movement preparation was longer in a match while the duration of the execution phase was unchanged.
Percept Mot Skills 1989 Apr
PMID:Uncertainty and visual strategies in table tennis. 271 57

In this report, we describe the "fractionation of memory systems" in a 62-yr.-old woman following a left anterior stroke. Despite the presence of a significant, persistent declarative memory (verbal learning) deficit, this patient exhibited relatively intact procedural learning. The latter was manifested over a 4-day period by improved performance on a maze task executed under "mirror-tracing" conditions. By the final set of trials, the patient's performance approximated that of a normal control subject with respect to speed, although not errors. The selective preservation of particular learning abilities in brain-damaged patients has implications for rehabilitative interventions.
Percept Mot Skills 1987 Apr
PMID:Multiple memory systems: evidence from stroke. 358


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