scholarly journals Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

Spinal Cord ◽  
2015 ◽  
Vol 53 (7) ◽  
pp. 547-551 ◽  
Author(s):  
D A M M Vanmulken ◽  
A I F Spooren ◽  
H M H Bongers ◽  
H A M Seelen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Extremity ◽  
Feasibility Study ◽  
Cervical Spinal Cord ◽  
Skill Training ◽  
Cervical Spinal Cord Injury ◽  
Robot Assisted ◽  
Cord Injury ◽  
Task Oriented

A critical reappraisal of corticospinal tract somatotopy and its role in traumatic cervical spinal cord syndromes

2021 ◽  
pp. 1-7
Author(s):  
Allan D. Levi ◽  
Jan M. Schwab
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Extremity ◽  
Corticospinal Tract ◽  
Cervical Spinal Cord ◽  
Hand Function ◽  
Cervical Spinal Cord Injury ◽  
Pathophysiological Mechanism ◽  
Cord Injury ◽  
Central Cord Syndrome

The corticospinal tract (CST) is the preeminent voluntary motor pathway that controls human movements. Consequently, long-standing interest has focused on CST location and function in order to understand both loss and recovery of neurological function after incomplete cervical spinal cord injury, such as traumatic central cord syndrome. The hallmark clinical finding is paresis of the hands and upper-extremity function with retention of lower-extremity movements, which has been attributed to injury and the sparing of specific CST fibers. In contrast to historical concepts that proposed somatotopic (laminar) CST organization, the current narrative summarizes the accumulated evidence that 1) there is no somatotopic organization of the corticospinal tract within the spinal cord in humans and 2) the CST is critically important for hand function. The evidence includes data from 1) tract-tracing studies of the central nervous system and in vivo MRI studies of both humans and nonhuman primates, 2) selective ablative studies of the CST in primates, 3) evolutionary assessments of the CST in mammals, and 4) neuropathological examinations of patients after incomplete cervical spinal cord injury involving the CST and prominent arm and hand dysfunction. Acute traumatic central cord syndrome is characterized by prominent upper-extremity dysfunction, which has been falsely predicated on pinpoint injury to an assumed CST layer that specifically innervates the hand muscles. Given the evidence surveyed herein, the pathophysiological mechanism is most likely related to diffuse injury to the CST that plays a critically important role in hand function.

Nerve Transfers to Restore Upper Extremity Function in Cervical Spinal Cord Injury

2015 ◽  
Vol 136 (4) ◽  
pp. 780-792 ◽  
Author(s):  
Ida K. Fox ◽  
Kristen M. Davidge ◽  
Christine B. Novak ◽  
Gwendolyn Hoben ◽  
Lorna C. Kahn ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Extremity ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Nerve Transfers ◽  
Extremity Function ◽  
Cord Injury ◽  
Upper Extremity Function

scholarly journals Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury

2017 ◽  
Vol 96 ◽  
pp. S171-S177 ◽  
Author(s):  
Gerard E. Francisco ◽  
Nuray Yozbatiran ◽  
Jeffrey Berliner ◽  
Marcia K. OʼMalley ◽  
Ali Utku Pehlivan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Hand Movement ◽  
Cervical Spinal Cord Injury ◽  
Robot Assisted ◽  
Cord Injury

The Use of Nerve Transfers to Restore Upper Extremity Function in Cervical Spinal Cord Injury

PM&R ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1173-1184.e2 ◽  
Author(s):  
Ida K. Fox ◽  
Christine B. Novak ◽  
Emily M. Krauss ◽  
Gwendolyn M. Hoben ◽  
Craig M. Zaidman ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Extremity ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Nerve Transfers ◽  
Extremity Function ◽  
Cord Injury ◽  
Upper Extremity Function
Sign in / Sign up

Export Citation Format

Share Document