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Article dans une revue

Effect of motor imagery in children with unilateral cerebral palsy: fMRI study

Abstract :

Background

Motor imagery is considered as a promising therapeutic tool for rehabilitation of motor planning problems in patients with cerebral palsy. However motor planning problems may lead to poor motor imagery ability.

Aim

The aim of this functional magnetic resonance imaging study was to examine and compare brain activation following motor imagery tasks in patients with hemiplegic cerebral palsy with left or right early brain lesions. We tested also the influence of the side of imagined hand movement.

Method

Twenty patients with clinical hemiplegic cerebral palsy (sixteen males, mean age 12 years and 10 months, aged 6 years 10 months to 20 years 10 months) participated in this study. Using block design, brain activations following motor imagery of a simple opening-closing hand movement performed by either the paretic or nonparetic hand was examined.

Results

During motor imagery tasks, patients with early right brain damages activated bilateral fronto-parietal network that comprise most of the nodes of the network well described in healthy subjects. Inversely, in patients with left early brain lesion brain activation following motor imagery tasks was reduced, compared to patients with right brain lesions. We found also a weak influence of the side of imagined hand movement.

Conclusion

Decreased activations following motor imagery in patients with right unilateral cerebral palsy highlight the dominance of the left hemisphere during motor imagery tasks. This study gives neuronal substrate to propose motor imagery tasks in unilateral cerebral palsy rehabilitation at least for patients with right brain lesions.

Type de document :
Article dans une revue
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https://hal.univ-angers.fr/hal-03285262
Contributeur : Okina Université d'Angers <>
Soumis le : mardi 13 juillet 2021 - 11:22:36
Dernière modification le : mercredi 14 juillet 2021 - 03:43:29

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journal.pone_.0093378.pdf
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Citation

Eva Chinier, Sylvie Nguyen The Tich, Grégoire Lignon, Aram ter Minassian, Isabelle Richard, et al.. Effect of motor imagery in children with unilateral cerebral palsy: fMRI study. PLoS ONE, Public Library of Science, 2014, 9 (4), pp.e93378. ⟨10.1371/journal.pone.0093378⟩. ⟨hal-03285262⟩

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