Influence of the Side of Brain Damage on Postural Upper-limb Control Including the Scapula in Stroke Patients

Overview

Journal Exp Brain Res

Specialty Neurology

Date 2012 Feb 15

PMID 22331168

Citations 7

Authors

Johanna V G Robertson

Nicolas Roche

Agnes Roby-Brami

Affiliations

Soon will be listed here.

Abstract

Following stroke, control of both the contralesional (paretic) and ipsilesional (less affected) arms is altered. The purpose of this study was to analyse the consequences of stroke on joint rotations of both shoulder girdles, that is, glenohumeral (GH) and scapula motion. Because of hemispheric specialization, we hypothesized that changes would relate to the side of hemisphere damage. Nine stroke patients with left, and 9 with right hemisphere damage (LHD and RHD) and 9 healthy subjects were included. Reaching movements to targets positioned close, far and high in three directions were recorded using an electromagnetic system. Initial and final postures of the scapula, GH and elbow joint were evaluated. Inter-joint rotations throughout the movements were analysed using principal component analysis (PCA). The main finding was that initial and final postures of the contralesional and ipsilesional shoulders differed depending on the side of brain lesion. On the contralesional side, there was less scapula protraction and GH lateral rotation for both groups. Scapula tilt was less anterior in LHD patients, and GH elevation was greater in RHD patients. On the ipsilesional side, GH lateral rotation was reduced in both groups, and scapula protraction was reduced only for LHD patients. PCA confirmed that postures of both shoulders of the LHD group were substantially different to the healthy subjects, while only the contralesional arm of the RHD subjects differed. These results add to existing knowledge of hemispheric specialization, suggesting that the left hemisphere plays a greater role in bilateral joint postures than the right hemisphere.

Citing Articles

Stroke impairs the control of isometric forces and muscle activations in the ipsilesional arm.

Pellegrino L, Coscia M, Giannoni P, Marinelli L, Casadio M Sci Rep. 2021; 11(1):18533.

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Intention Prediction and Human Health Condition Detection in Reaching Tasks with Machine Learning Techniques.

Ragni F, Archetti L, Roby-Brami A, Amici C, Saint-Bauzel L Sensors (Basel). 2021; 21(16).

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Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: A randomized sham-controlled crossover trial.

Dos Santos G, da Silva E, Desloovere K, Russo T PLoS One. 2019; 14(1):e0211332.

PMID: 30682144 PMC: 6347187. DOI: 10.1371/journal.pone.0211332.

Kinematic Components of the Reach-to-Target Movement After Stroke for Focused Rehabilitation Interventions: Systematic Review and Meta-Analysis.

Collins K, Kennedy N, Clark A, Pomeroy V Front Neurol. 2018; 9:472.

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Variability, frequency composition, and temporal regularity of submaximal isometric elbow flexion force in subacute stroke.

Chow J, Stokic D Exp Brain Res. 2016; 234(11):3145-3155.

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References

Verstynen T, Diedrichsen J, Albert N, Aparicio P, Ivry R . Ipsilateral motor cortex activity during unimanual hand movements relates to task complexity. J Neurophysiol. 2004; 93(3):1209-22. DOI: 10.1152/jn.00720.2004. View

Kim S, Ashe J, Hendrich K, Ellermann J, Merkle H, Ugurbil K . Functional magnetic resonance imaging of motor cortex: hemispheric asymmetry and handedness. Science. 1993; 261(5121):615-7. DOI: 10.1126/science.8342027. View

Schenkenberg T, Bradford D, AJAX E . Line bisection and unilateral visual neglect in patients with neurologic impairment. Neurology. 1980; 30(5):509-17. DOI: 10.1212/wnl.30.5.509. View

Langan J, van Donkelaar P . The influence of hand dominance on the response to a constraint-induced therapy program following stroke. Neurorehabil Neural Repair. 2007; 22(3):298-304. DOI: 10.1177/1545968307307123. View

Ludewig P, Cook T . Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000; 80(3):276-91. View

Mottram C, Suresh N, Heckman C, Gorassini M, Rymer W . Origins of abnormal excitability in biceps brachii motoneurons of spastic-paretic stroke survivors. J Neurophysiol. 2009; 102(4):2026-38. PMC: 2775372. DOI: 10.1152/jn.00151.2009. View

Ziemann U, Hallett M . Hemispheric asymmetry of ipsilateral motor cortex activation during unimanual motor tasks: further evidence for motor dominance. Clin Neurophysiol. 2001; 112(1):107-13. DOI: 10.1016/s1388-2457(00)00502-2. View

Debaere F, Van Assche D, Kiekens C, Verschueren S, Swinnen S . Coordination of upper and lower limb segments: deficits on the ipsilesional side after unilateral stroke. Exp Brain Res. 2002; 141(4):519-29. DOI: 10.1007/s002210100891. View

Goldenberg G . Apraxia and the parietal lobes. Neuropsychologia. 2008; 47(6):1449-59. DOI: 10.1016/j.neuropsychologia.2008.07.014. View

10.

Wu G, van der Helm F, Veeger H, Makhsous M, Van Roy P, Anglin C . ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion--Part II: shoulder, elbow, wrist and hand. J Biomech. 2005; 38(5):981-992. DOI: 10.1016/j.jbiomech.2004.05.042. View

11.

Guiard Y . Asymmetric division of labor in human skilled bimanual action: the kinematic chain as a model. J Mot Behav. 1987; 19(4):486-517. DOI: 10.1080/00222895.1987.10735426. View

12.

Reisman D, Scholz J . Aspects of joint coordination are preserved during pointing in persons with post-stroke hemiparesis. Brain. 2003; 126(Pt 11):2510-27. DOI: 10.1093/brain/awg246. View

13.

Sugarman H, Avni A, Nathan R, Weisel-Eichler A, Tiran J . Movement in the ipsilesional hand is segmented following unilateral brain damage. Brain Cogn. 2002; 48(2-3):579-87. View

14.

Martin K, Jacobs S, Frey S . Handedness-dependent and -independent cerebral asymmetries in the anterior intraparietal sulcus and ventral premotor cortex during grasp planning. Neuroimage. 2011; 57(2):502-12. PMC: 3114104. DOI: 10.1016/j.neuroimage.2011.04.036. View

15.

Levin M . Interjoint coordination during pointing movements is disrupted in spastic hemiparesis. Brain. 1996; 119 ( Pt 1):281-93. DOI: 10.1093/brain/119.1.281. View

16.

Heller A, Wade D, Wood V, Sunderland A, Hewer R, Ward E . Arm function after stroke: measurement and recovery over the first three months. J Neurol Neurosurg Psychiatry. 1987; 50(6):714-9. PMC: 1032076. DOI: 10.1136/jnnp.50.6.714. View

17.

Alexander C, Miley R, Stynes S, Harrison P . Differential control of the scapulothoracic muscles in humans. J Physiol. 2007; 580(Pt.3):777-86. PMC: 2075462. DOI: 10.1113/jphysiol.2006.126276. View

18.

Fayad F, Roby-Brami A, Yazbeck C, Hanneton S, Lefevre-Colau M, Gautheron V . Three-dimensional scapular kinematics and scapulohumeral rhythm in patients with glenohumeral osteoarthritis or frozen shoulder. J Biomech. 2007; 41(2):326-32. DOI: 10.1016/j.jbiomech.2007.09.004. View

19.

Butefisch C, Wessling M, Netz J, Seitz R, Homberg V . Relationship between interhemispheric inhibition and motor cortex excitability in subacute stroke patients. Neurorehabil Neural Repair. 2007; 22(1):4-21. DOI: 10.1177/1545968307301769. View

20.

Harris J, Eng J . Individuals with the dominant hand affected following stroke demonstrate less impairment than those with the nondominant hand affected. Neurorehabil Neural Repair. 2006; 20(3):380-9. PMC: 3432641. DOI: 10.1177/1545968305284528. View