01:830:310 Lecture Notes - Lecture 24: Constraint-Induced Movement Therapy, Cerebral Palsy, Postcentral Gyrus
Document Summary
Recovery from hemiplegia - parallel to development of reaching and grasp in infants. Recovery from aphasia - due to brain trauma faster than stroke (kertesz, 1979) Surgical procedure in which half of the brain is removed or disconnected. Deep structures of the brain (thalamus, brainstem and basal ganglia) are left intact. Changes of cerebral activation that may correlate with functional improvement (after stroke): If primary somatosensory cortex survives stroke, some functional improvement is likely over time: motor activation recruits larger areas of cortex, reorganization is bilateral. Increasing age and stroke area relate to decreasing capacity for reorganization: variability is great. Remapping with and without constraint induced movement of affected limb. Constraint induced movement therapy in stroke victims and children with cerebral palsy. Disorder of motor function caused by brain trauma in course of fetal development or birth. Speech, occupational therapist (ot), physical therapist (pt) services. Current imaging techniques have allowed for elaboration and correction of this model.