Cortical overlap of joint representations contributes to the loss of independent joint control following stroke

Neuroimage. 2009 Apr 1;45(2):490-9. doi: 10.1016/j.neuroimage.2008.12.002. Epub 2008 Dec 16.

Abstract

The loss of independent joint control in the paretic upper limb is a cardinal sign of movement disorders following stroke. However, the underlying neural mechanisms for such a loss following stroke are still largely unknown. In order to investigate the possible contribution of altered sensorimotor cortical activity to the loss of independent joint control, we measured electroencephalographic (EEG) and torque signals during the generation of static shoulder/elbow torques. We found significant increases in the overlap of shoulder and elbow joint representations at the cortical level in stroke subjects as compared to control subjects. Linear regression results demonstrated significant associations between the cortical overlap of joint representations and the degree of the loss of independent joint control. Therefore, we conclude that an increased overlap of cortical representations for shoulder and elbow contributes to the expression of the loss of independent shoulder/elbow control of the paretic upper limb in chronic hemiparetic stroke survivors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cerebral Cortex / physiopathology*
  • Elbow Joint / innervation
  • Elbow Joint / physiology*
  • Electroencephalography / methods
  • Evoked Potentials, Somatosensory*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motor Skills
  • Muscle Contraction*
  • Muscle, Skeletal / innervation
  • Muscle, Skeletal / physiopathology*
  • Shoulder Joint / innervation
  • Shoulder Joint / physiopathology*
  • Stroke / physiopathology*
  • Task Performance and Analysis
  • Torque