You'll have to have your therapists and doctors use this to overcome your movement deficits. If you get something like that, please send it to me, I'm my own doctor and therapist and am not smart enough to figure it out or have enough spare money to get the complete article.
http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0044558
Abstract Top
Background
Chronic
hemiplegia is a common long-term consequence of stroke, and subsequent
motor recovery is often incomplete. Neurophysiological studies have
focused on motor execution deficits in relatively high functioning
patients. Much less is known about the influence exerted by processes
related to motor preparation, particularly in patients with poor motor
recovery.
Methodology/Principal Findings
The
current study investigates motor preparation using a modified
response-priming experiment in a large sample of patients (n = 50) with
moderate-to-severe chronic hemiparesis. The behavioural results revealed
that hemiparetic patients had an increased response-priming effect
compared to controls, but that their response times were markedly slower
for both hands. Patients also demonstrated significantly enhanced
midline late contingent negative variation (CNV) during paretic hand
preparation, despite the absence of overall group differences when
compared to controls. Furthermore, increased amplitude of the midline
CNV correlated with a greater response-priming effect. We propose that
these changes might reflect greater anticipated effort to respond in
patients, and consequently that advance cueing of motor responses may be
of benefit in these individuals. We further observed significantly
reduced CNV amplitudes over the lesioned hemisphere in hemiparetic
patients compared to controls during non-paretic hand preparation,
preparation of both hands and no hand preparation. Two potential
explanations for these CNV reductions are discussed: alterations in
anticipatory attention or state changes in motor processing, for example
an imbalance in inter-hemispheric inhibition.
Conclusions/Significance
Overall,
this study provides evidence that movement preparation could play a
crucial role in hemiparetic motor deficits, and that advance motor
cueing may be of benefit in future therapeutic interventions. In
addition, it demonstrates the importance of monitoring both the
non-paretic and paretic hand after stroke and during therapeutic
intervention.
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