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大脑损伤对灵长类动物对侧手运动功能自发性恢复的影响存在侧别差异。

Laterality affects spontaneous recovery of contralateral hand motor function following motor cortex injury in rhesus monkeys.

机构信息

Department of Health and Human Physiology, Motor Control Laboratories, The University of Iowa, Iowa City, IA 52242, USA.

出版信息

Exp Brain Res. 2013 Jul;228(1):9-24. doi: 10.1007/s00221-013-3533-1. Epub 2013 May 8.

Abstract

The purpose of this study was to test whether brain laterality influences spontaneous recovery of hand motor function after controlled brain injuries to arm areas of M1 and lateral premotor cortex (LPMC) of the hemisphere contralateral to the preferred hand in rhesus monkeys. We hypothesized that monkeys with stronger hand preference would exhibit poorer recovery of skilled hand use after such brain injury. Degree of handedness was assessed using a standard dexterity board task in which subjects could use either hand to retrieve small food pellets. Fine hand/digit motor function was assessed using a modified dexterity board before and after the M1 and LPMC lesions in ten monkeys. We found a strong negative relationship between the degree of handedness and the recovery of manipulation skill, demonstrating that higher hand preference was associated with poorer recovery of hand fine motor function. We also observed that monkeys with larger lesions within M1 and LPMC had greater initial impairment of manipulation and poorer recovery of reaching skill. We conclude that monkeys with a stronger hand preference are likely to show poorer recovery of contralesional hand fine motor skill after isolated brain lesions affecting the lateral frontal motor areas. These data may be extended to suggest that humans who exhibit weak hand dominance, and perhaps individuals who use both hands for fine motor tasks, may have a more favorable potential for recovery after a unilateral stroke or brain injury affecting the lateral cortical motor areas than individuals with a high degree of hand dominance.

摘要

本研究旨在测试大脑偏侧性是否会影响猴子对惯用手对侧半球的 M1 臂区和外侧前运动皮层(LPMC)进行控制损伤后手部运动功能的自发性恢复。我们假设,手部使用偏好更强的猴子在这种脑损伤后会表现出手部使用技能恢复较差。使用标准灵巧板任务评估手的使用偏好程度,其中受试者可以用任意一只手取回小食物丸。在 10 只猴子的 M1 和 LPMC 损伤之前和之后,使用改良灵巧板评估精细手部/手指运动功能。我们发现,手部使用偏好程度与操作技能恢复之间存在强烈的负相关关系,表明较高的手部使用偏好与手部精细运动功能的恢复较差相关。我们还观察到,M1 和 LPMC 内的损伤较大的猴子在操作初始时的损伤更大,并且手部运动技能的恢复较差。我们得出的结论是,在孤立性影响外侧额运动区的脑损伤后,手部使用偏好较强的猴子可能会表现出对侧手部精细运动技能恢复较差。这些数据可能会扩展到表明,与手部使用偏好度较高的个体相比,手部优势较弱的人,也许是那些在精细运动任务中使用双手的人,在单侧中风或影响外侧皮质运动区的脑损伤后,恢复的潜力可能更为有利。

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