Cernácek J
Fortschr Neurol Psychiatr Grenzgeb. 1977 May;45(5):306-20.
The effects of brain-dominance in psychology, electrophysiology and the axial muscles are described. 1. Left-sided vascular hemispheric brain-distrubances, with or without aphasia, reduce, compared with arteriosclerotics, without focal signs, verbal, action-and total IQ, those on the right side only the action and total IQ. When comparing right- and left-sided frontal, frontoparietal and frontotemporal vascular disturbances - with or without a aphasia-, the left-sided frontotemporal lesions had a lower action- and verbal IQ, even if there were no signs of aphasia. In children aged between 12 and 40 months we found no correlation between the degree of motor dominance and mental development. Among children with delayed speech development--and therefore also in children with subnormal development--the number of lefthander was significantly higher than with the other children. 2. One can show electromyographically that, when a muscle is voluntarily contracted, there is simultaneous contraction of the same muscle on the other side. This contralateral motorspread happens more often from the stimulation of the dominant side to the subordinated side than vice versa. Ipsilateral somato-sensory cortical response is more common when stimulating the dominant than the subordinated ulnar nerve and develops ontogenetically parellel with right- or left-handedness. 3. Stabilographic registration can show a right-sided prevalence of swing of the vertical axis of the body, which probably is related to a lower irritability of the vestibular apparatus on galvanic stimulation. With the eyes open, the right-sided deviation of the bodyaxis increases which can be explained by greater functional strength of the right visuomoto system, which itself can be shown by the higher frequency of right-sided optocinetic nystagmus.
描述了心理、电生理学和轴性肌肉中脑优势的影响。1. 与无局灶性体征的动脉硬化症患者相比,伴有或不伴有失语症的左侧血管性半球脑功能障碍会降低言语、动作和总智商,而右侧的仅降低动作和总智商。比较右侧和左侧额叶、额顶叶和额颞叶血管性障碍(伴有或不伴有失语症)时,即使没有失语症迹象,左侧额颞叶病变的动作和言语智商也较低。在12至40个月大的儿童中,我们发现运动优势程度与智力发育之间没有相关性。在语言发育迟缓的儿童中——因此也包括发育低于正常水平的儿童中——左撇子的数量明显高于其他儿童。2. 肌电图显示,当一块肌肉自主收缩时,另一侧的同一块肌肉会同时收缩。这种对侧运动扩散从优势侧刺激到从属侧比从从属侧到优势侧更常见。刺激优势尺神经时,同侧体感皮层反应比刺激从属尺神经时更常见,并且在个体发育上与右利手或左利手平行发展。3. 稳定图记录可以显示身体垂直轴摆动右侧占优势,这可能与电刺激时前庭装置较低的兴奋性有关。睁眼时,身体轴的右侧偏差增加,这可以用右侧视觉运动系统更强的功能强度来解释,右侧视动性眼球震颤的较高频率本身就可以显示这一点。