Effects of motor rehabilitation on mobility and brain plasticity in multiple sclerosis: a structural and functional MRI study.

Abstract:

BACKGROUND:Rehabilitation seems to promote brain plasticity, but objective measures of efficacy are lacking and there is a limited understanding of the mechanisms underlying functional recovery. OBJECTIVE:To study functional and structural brain changes induced by gait rehabilitation. METHODS:We enrolled MS inpatients (EDSS 4.5-6.5) undergoing a 4-week neurorehabilitation. Several clinical measures were obtained, including: 2-min walk test (2MWT), dynamic gait index (DGI), Berg balance scale (BBS). Furthermore, motor-task functional MRI (fMRI) of plantar dorsiflexion, resting state fMRI, and regional diffusion tensor imaging (DTI) metrics were obtained. All the assessments were performed at baseline (T0), after the end of the rehabilitation period (T1) and 3 months later (T2). RESULTS:Twenty-nine patients were enrolled at T0, 26 at T1, and 16 completed all timepoints. At T1, there was a significant improvement of 2MWT, DGI, and BBS scores, along with a reduced extent of the widespread activation related to the motor task at the fMRI and an increased functional connectivity in the precentral and post-central gyrus, bilaterally. None of these changes were maintained at T2. CONCLUSIONS:Our findings show a short-term beneficial effect of motor rehabilitation on gait performances in MS, accompanied by brain functional reorganization in the sensory-motor network.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Tavazzi E,Bergsland N,Cattaneo D,Gervasoni E,Laganà MM,Dipasquale O,Grosso C,Saibene FL,Baglio F,Rovaris M

doi

10.1007/s00415-018-8859-y

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1393-1401

issue

6

eissn

0340-5354

issn

1432-1459

pii

10.1007/s00415-018-8859-y

journal_volume

265

pub_type

杂志文章,随机对照试验
  • Botulinum toxin therapy for treatment of spasticity in multiple sclerosis: review and recommendations of the IAB-Interdisciplinary Working Group for Movement Disorders task force.

    abstract::Botulinum toxin (BT) therapy is an established treatment of spasticity due to stroke. For multiple sclerosis (MS) spasticity this is not the case. IAB-Interdisciplinary Working Group for Movement Disorders formed a task force to explore the use of BT therapy for treatment of MS spasticity. A formalised PubMed literatu...

    journal_title:Journal of neurology

    pub_type: 指南,杂志文章,评审

    doi:10.1007/s00415-016-8304-z

    authors: Dressler D,Bhidayasiri R,Bohlega S,Chahidi A,Chung TM,Ebke M,Jacinto LJ,Kaji R,Koçer S,Kanovsky P,Micheli F,Orlova O,Paus S,Pirtosek Z,Relja M,Rosales RL,Sagástegui-Rodríguez JA,Schoenle PW,Shahidi GA,Timerbaeva S,

    更新日期:2017-01-01 00:00:00

  • Cerebrospinal fluid concentrations of the complement MAC inhibitor CD59 in multiple sclerosis and patients with other neurological disorders.

    abstract::Rodent oligodendrocytes have a unique susceptibility among glia to the lytic effects of complement, due in part to a deficiency in CD59 (protectin), a key surface inhibitor of the complement membrane attack complex (MAC). The possibility that shedding of CD59 by human oligodendrocytes contributes to complement-mediate...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00873519

    authors: Roddy J,Clark I,Hazleman BL,Compston DA,Scolding NJ

    更新日期:1994-08-01 00:00:00

  • Amyloid-P-component-like immunoreactivity in beta/A4-immunoreactive deposits in Alzheimer-type dementia brains.

    abstract::An immunohistochemical study using the mirror-image technique was performed in order to establish whether amyloid P component is involved in the mechanism of deposition of amyloid fibrils in senile plaques (SPs) in Alzheimer-type dementia (ATD). Ninety percent of beta/A4 protein-immunoreactive SPs were also stained by...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00868345

    authors: Kimura M,Arai H,Takahashi T,Iwamoto N

    更新日期:1994-01-01 00:00:00

  • Dumb-bell sarcoma of the foramen jugulare with syringomyelia. A radio-induced tumour?

    abstract::The clinicopathological findings of a 50-year-old man, who developed cervicothoracic syringomyelia at the age of 25 are presented. He was given radiation therapy at the age of 33. At the age of 57 he developed a foramen jugulare syndrome on the left, caused by a low grade leiomyosarcoma. Etiologically, the most attrac...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313150

    authors: Sieben G,Sieben-Praet M,De Reuck J,De Coster W,Remouchamps A,Roels H,vander Eecken H

    更新日期:1980-01-01 00:00:00

  • Novel CLCN1 mutations in Taiwanese patients with myotonia congenita.

    abstract::We have performed genetic screening on the skeletal muscle chloride channel gene (CLCN1) in Taiwanese population. A total of four patients with myotonia congenita (MC) together with 106 normal individuals were examined. All 23 exons of the CLCN1 gene were analysed by direct sequencing of PCR products to detect the nuc...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-004-0383-6

    authors: Jou SB,Chang LI,Pan H,Chen PR,Hsiao KM

    更新日期:2004-06-01 00:00:00

  • Gamma-aminobutyric acid (GABA) receptor rho (GABRR) polymorphisms and risk for essential tremor.

    abstract::Some clinical and experimental data suggest a possible role of gamma-aminobutyrate (GABA)-ergic mechanisms in the pathophysiology of essential tremor (ET), such as the improvement of ET with some GABAergic drugs and the development of an experimental model of ET in GABA A receptor alpha-1 knockout mice (postural and k...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-010-5708-z

    authors: García-Martín E,Martínez C,Alonso-Navarro H,Benito-León J,Lorenzo-Betancor O,Pastor P,Puertas I,Rubio L,López-Alburquerque T,Agúndez JA,Jiménez-Jiménez FJ

    更新日期:2011-02-01 00:00:00

  • Differentiating Alzheimer's disease from subcortical vascular dementia with the FAB test.

    abstract:BACKGROUND:The frontal assessment battery (FAB) test is a composite tool for assessing executive functions related to the frontal lobe. Neuropsychological and blood-flow studies indicate distinct patterns of deterioration of anterior and posterior cortical function in Alzheimer's disease (AD) and subcortical vascular d...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-006-0251-7

    authors: Oguro H,Yamaguchi S,Abe S,Ishida Y,Bokura H,Kobayashi S

    更新日期:2006-11-01 00:00:00

  • Myasthenia gravis associated with adrenocortical insufficiency. Report of two cases.

    abstract::Two cases of Addison's disease associated with myasthenia gravis are reported. This association has been described only rarely in the literature. In the first case, there were marked immunological abnormalities. It is most likely that the origin of the adrenocortical insufficiency in the second case is tuberculous. Th...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313835

    authors: Dumas P,Archambeaud-Mouveroux F,Vallat JM,Barussaud D,Hugon J,Dumas M

    更新日期:1985-01-01 00:00:00

  • De-escalation from natalizumab in multiple sclerosis: recurrence of disease activity despite switching to glatiramer acetate.

    abstract::Natalizumab (NAT) is an effective therapy for relapsing-remitting multiple sclerosis (MS), but is associated with an increased risk of progressive multifocal leucoencephalopathy after 2 years therapy. Thus, NAT treated patients often decide to stop NAT therapy after 2 years. Reports on recurrence of disease activity a...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-5996-y

    authors: Havla J,Gerdes LA,Meinl I,Krumbholz M,Faber H,Weber F,Pellkofer HL,Hohlfeld R,Kümpfel T

    更新日期:2011-09-01 00:00:00

  • Impact of D-dimer levels for short-term or long-term outcomes in cryptogenic stroke patients.

    abstract:BACKGROUND:D-dimer levels are used in several clinical settings, such as in predicting venous thrombosis, cardioembolic stroke and cancer status. In the present study, we investigated the associations between plasma D-dimer levels at admission, clinical characteristics and mortality at discharge in cryptogenic stroke p...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-018-8742-x

    authors: Nezu T,Kitano T,Kubo S,Uemura J,Yamashita S,Iwanaga T,Inoue T,Hosomi N,Maruyama H,Matsumoto M,Kimura K,Yagita Y

    更新日期:2018-03-01 00:00:00

  • CSF beta-endorphin and leu-enkephalin levels in the acute and chronic stages of cerebral infarction.

    abstract::To investigate the role of endogenous opioid peptides in the pathophysiology of cerebral ischaemia, the CSF levels of immunoreactive beta-endorphin and leu-enkephalin in 16 patients with cerebral infarction were measured. Both the CSF beta-endorphin and leu-enkephalin levels in the acute stage of cerebral infarction w...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314282

    authors: Kobari M,Ishihara N,Yunoki K

    更新日期:1987-06-01 00:00:00

  • Neutral lipid and sphingolipid composition of the brain of a patient with membranous lipodystrophy.

    abstract::Lipids were extracted from brains of a patient with membranous lipodystrophy (ML) and three normal patients and the neutral lipid and sphingolipid constituents were investigated. The storage of a large amount of free fatty acid was observed in the ML brain, but no cholesterol ester was found. Total lipid, cholesterol ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313947

    authors: Ohtani Y,Miura S,Tamai Y,Kojima H,Kashima H

    更新日期:1979-03-22 00:00:00

  • Mental status and health-related quality of life in an elderly population 15 years after limited cerebral ischaemia.

    abstract:BACKGROUND:Stroke has a major impact on survivors. Our study was designed to describe the mental status and health-related quality of life (HRQoL) in long-term survivors of TIA or minor ischaemic stroke (MIS) and evaluate associations of mental and physical factors with HR-QoL. METHODS:A random sample of the 10-year s...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-006-0480-9

    authors: van Wijk I,Gorter JW,Lindeman E,Kappelle LJ,van Gijn J,Koudstaal PJ,Algra A

    更新日期:2007-08-01 00:00:00

  • Neurological complications following rubella infection.

    abstract::Neurological complications following rubella are only rarely encountered. However, in many cases severe neurological impairment may occur, leading to permanent disability. In a recent epidemic of rubella in Israel during the years 1978-1979, 20 patients with severe neurological complications have been seen. We report ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313402

    authors: Bechar M,Davidovich S,Goldhammer G,Machtey I,Gadoth N

    更新日期:1982-01-01 00:00:00

  • Risk of Parkinson's disease after colectomy: longitudinal follow-up study using a national sample cohort.

    abstract:BACKGROUND AND PURPOSE:Parkinson's disease (PD) is a neurodegenerative disorder characterized by deposition of intraneural inclusion bodies in the brain as well as the enteric nervous system. Emerging concepts regarding the brain-gut axis have been proposed for neurological disorders. Thus, the present study investigat...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-019-09617-1

    authors: Kim YJ,Lee CM,Kim S,Jang JW,Lee SY,Lee SH

    更新日期:2020-02-01 00:00:00

  • Hearing and dementia.

    abstract::Hearing deficits associated with cognitive impairment have attracted much recent interest, motivated by emerging evidence that impaired hearing is a risk factor for cognitive decline. However, dementia and hearing impairment present immense challenges in their own right, and their intersection in the auditory brain re...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/s00415-016-8208-y

    authors: Hardy CJ,Marshall CR,Golden HL,Clark CN,Mummery CJ,Griffiths TD,Bamiou DE,Warren JD

    更新日期:2016-11-01 00:00:00

  • Auditory function in individuals within Leber's hereditary optic neuropathy pedigrees.

    abstract::The aims of this study are to investigate whether auditory dysfunction is part of the spectrum of neurological abnormalities associated with Leber's hereditary optic neuropathy (LHON) and to determine the perceptual consequences of auditory neuropathy (AN) in affected listeners. Forty-eight subjects confirmed by genet...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-6230-7

    authors: Rance G,Kearns LS,Tan J,Gravina A,Rosenfeld L,Henley L,Carew P,Graydon K,O'Hare F,Mackey DA

    更新日期:2012-03-01 00:00:00

  • Evaluating the efficacy of acupuncture in defined aspects of stroke recovery: a randomised, placebo controlled single blind study.

    abstract:OBJECTIVE:To investigate the efficacy of acupuncture on stroke recovery compared to an inert placebo. DESIGN:Placebo-controlled, randomised, clinical trial. SETTING:Post-stroke rehabilitation wards in five NHS hospitals in the UK. SUBJECTS:Patients between 4 and 10 days after their first stroke. INTERVENTIONS AND O...

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00415-008-0790-1

    authors: Hopwood V,Lewith G,Prescott P,Campbell MJ

    更新日期:2008-06-01 00:00:00

  • Functional, cognitive and emotional long-term outcome of patients with ischemic stroke requiring mechanical ventilation.

    abstract::Prognosis of patients with ischemic stroke requiring mechanical ventilation (MV) has been reported to be poor. However, longterm survival and functional outcome have scarcely been studied and nothing is known about the prevalence of cognitive impairment or depression in survivors and their quality of life (QoL). We id...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00415-005-0711-5

    authors: Schielke E,Busch MA,Hildenhagen T,Holtkamp M,Küchler I,Harms L,Masuhr F

    更新日期:2005-06-01 00:00:00

  • Admission diagnoses of patients later diagnosed with autoimmune encephalitis.

    abstract:BACKGROUND:Since the detection of autoantibodies against neuronal surface antigens, autoimmune encephalitis (AE) has been more frequently diagnosed, especially in patients with symptoms typical of limbic encephalitis, such as seizures, short-term memory deficits, or psychosis. However, the clinical spectrum of AE may b...

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00415-018-9105-3

    authors: Baumgartner A,Rauer S,Hottenrott T,Leypoldt F,Ufer F,Hegen H,Prüss H,Lewerenz J,Deisenhammer F,Stich O

    更新日期:2019-01-01 00:00:00

  • Electrophysiological diagnosis of motor neuron disease and pure motor neuropathy.

    abstract::Motor neuron disease (MND) is a group of disorders in which there is degeneration of upper and lower motor neurons to a variable degree. Amyotrophic lateral sclerosis is the most frequent form of the disease, presenting with both upper and lower motor neuron involvement. Frequently, especially in the early stages of t...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/s004150050397

    authors: Bouche P,Le Forestier N,Maisonobe T,Fournier E,Willer JC

    更新日期:1999-07-01 00:00:00

  • Characteristics associated with quality of life among people with drug-resistant epilepsy.

    abstract::Quality of Life (QoL) is the preferred outcome in non-pharmacological trials, but there is little UK population evidence of QoL in epilepsy. In advance of evaluating an epilepsy self-management course we aimed to describe, among UK participants, what clinical and psycho-social characteristics are associated with QoL. ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-017-8512-1

    authors: Ridsdale L,Wojewodka G,Robinson E,Landau S,Noble A,Taylor S,Richardson M,Baker G,Goldstein LH,SMILE Team.

    更新日期:2017-06-01 00:00:00

  • Utility of measuring vitamin B12 and its active fraction, holotranscobalamin, in neurological vitamin B12 deficiency syndromes.

    abstract::Vitamin B(12) (VitB(12), cobalamin) deficiency has been associated with various neuropsychiatric conditions, such as peripheral neuropathy, subacute combined degeneration, affective disorders, and cognitive impairment. Current assays analyze vitamin B(12), of which only a small percentage is metabolically active. Meas...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-010-5764-4

    authors: Schrempf W,Eulitz M,Neumeister V,Siegert G,Koch R,Reichmann H,Storch A

    更新日期:2011-03-01 00:00:00

  • Correction to: Diagnostic accuracy of a smartphone bedside test to assess the fixation suppression of the vestibulo‑ocular reflex: when nothing else matters.

    abstract::The article Diagnostic accuracy of a smartphone bedside test to assess the fixation suppression of the vestibulo‑ocular reflex: when nothing else matters, written by Florin Gandor, Manfred Tesch, Hannelore Neuhauser, Doreen Gruber, Hans‑Jochen Heinze, Georg Ebersbach and Thomas Lempert, was originally published electr...

    journal_title:Journal of neurology

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00415-020-10035-x

    authors: Gandor F,Tesch M,Neuhauser H,Gruber D,Heinze HJ,Ebersbach G,Lempert T

    更新日期:2020-10-01 00:00:00

  • Appearance of Guillain-Barré syndrome in patients during corticosteroid treatment.

    abstract::Three patients developed acute Guillain-Barré syndrome while on steroid treatment. The first patient suffered from ulcerative colitis and developed Guillain-Barré syndrome when the steroid dosage was being tapered. Another patient with long-standing multiple sclerosis received steroids during relapse and the Guillain-...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314023

    authors: Steiner I,Wirguin I,Abramsky O

    更新日期:1986-08-01 00:00:00

  • Step length predicts executive dysfunction in Parkinson's disease: a 3-year prospective study.

    abstract::Cognition and gait appear to be closely related. The chronological interplay between cognitive decline and gait dysfunction is not fully understood. The aim of the present prospective study is investigating whether the dysfunction of specific gait parameters, during specific task and medication conditions, may predict...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-018-8973-x

    authors: Amboni M,Iuppariello L,Iavarone A,Fasano A,Palladino R,Rucco R,Picillo M,Lista I,Varriale P,Vitale C,Cesarelli M,Sorrentino G,Barone P

    更新日期:2018-10-01 00:00:00

  • Disease management: the example of amyotrophic lateral sclerosis.

    abstract::Disease management is defined as any medical or pharmaceutical intervention designed to improve both outcomes for the patient and overall cost-effectiveness of the health plan. Disease management focuses on the patient throughout the entire course of the disease, involving both health providers and third-party payers....

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014806

    authors: Matheron L,Barrau K,Blin O

    更新日期:1998-08-01 00:00:00

  • Mastication-induced vertigo and nystagmus.

    abstract::Even though trigeminovestibular connections are well established in animals, mastication-induced dizziness has been described only as a vascular steal phenomenon in humans. We determined induction or modulation of nystagmus in two index patients with mastication-induced vertigo, 12 normal controls, and 52 additional p...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-013-7221-7

    authors: Park SH,Kim HJ,Kim JS,Koo JW,Oh SW,Kim DU,Kim JT,Welgampola M,Deriu F

    更新日期:2014-03-01 00:00:00

  • Activated protein C resistance and acute ischaemic stroke: relation to stroke causation and age.

    abstract:OBJECTIVES:Resistance to activated protein C (APC) is the most frequent cause of thrombophilia and a well known risk factor for deep and cerebral vein thrombosis. Its causative role in ischaemic stroke is still a matter of debate. We undertook this study to determine the prevalence of APC-resistance in a cohort of cons...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s004150170117

    authors: Zunker P,Hohenstein C,Plendl HJ,Zeller JA,Caso V,Georgiadis D,Allardt A,Deuschl G

    更新日期:2001-08-01 00:00:00

  • Diagnostic CT scan findings in an adult case of acute disseminated leuco-encephalitis.

    abstract::A complex neurological syndrome, which rapidly appeared in a 54-year-old woman, created strong diagnostic difficulties. In fact, while the carotid-angiography was negative and CSF not significant, the scintigraphy suggested a multifocal metastatic or infarctual pathology. The CT scan easily allowed us to resolve the d...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313384

    authors: Barontini F,Sità D,Nori A

    更新日期:1981-01-01 00:00:00