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dc.contributor.authorPetersen, Jens A.-
dc.contributor.authorSpiess, Martina-
dc.contributor.authorCurt, Armin-
dc.contributor.authorWeidner, Norbert-
dc.contributor.authorRupp, Rüdiger-
dc.contributor.authorAbel, Rainer-
dc.contributor.authorSchubert, Martin-
dc.date.accessioned2022-09-08T09:24:40Z-
dc.date.available2022-09-08T09:24:40Z-
dc.date.issued2017-05-
dc.identifier.issn1545-9683de_CH
dc.identifier.issn1552-6844de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/25579-
dc.description.abstractBackground and Objective: The course of central and peripheral motor recovery after cervical spinal cord injury (SCI) may be investigated by electrophysiological measures. The goal of this study was to compare the 2 over the first year after injury in relation to motor gains. Methods: Compound motor action potentials (CMAPs), motor-evoked potentials (MEPs), and F-waves were recorded from the abductor digiti minimi and CMAP and F-waves from abductor hallucis muscles in 305 patients at about 15 days, 1 month, 3 months, 6 months, and 12 months following an acute traumatic SCI. Results: The MEP amplitudes and F-wave persistences were lower with more severe sensorimotor impairment. They steadily increased in most subgroups within 6 months after SCI. The amplitude of the CMAPs was low for the first 3 months in the most severely affected participants. This was also found for CMAPs from tibial nerve originating well below the cervical lesion level. Improvement in neurophysiological parameters correlated with improved upper extremity motor scores. Conclusion: The results point to a systematic interrelation of corticospinal transmission, spinal motoneuron excitability, and its axon function, respectively. Electrophysiological correlates of neural excitability show distinct spatial and temporal interrelations within central and peripheral motor pathways following acute cervical SCI. A strong secondary deterioration within the peripheral motor system with incomplete or no recovery depends on anatomical distance caudal to lesion and on lesion severity. Electrophysiological assessments may increase the sensitivity of interventional studies in addition to clinical measures.de_CH
dc.language.isoende_CH
dc.publisherSagede_CH
dc.relation.ispartofNeurorehabilitation and Neural Repairde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectClinical neurophysiologyde_CH
dc.subjectMechanismde_CH
dc.subjectRehabilitationde_CH
dc.subjectSpinal cord injuryde_CH
dc.subjectAction potentialde_CH
dc.subjectAdultde_CH
dc.subjectAgedde_CH
dc.subjectDisability evaluationde_CH
dc.subjectElectromyographyde_CH
dc.subjectEuropede_CH
dc.subjectEvoked potential, Motorde_CH
dc.subjectFollow-Up Studyde_CH
dc.subjectHumansde_CH
dc.subjectNeural conductionde_CH
dc.subjectNeurologic examinationde_CH
dc.subjectPeripheral nervede_CH
dc.subjectRecovery of functionde_CH
dc.subjectRetrospective studyde_CH
dc.subjectStatistics as topicde_CH
dc.subjectUpper extremityde_CH
dc.subjectYoung adultde_CH
dc.subject.ddc617: Chirurgiede_CH
dc.titleUpper limb recovery in spinal cord injury : involvement of central and peripheral motor pathwaysde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Ergotherapie (IER)de_CH
dc.identifier.doi10.1177/1545968316688796de_CH
dc.identifier.pmid28132610de_CH
zhaw.funding.euNode_CH
zhaw.issue5de_CH
zhaw.originated.zhawNode_CH
zhaw.pages.end441de_CH
zhaw.pages.start432de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume31de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Petersen, J. A., Spiess, M., Curt, A., Weidner, N., Rupp, R., Abel, R., & Schubert, M. (2017). Upper limb recovery in spinal cord injury : involvement of central and peripheral motor pathways. Neurorehabilitation and Neural Repair, 31(5), 432–441. https://doi.org/10.1177/1545968316688796
Petersen, J.A. et al. (2017) ‘Upper limb recovery in spinal cord injury : involvement of central and peripheral motor pathways’, Neurorehabilitation and Neural Repair, 31(5), pp. 432–441. Available at: https://doi.org/10.1177/1545968316688796.
J. A. Petersen et al., “Upper limb recovery in spinal cord injury : involvement of central and peripheral motor pathways,” Neurorehabilitation and Neural Repair, vol. 31, no. 5, pp. 432–441, May 2017, doi: 10.1177/1545968316688796.
PETERSEN, Jens A., Martina SPIESS, Armin CURT, Norbert WEIDNER, Rüdiger RUPP, Rainer ABEL und Martin SCHUBERT, 2017. Upper limb recovery in spinal cord injury : involvement of central and peripheral motor pathways. Neurorehabilitation and Neural Repair. Mai 2017. Bd. 31, Nr. 5, S. 432–441. DOI 10.1177/1545968316688796
Petersen, Jens A., Martina Spiess, Armin Curt, Norbert Weidner, Rüdiger Rupp, Rainer Abel, and Martin Schubert. 2017. “Upper Limb Recovery in Spinal Cord Injury : Involvement of Central and Peripheral Motor Pathways.” Neurorehabilitation and Neural Repair 31 (5): 432–41. https://doi.org/10.1177/1545968316688796.
Petersen, Jens A., et al. “Upper Limb Recovery in Spinal Cord Injury : Involvement of Central and Peripheral Motor Pathways.” Neurorehabilitation and Neural Repair, vol. 31, no. 5, May 2017, pp. 432–41, https://doi.org/10.1177/1545968316688796.


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