NDLI: Pilot study of the cortical correlates and clinical effects of passive ankle mobilisation in children with upper motorneuron lesions

Content Provider	IEEE Xplore Digital Library
Author	Garavaglia, L. Molteni, E. Beretta, E. Vassena, E. Strazzer, S. Pittaccio, S.
Copyright Year	2015
Description	Author affiliation: Electrophysiology Unit, Sci. Inst. IRCCS “E.Medea”, Bosisio Parini, Italy (Vassena, E.) \|\| Inst. for Energetics & Interphases, Lecco, Italy (Garavaglia, L.; Pittaccio, S.) \|\| Acquired Brain Injury Unit, Sci. Inst. IRCCS “E.Medea”, Bosisio Parini, Italy (Molteni, E.; Beretta, E.; Strazzer, S.)
Abstract	Upper motoreuron lesions (UML) affects people of all ages and conditions and is a major cause of disability in the young. Whereas active exercise is recognised as paramount to restore the lost motor functions, passive mobilisation of the affected limbs is regarded as a means to safeguard muscular tissue properties during a period of disuse and lack of voluntary control, which often characterises the acute and sub-acute phases. The purpose of the present work is to study the cortical reactivity in UML patients who are treated for two weeks with a robotic passive ankle mobiliser, and the clinical effects of this treatment. The rationale is that, if passive mobilisation can affect positively the functional reorganisation at a cortical level, it could be proposed as a suitable tool to maintain afferentation and guide central nervous remapping, thus bridging the period of time when active exercise is impossible due to acute paresis. Preliminary results on 7 patients (aged 15.35±4.36) showed that this therapy is very well tolerated and suggest that its application could specifically improve ankle PROM and plantarflexor muscle length. EEG data showed improved desynchronisation in at least one frequency band in 3 patients of the study, thus confirming the effects of passive mobilisation on the cortical re-organisation of some patients having UML.
Starting Page	6614
Ending Page	6617
File Size	742430
Page Count	4
File Format	PDF
ISSN	1557170X
e-ISBN	9781424492718
DOI	10.1109/EMBC.2015.7319909
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2015-08-25
Publisher Place	Italy
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Electroencephalography Unified modeling language Joints Lesions Muscles Pediatrics
Content Type	Text
Resource Type	Article
Subject	Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition

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