Progressive recruitment of contralesional cortico‐reticulospinal pathways drives motor impairment post stroke

JG McPherson, A Chen, MD Ellis, J Yao… - The Journal of …, 2018 - Wiley Online Library
Key points Activation of the shoulder abductor muscles in the arm opposite a unilateral brain
injury causes involuntary increases in elbow, wrist and finger flexion in the same arm, a …

Abnormal synergies and associated reactions post-hemiparetic stroke reflect muscle activation patterns of brainstem motor pathways

LM McPherson, JPA Dewald - Frontiers in neurology, 2022 - frontiersin.org
Individuals with moderate-to-severe post-stroke hemiparesis cannot control proximal and
distal joints of the arm independently because they are constrained to stereotypical …

[HTML][HTML] A unifying pathophysiological account for post-stroke spasticity and disordered motor control

S Li, YT Chen, GE Francisco, P Zhou… - Frontiers in …, 2019 - frontiersin.org
Cortical and subcortical plastic reorganization occurs in the course of motor recovery after
stroke. It is largely accepted that plasticity of ipsilesional motor cortex primarily contributes to …

[HTML][HTML] A neuroanatomical framework for upper limb synergies after stroke

AJC McMorland, KD Runnalls… - Frontiers in human …, 2015 - frontiersin.org
Muscle synergies describe common patterns of co-or reciprocal activation that occur during
movement. After stroke, these synergies change, often in stereotypical ways. The …

Differences between flexion and extension synergy-driven coupling at the elbow, wrist, and fingers of individuals with chronic hemiparetic stroke

LM McPherson, JPA Dewald - Clinical Neurophysiology, 2019 - Elsevier
Objective The flexion and extension synergies were quantified at the paretic elbow, forearm,
wrist, and finger joints within the same group of participants for the first time. Differences in …

Stability of muscle synergies for voluntary actions after cortical stroke in humans

VCK Cheung, L Piron, M Agostini… - Proceedings of the …, 2009 - National Acad Sciences
Production of voluntary movements relies critically on the functional integration of several
motor cortical areas, such as the primary motor cortex, and the spinal circuitries …

Contributions of altered stretch reflex coordination to arm impairments following stroke

RD Trumbower, VJ Ravichandran… - Journal of …, 2010 - journals.physiology.org
Patterns of stereotyped muscle coactivation, clinically referred to as synergies, emerge
following stroke and impair arm function. Although researchers have focused on cortical …

Ipsilateral versus contralateral cortical motor projections to a shoulder adductor in chronic hemiparetic stroke: implications for the expression of arm synergies

S Schwerin, JPA Dewald, M Haztl, S Jovanovich… - Experimental brain …, 2008 - Springer
An increase in ipsilateral descending motor pathway activity has been reported following
hemiparetic stroke. In axial muscles, increased ipsilateral cortical activity has been …

Upper extremity motor impairments and microstructural changes in bulbospinal pathways in chronic hemiparetic stroke

M Owen, C Ingo, JPA Dewald - Frontiers in neurology, 2017 - frontiersin.org
Following hemiparetic stroke, precise, individuated control of single joints is often replaced
by highly stereotyped patterns of multi-joint movement, or abnormal limb synergies, which …

[HTML][HTML] Ipsilateral motor pathways after stroke: implications for non-invasive brain stimulation

LV Bradnam, CM Stinear, WD Byblow - Frontiers in human …, 2013 - frontiersin.org
In humans the two cerebral hemispheres have essential roles in controlling the upper limb.
The purpose of this article is to draw attention to the potential importance of ipsilateral …