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Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 2005 June;41(2):125-30

lingua: Inglese

Prognostic value of motor evoked potentials in stroke motor outcome

Nascimbeni A. 1, Gaffuri A. 1, Granella L. 1, Colli M. 2, Imazio P. 2

1 Rehabilitation Unit S. Croce Hospital, Moncalieri, Turin, Italy
2 School of Physical Medicine and Rehabilitation, Turin, Italy


Functional ­study tech­nol­o­gies of the cen­tral ner­vous ­system (CNS) are ­fast devel­op­ing, yield­ing fur­ther objec­tive ­data for evi­dence ­based neu­ro­log­i­cal reha­bil­i­ta­tion. Transcranial mag­net­ic stim­u­la­tion is a ­safe and non inva­sive tech­nique of func­tion­al inves­ti­ga­tion of sev­er­al ­aspects of the CNS. During the ­past few ­years ­many stud­ies ­have ­focused on ­motor ­evoked poten­tials (MEPs) in the inves­ti­ga­tion of cen­tral ner­vous ­system and par­tic­u­lar­ly of cen­tral ­motor path­ways. Among the var­i­ous ­issues of reha­bil­i­ta­tive con­cern in ­this con­text, the prog­nos­tic val­ue of MEPs of ­motor out­come ­after ­stroke is the ­most inter­est­ing one. The aim of ­this ­review, con­duct­ed on Medline data­base, is to ­find out the cur­rent agree­ment in the lit­er­a­ture ­about ­this top­ic and to out­line clin­i­cal cri­te­ria of use of the ­test. Many of the ­retrieved papers ­sug­gest an add­ed val­ue of MEPs on ­motor prog­no­sis ­after ­first ischem­ic syl­vian ­stroke, high­light­ing high­er spec­i­fic­ity in clin­i­cal cas­es ­with par­al­y­sis or ­severe pare­sis in the ­acute ­stage. A clin­i­cal use of MEPs in spe­cif­ic ­stroke sub­groups ­might ­help to ­plan a ­more indi­vid­u­al reha­bil­i­ta­tive pro­ject ­through realis­tic ­motor recov­ery ­goals and select­ed tech­niques of treat­ment; a ­more reli­able ­motor prog­no­sis may ­also be use­ful for reha­bil­i­ta­tion effec­tive­ness ­research and for a ­more ­aimed use of resourc­es.

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