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  • There is still little scientific evidence for the efficacy of neurofacilitation approaches and their possible influence on brain plasticity and adaptability. In this study, the outcome of a new kind of neurofacilitation approach, motor programme activating therapy (MPAT), was evaluated on the basis of a set of clinical functions and with MRI. Eighteen patients were examined four times with standardized clinical tests and diffusion tensor imaging to monitor changes without therapy, immediately after therapy and 1 month after therapy. Moreover, the strength of effective connectivity was analysed before and after therapy. Patients underwent a 1-h session of MPAT twice a week for 2 months. The data were analysed by nonparametric tests of association and were subsequently statistically evaluated. The therapy led to significant improvement in clinical functions, significant increment of fractional anisotropy and significant decrement of mean diffusivity, and decrement of effective connectivity at supplementary motor areas was observed immediately after the therapy. Changes in clinical functions and diffusion tensor images persisted 1 month after completing the programme. No statistically significant changes in clinical functions and no differences in MRI-diffusion tensor images were observed without physiotherapy. Positive immediate and long-term effects of MPAT on clinical and brain functions, as well as brain microstructure, were confirmed.
  • There is still little scientific evidence for the efficacy of neurofacilitation approaches and their possible influence on brain plasticity and adaptability. In this study, the outcome of a new kind of neurofacilitation approach, motor programme activating therapy (MPAT), was evaluated on the basis of a set of clinical functions and with MRI. Eighteen patients were examined four times with standardized clinical tests and diffusion tensor imaging to monitor changes without therapy, immediately after therapy and 1 month after therapy. Moreover, the strength of effective connectivity was analysed before and after therapy. Patients underwent a 1-h session of MPAT twice a week for 2 months. The data were analysed by nonparametric tests of association and were subsequently statistically evaluated. The therapy led to significant improvement in clinical functions, significant increment of fractional anisotropy and significant decrement of mean diffusivity, and decrement of effective connectivity at supplementary motor areas was observed immediately after the therapy. Changes in clinical functions and diffusion tensor images persisted 1 month after completing the programme. No statistically significant changes in clinical functions and no differences in MRI-diffusion tensor images were observed without physiotherapy. Positive immediate and long-term effects of MPAT on clinical and brain functions, as well as brain microstructure, were confirmed. (en)
Title
  • Motor programme activating therapy influences adaptive brain functions in multiple sclerosis: clinical and MRI study
  • Motor programme activating therapy influences adaptive brain functions in multiple sclerosis: clinical and MRI study (en)
skos:prefLabel
  • Motor programme activating therapy influences adaptive brain functions in multiple sclerosis: clinical and MRI study
  • Motor programme activating therapy influences adaptive brain functions in multiple sclerosis: clinical and MRI study (en)
skos:notation
  • RIV/00216208:11120/15:43909032!RIV15-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, S
http://linked.open...iv/cisloPeriodika
  • 1
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http://linked.open...aciTvurceVysledku
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http://linked.open...titaPredkladatele
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  • 292
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/15:43909032
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • somatosensory afferent stimuli; plasticity and adaptability of the central nervous system; neurofacilitation approach; multiple sclerosis; motor programme activating therapy; functional MRI; effective connectivity; diffusion tensor imaging (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [F684B1AFAE01]
http://linked.open...i/riv/nazevZdroje
  • International Journal of Rehabilitation Research
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 38
http://linked.open...iv/tvurceVysledku
  • Řasová, Kamila
  • Zimová, Denisa
  • Štětkářová, Ivana
  • Procházková, Marie
http://linked.open...ain/vavai/riv/wos
  • 000349395900006
issn
  • 0342-5282
number of pages
http://bibframe.org/vocab/doi
  • 10.1097/MRR.0000000000000090
http://localhost/t...ganizacniJednotka
  • 11120
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