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Motor Cortex Plasticity in Children With Spastic Cerebral Palsy: A Systematic Review |
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| Authors: | Natália de Almeida Carvalho Duarte Luanda André Collange Grecco Nelci Zanon Manuela Galli Felipe Fregni Claudia Santos Oliveira |
| Institution: | 1. Rehabilitation Sciences, Universidade Nove de Julho, S?o Paulo, Brazil;2. Pediatric Neurosurgical Center (CENEPE), S?o Paulo, Brazilnatycarvalho_fisio@hotmail.com;4. Pediatric Neurosurgical Center (CENEPE), S?o Paulo, Brazil;5. Pediatric Neurosurgical Center (CENEPE), S?o Paulo, Brazil;6. Department of Electronic Information and Bioengineering, Politecnico di Milan, Italy;7. IRCCS San Raffaele Pisana, Rome, Italy;8. Department of Physical Medicine &9. Rehabilitation, Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts |
| Abstract: | A review of the literature was performed to answer the following questions: Does motor cortex excitability correlate with motor function? Do motor cortex excitability and cortex activation change after a rehabilitation program that results in improvements in motor outcomes? Can the 10–20 electroencephalography (EEG) system be used to locate the primary motor cortex when employing transcranial direct current stimulation? Is there a bihemispheric imbalance in individuals with cerebral palsy similar to what is observed in stroke survivors? the authors found there is an adaptation in the geometry of motor areas and the cortical representation of movement is variable following a brain lesion. The 10–20 EEG system may not be the best option for locating the primary motor cortex and positioning electrodes for noninvasive brain stimulation in children with cerebral palsy. |
| Keywords: | cerebral palsy child motor cortex transcranial direct current stimulation |