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中文摘要. 背景與目的：反應性姿勢控制能力(reactive postural control ability) ... 近年研究發現輸入的感覺訊息會經大腦後頂葉皮質區(posterior parietal cortex, ...
篇名
後頂葉皮質區受損之中風病患於側向反應性姿勢控制能力之缺損以及給予提示對其控制能力之影響
並列篇名
ReactivePosturalResponsetoLateralPerturbationinPatientswiththePosteriorParietalCortexLesion:
DeficitsandEffectsofPrecues
DOI
10.6342/NTU.2008.00085
作者
林盈蕙
關鍵字
中風；動作控制；反應性姿勢控制能力；後頂葉皮質區；提示；stroke；motorcontrol；reactiveposturalresponse；posteriorparietalcortex；cue
出版品名稱
臺灣大學物理治療學研究所學位論文
卷期/出版年月
2008年
學位類別
碩士
指導教授
湯佩芳
內容語文
英文
中文摘要
背景與目的：反應性姿勢控制能力(reactiveposturalcontrolability)取決於感覺訊息的整合以及動作與姿勢的協調。
近年研究發現輸入的感覺訊息會經大腦後頂葉皮質區(posteriorparietalcortex,PPC)整合與注意後轉換為動作訊息，再傳至前動作皮質區(premotorcortex)，以利動作計畫與動作執行。
因此可推測後頂葉皮質區損傷可能導致注意與姿勢控制能力的缺損。
故本研究目的為探討後頂葉皮質區損傷是否造成中風病患站姿平衡能力缺損以及給予事先提示對患者的影響。
方法：9位大腦受損區包含後頂葉皮質區之中風病患(PPC+組,平均年齡=60.8±13.9歲)與9位大腦受損區不包含後頂葉皮質區之中風病患(PPC-組,平均年齡=69.9±10.3歲)參與本研究。
另有9位年齡相符之健康受試者參與，為控制組(Healthy組,平均年齡=67.9±13.7歲)。
所有參與者須在受到由多方向牽拉儀(AdvanceInstrument,Inc.,Taipei,Taiwan)產生之側向牽拉干擾(lateralperturbation)後，於儘量不移動雙腳的情況下，維持站立平衡。
本實驗包含無提示與提示情境各6次牽拉測試(trials)。
在提示情境下，研究者於牽拉干擾前給予聽覺提示，使參與者可事先知道干擾方向。
本實驗中分析反應姿勢肌活化模式、最早活化之反應姿勢肌潛伏時間(onsetlatency)、施力反應時間(reactiontime)、到達施力峰值時間(time-to-peakphaseduration)以及側向衝量(totalforceimpulse)。
結果：在無提示情境下，健康受試者以與牽拉方向同側邊之臀中肌(gluteusmedius)與腓長肌(peroneallongus)為主要反應肌(活化率分別為88.5%與73.1%)，且大多以臀中肌最早反應(反應姿勢肌潛伏時間為129.1毫秒)。
兩組中風受試者受到向健側邊的牽拉干擾時反應模式與健康受試者相似；但受到向患側邊的牽拉干擾時，除患側之臀中肌與腓長肌外，健側臀中肌亦為主要反應姿勢肌之一。
尤其在PPC+組受到向患側邊的牽拉干擾時，健側臀中肌之活化率(40.0%)趨近於患側之臀中肌(56.0%)與腓長肌(48.0%)，且為最早活化之姿勢反應肌(反應姿勢肌潛伏時間為167.0毫秒)。
至於反應姿勢肌潛伏時間分析結果發現，在無提示情境下受到向患側的牽拉干擾，PPC+組(167.0毫秒)的時間顯著長於Healthy(129.1毫秒)與PPC-(136.3毫秒)組(Healthy組與PPC+組:p=.008;PPC-組與PPC+組:p=.039)，但Healthy與PPC-組之間無顯著差異。
此外，PPC+組於受到向患側干擾時之反應姿勢肌潛伏時間較受到向健側干擾時的(124.8毫秒)長(p=.001)。
而無論牽拉方向為何，三組的施力反應時間與到達施力峰值時間皆無差異(p>.05)。
側向衝量分析結果顯示，當受到向患側的牽拉干擾，兩組中風病患產生的衝量(PPC-:1019.4體重百分比*毫秒;PPC+:1152.4體重百分比*毫秒)較健康成人(1504.0體重百分比*毫秒)小(Healthy組與PPC-組:p=.004;Healthy組與PPC+組:p=.028)。
給予提示後，PPC+組於受到向患側邊干擾時患側臀中肌的活化率顯著增加(活化率為80.8%)，且反應姿勢肌活化模式變成與健康成人的相似。
而提示對於三組受試者之反應姿勢肌潛伏時間、到達施力峰值時間與側向衝量並無顯著影響(p>.05)，但可以加快健康成人的施力反應時間(p=.035)
討論與結論：PPC+組的站立反應性姿勢控制能力較Healthy與PPC-組差，可能原因為感覺動作訊息轉換能力(sensory-motortransformation)缺損導致。
此外，本研究中發現聽覺提示可改善後頂葉皮質區受損之中風病患姿勢肌反應策略，但並未改善其反應姿勢肌之潛伏時間及與時間相關之力學上的反應能力。
顯示聽覺提示可能可提高後頂葉皮質區受損病患對輸入之感覺訊息的注意力、改善感覺動作訊息轉換能力或有助於計畫動作輸出之次序或相關姿勢肌，因而改善其反應策略。
反應肌潛伏時間則依賴感覺輸入之快慢與感覺動作訊息轉換之速率，而與時間相關之力學表現除上述兩項外亦取決於反應肌產生力量之速率。
後頂葉皮質區受損之中風病患可能並未因接收聽覺提示而增進其感覺動作整合與反應肌產生力量之速率，所以其姿勢反應上並未較快。
未來研究仍須進一步探討其他感覺提示(如視覺或觸覺)對後頂葉皮質區受損之中風病患反應性姿勢控制能力之影響。
英文摘要
BackgroundandPurpose─Reactiveposturalcontrolabilitydependsupontheintegrationofallsensoryinputsanddescendingmotordrives.Recentstudiessuggestthatallsensoryinputsareintegratedandattended,andthenaretransformedintomotorcommands(sensory-motortransformation)intheposteriorparietalcortex(PPC)forplanningandexecutingmovements.Therefore,itisexpectedthatlesionsoverthePPCwouldcausedeficitsinattentionandmotorcontrol.However,littleempiricalevidencehasbeenprovidedregardingstandingbalancedeficitsandeffectsofprecuesinpatientswiththePPClesion.
Methods─Ninepatientswithstroke(meanage=60.8±13.9yrs)withlesionsinvolvingthePPCregion(PPC+group),ninepatientswithstroke(meanage=69.9±10.3yrs)withlesionsnotinvolvingthePPCregion(PPC-group)andninehealthy,age-matchedadults(meanage=67.9±13.7yrs)participatedinthisstudy(healthygroup).
Allparticipantswereaskedtomaintainstandingbalancewithoutstepping,ifpossible,afterexperiencinglateralpullingperturbationintheno-cueandcueconditions.Therewere6trialseachintheno-cueandcueconditions.Anauditoryprecueregardingthepullingdirectionwasgiventotheparticipantsinthecuecondition.Posturalmuscleactivationpatterns,theearliestmuscleonsetlatency(OLEarliest),reactiontime(RT)oflateralforce,time-to-peakphaseduration(PDTTP)andtotalforceimpulse(IMPTotal)wereanalyzedtoinvestigatetheperformanceofeachparticipant.
Results─Intheno-cuecondition,thegluteusmedius(GM)andperoneallongus(PL)musclesofthelegonthesideipsilateraltothepullingperturbationdirection(GMIpsiandPLIpsi)werethepredominantmusclesgeneratingposturalresponsesinthehealthygroup(firingrate:88.5%and73.1%,respectively).Similarresultswerealsofoundwhenbothstrokegroupsrespondedtoperturbationtowardstheunaffectedside.Whenrespondingtoperturbationtowardstheaffectedside,theGMofthelegcontralateraltotheperturbationdirection(GMContra)becameoneofthepredominantmuscles.HalfsubjectsofthePPC-reliedonco-contractionofGMIpsiandGMContraforreactiveresponses.Andone-thirdofthesubjectsinthePPC+groupsreliedonGMContrainresponsetoperturbation.Comparedtothehealthy(OLEarliest=129.1ms)andPPC-(OLEarliest=136.3ms)groups,thePPC+groupshowedlongerOLEarliest(167.0ms)whilerespondingtoperturbationtowardstheaffectedside(healthyvs.PPC+:p=.008;PPC-vs.PPC+:p=.039),buttherewasnodifferenceinOLEarliestbetweenthehealthyandPPC-groups.Inaddition,thePPC+group,butnotthePPC-group,showedsignificantlylongerOLEarliestwhenrespondingtoperturbationtowardstheaffectedside(167.0ms)thanunaffectedside(124.8ms)(p=.001).FortheRTandPDTTP,therewasnogroup,neitherdirection,maineffect.FortheIMPTotal,bothstrokegroupsgeneratedsmallerIMPTotalthanthehealthygroupafterapulltotheaffectedside(healthyvs.PPC-:p=.004;healthyvs.PPC+:p=.028).Aftercuing,themuscleactivationpatternsofthePPC+groupinresponsetoapulltotheaffectedsidebecamesimilartothoseofthehealthygroup,andthehealthygroupshowedshorterRT(p=.035).TherewerenosignificanteffectsoftheauditorycueonOLEarliest,PDTTPandIMPTotal(p>.05)inthisstudy.
DiscussionandConclusions─ThePPC+groupshowedthepoorestreactiveposturalresponsestolateralpullsamongthesethreegroups,whichmaybeduetotheirdeficitsofsensory-motortransformation.Provisionofapriorauditorycueseemstoimprovetheconstructionorselectionofproperposturalstrategy,butnotthetimeneededtogeneratesufficientmuscleorforceresponses,inpatientswiththePPClesion.Thesetemporalparametersmaybedeterminedbyhowfastthepatientscouldprocessandintegrateallsensoryinformation,howfasttheycouldperformthesensory-motortransformationandhowfasttheycouldgenerateforcenecessaryforposturalresponses.Ourauditorycuedidnotseemtoimprovetherateofinformationprocessing,thesensory-motortransformationandforcegenerationofthePPC+subjects.Furtherstudiesarerequiredtoinvestigatewhetherprecueofotherforms,suchasvisualortactilecues,wouldeffectivelyimprovereactiveposturalresponsesofthesepatients.
主題分類
醫藥衛生 >
醫藥總論
醫學院 >
物理治療學研究所
參考文獻
1. AllumJH,PfaltzCR.Visualandvestibularcontributionstopitchswaystabilizationintheanklemusclesofnormalsandpatientswithbilateralperipheralvestibulardeficits.ExpBrainRes1985;58:82-94.連結：
2. AndersenRA,SnyderLH,BradleyDC,XingDC.Multimodalrepresentationofspaceintheposteriorparietalcortexanditsuseinplanningmovements.AnnuRevNeurosci1997;20:303-30.連結：
3. BadkeMB,DuncanPW,DiFabioRP.Influenceofpriorknowledgeonautomaticandvoluntaryposturaladjustmentsinhealthyandhemiplegicsubjects.PhysTher1987;67:1495-500.連結：
4. Battaglia-MayerA,CaminitiR,LacquanitiF,ZagoM.Multiplelevelsofrepresentationofreachingintheparieto-frontalnetwork.CerebCortex2003;13:1009-22.連結：
5. BehrmannM,MeeganDV.Visuomotorprocessinginunilateralneglect.Consciousness&Cogn1998;7:381-409.連結：
6. BergK,Wood-DauphineeS,WilliamsJI,GaytonD.Measuringbalanceintheelderly:Preliminarydevelopmentofaninstrument.PhysiotherCan1989;41:304-11.連結：
10. BisiachE,PeraniD,VallarG,BertiA.Unilateralneglect:personalandextra-personal.Neuropsychologia1986;24:759-67.連結：
11. BloemBR,AllumJH,CarpenterMG,HoneggerF.Islowerlegproprioceptionessentialfortriggeringhumanautomaticposturalresponses?ExpBrainRes2000;130:375-91.連結：
12. BuneoCA,JarvisMR,BatistaAP,AndersenRA.Directvisuomotortransformationsforreaching.Nature2002;416:632-6.連結：
13. BuneoCA,AndersenRA.Theposteriorparietalcortex:sensorimotorinterfacefortheplanningandonlinecontrolofvisuallyguidedmovements.Neuropsychologia2006;44:2594-606.連結：
14. BurleighAL,HorakFB,MalouinF.Modificationofposturalresponsesandstepinitiation:Evidenceforgoal-directedposturalinteractions.JNeurophysiol1994;72:2892-902.連結：
15. BurleighA,HorakF.Influenceofinstruction,prediction,andafferentsensoryinformationontheposturalorganizationofstepinitiation.JNeurophysiol1996;75:1619-28.連結：
16. CorbettaM,KincadeJM,OllingerJM,ShulmanGL.Volintaryorientingisdissociatedfromtargetdetectioninhumanposteriorparietalcortex.NatNeurosci2000;3:292-7.連結：
17. CorbettaM,KincadeMJ,LewisC,SnyderAZ,SapirA.Neuralbasisandrecoveryofspatialattentiondeficitsinspatialneglect.NatNeurosci2005;8:1603-10.連結：
18. CorbettaM,ShulmanGL.Controlofgoal-directedandstimulus-drivenattentioninthebrain.NatRevNeurosci2002;3:201-15.連結：
19. DanckertJ,FerberS.Revisitingunilateralneglect.Neuropsychologia2006;44:987-1006.連結：
20. DeiberMP,WiseSP,HondaM,CatalanMJ,GrafmanJ,HallettM.Frontalandparietalnetworksforconditionalmotorlearning:apositronemissiontomographystudy.JNeurophysiol1997;78:977-91.連結：
21. Della-MaggioreV,MalfaitN,OstryDJ,PausT.Stimulationoftheposteriorparietalcortexinterfereswitharmtrajectoryadjustmentsduringthelearningofnewdynamics.JNeurosci2004;24:9971-6.連結：
22. DesmurgetM,EpsteinCM,TurnerRS,PrablancC,AlexanderGE,GraftonST.Roleoftheposteriorparietalcortexinupdatingreachingmovementstoavisualtarget.NatNeurosci1999;2:563-7.連結：
23. DesmurgetM,GreaH,GretheJS,PrablancC,AlexanderGE,GraftonST.Functionalanatomyofnonvisualfeedbackloopsduringreaching:apositronemissiontomographystudy.JNeurosci2001;21:2919-28.連結：
24. DicksteinR,PeterkaRJ,HorakFB.Effectsoflightfingertiptouchonposturalresponsesinsubjectswithdiabeticneuropathy.JNeurolNeurosurgPsychiatry2003;74:620-6.連結：
25. DienerHC,HorakF,StelmachG,GuschlbauerB,DichgansJ.Directionandamplitudeprecuinghasnoeffectonautomaticpostureresponses.ExpBrainRes1991;84:219-23.連結：
26. DownarJ,CrawleyA,MikulisDJ,DavisKD.Amultimodalcorticalnetworkforthedetectionofchangesinthesensoryenvironment.Natneurosci2000;3:277-83.連結：
27. DuncanPW,PropstM,NelsonSG.ReliabilityoftheFugl-Meyerassessmentofsensorimotorrecoveryfollowingcerebrovascularaccident.PhysTher1983;63:1606-10.連結：
28. EliasLJ,BrydenMP,Bulman-FlemingMB.Footednessisabetterpredictorthanishandednessofemotionallateralization.Neuropsychologia1998;36:37-43.連結：
29. FogassiL,LuppinoG.Motorfunctionsoftheparietallobe.CurrOpinNeurobiol2005;15:626-31.連結：
30. FolsteinMF,FolsteinSE,McHughPR."Mini-mentalstate".Apracticalmethodforgradingthecognitivestateofpatientsfortheclinician.JPsychiatrRes1975;12:189-98.連結：
32. GeeraertsS,LafosseC,VandenbusscheE,VerfaillieK.Apsychophysicalstudyofvisualextinction:ipsilesionaldistractorinterferencewithcontralesionalorientationthresholdsinvisualhemineglectpatients.Neuropsychologia2005;43:530-41.連結：
33. GeurtsAC,deHM,vanN,I,DuysensJ.Areviewofstandingbalancerecoveryfromstroke.Gait&Posture2005;22:267-81.連結：
34. GillesM,WingAM,KirkerSG.Lateralbalanceorganisationinhumanstanceinresponsetoarandomorpredictableperturbation.ExpBrainRes1999;124:137-44連結：
35. GoodaleMA,WestwoodDA.Anevolvingviewofduplexvision:separatebutinteractingcorticalpathwaysforperceptionandaction.CurrOpinNeurobiol2004April;14:203-11.連結：
36. GrunebergC,DuysensJ,HoneggerF,AllumJH.Spatio-temporalseparationofrollandpitchbalance-correctingcommandsinhumans.JNeurophysiol2005;94:3143-58.連結：
37. HallCD,WoollacottMH,JensenJL.Age-relatedchangesinrateandmagnitudeofankletorquedevelopment:implicationsforbalancecontrol.JGerontolABiolSciMedSci1999;54:M507-M513.連結：
38. HalliganPW,MarshallJC,WadeDT.Visuospatialneglect:underlyingfactorsandtestsensitivity.Lancet1989;2:908-11.連結：
39. HeilmanKM,ValensteinE.Mechanismsunderlyinghemispatialneglect.AnnNeurol1979;5:166-70.連結：
40. HesseMD,ThielCM,StephanKE,FinkGR.Theleftparietalcortexandmotorintention:anevent-relatedfunctionalmagneticresonanceimagingstudy.Neuroscience2006;140:1209-21.連結：
41. HillisAE,NewhartM,HeidlerJ,BarkerPB,HerskovitsEH,DegaonkarM.Anatomyofspatialattention:Insightsfromperfusionimagingandhemispatialneglectinacutestroke.JNeurosci2005;23:3161-7.連結：
42. HoltRR,SimpsonD,JennerJR,KirkerSG,WingAM.Groundreactionforceafterasidewayspushasameasureofbalanceinrecoveryfromstroke.ClinRehabil2000;14:88-95.連結：
43. HorakFB,NashnerLM,DienerHC.Posturalstrategiesassociatedwithsomatosensoryandvestibularloss.ExpBrainRes1990;82:167-77.連結：
45. HorakFB,HenrySM,Shumway-CookA.Posturalperturbations:newinsightsfortreatmentofbalancedisorders.PhysTher1997;77:517-33連結：
46. HusainM,MattingleyJB,RordenC,KennardC,DriverJ.Distingushingsensoryandmotorbiasesinparietalandfrontalnegelect.Brain2000;123:1643-59.連結：
47. IacoboniM.Visuo-motorintegrationandcontrolinthehumanposteriorparietalcortex:evidencefromTMSandfMRI.Neuropsychologia2006;44:2691-9.連結：
48. IkaiT,KamikuboT,TakeharaI,NishiM,MiyanoS.Dynamicposturalcontrolinpatientswithhemiparesis.AmJPhysMedRehabil2003;82:463-9.連結：
49. InglisJT,HorakFB,ShupertCL,Jones-RycewiczC.Theimportanceofsomatosensoryinformationintriggeringandscalingautomaticposturalresponsesinhumans.ExpBrainRes1994;101:159-64.連結：
50. InglisJT,MacphersonJM.Bilaterallabyrinthectomyinthecat:effectsontheposturalresponsetotranslation.JNeurophysiol1995;73:1181-91.連結：
52. KarnathHO,FerberS,HimmelbachM.Spatialawarenessisafunctionofthetemporalnottheposteriorparietallobe.Nature2001;411:950-3.連結：
53. KarnathHO,HimmelbachM,RordenC.Thesubcorticolanatomyofhumanspatialneglect:Putamen,caudatenucleusandpulvinar.Brain2002;125:350-60.連結：
54. KarnathHO,FerberS,DichgansJ.Theneuralrepresentationofposturalcontrolinhumans.ProcNatlAcadSciUSA2000;97:13931-6.連結：
55. KirkerSG,JennerJR,SimpsonDS,WingAM.Changingpatternsofposturalhipmuscleactivityduringrecoveryfromstroke.ClinRehabil2000;14:618-26.連結：
56. LafosseC,KerckhofsE,TrochM,VereeckL,VanHG,MoeremansM,BroeckxJ,VandenbusscheE.Contraversivepushingandinattentionofthecontralesionalhemispace.JClinExpNeuropsychol2005;27:460-84.連結：
57. LeeBH,KangSJ,ParkJM,SonY,LeeKH,AdairJC,HeilmanKM,NaDL.TheCharacter-lineBisectionTask:anewtestforhemispatialneglect.Neuropsychologia2004;42:1715-24.連結：
58. MakiBE,McIlroyWE.Theroleoflimbmovementsinmaintaininguprightstance:the"change-in-support"strategy.PhysTher1997;77:488-507.連結：
59. MalhotraP,CoulthardE,HusainM.Hemispatialneglect,balanceandeye-movementcontrol.CurrOpinNeurol2006;19:14-20.連結：
60. ManchesterD,WoollacottM,Zederbauer-HyltonN,MarinO.Visual,vestibularandsomatosensorycontributionstobalancecontrolintheolderadult.JGerontol1989;44:M118-M127.連結：
61. MarigoldDS,EngJJ.Alteredtimingofposturalreflexescontributestofallinginpersonswithchronicstroke.ExpBrainRes2006;171:459-68.連結：
62. MattingleyJB,HusainM,RordenC,KennardC,DriverJ.Motorroleofhumaninferiorparietalloberevealedinunilateralneglectpatients.Nature1998;392:179-82.連結：
63. McChesneyJW,SveistrupH,WoollacottMH.Influenceofauditoryprecuingonautomaticposturalresponses.ExpBrainRes1996;108:315-20.連結：
64. McChesneyJW,WoollacottMH.Theeffectofage-relateddeclinesinproprioceptionandtotalkneereplacementonposturalcontrol.JGerontolABiolSciMedSci2000;55:M658-M666.連結：
65. McDowdJM,FilionDL,PohlPS,RichardsLG,StiersW.Attentionalabilitiesandfunctionaloutcomesfollowingstroke.JGerontolBPsycholSciSocSci2003;58:P45-P53.連結：
66. MetcalfeJS,McDowellK,ChangTY,ChenLC,JekaJJ,ClarkJE.Developmentofsomatosensory-motorintegration:anevent-relatedanalysisofinfantpostureinthefirstyearofindependentwalking.DevPsychobiol2005;46:19-35.連結：
67. MilleML,JohnsonME,MartinezKM,RogersMW.Age-dependentdifferencesinlateralbalancerecoverythroughprotectivestepping.ClinBiomech2005;20:607-16.連結：
68. MuggletonNG,PostmaP,MoutsopoulouK,Nimmo-SmithI,MarcelA,WalshV.TMSoverrightposteriorparietalcortexinducesneglectinascene-basedframeofreference.Neuropsychologia2006;44:1222-9.連結：
69. NakataH,YabeK.Automaticposturalresponsesystemsinindividualswithcongenitaltotalblindness.Gait&Posture2001;14:36-43.連結：
70. OgdenJA.Contralesionalneglectofconstructedvisualimagesinrightandleftbrain-damagedpatients.Neuropsychologia1985;23:273-7.連結：
71. OtaHM,FujiiTM,SuzukiKM,FukatsuRM,YamadoriAM.Dissociationofbody-centeredandstimulus-centeredrepresentationsinunilateralneglect.Neurology2001;57:2064-9.連結：
72. PedersenPM,WandelA,JorgensenHS,NakayamaH,RaaschouHO,OlsenTS.Ipsilateralpushinginstroke:Incidence,relationtoneuropsychologicalsymptoms,andimpactonrehabilitation.Thecopenhagenstrokestudy.ArchPhysMedRehabil1996;77:25-8.連結：
73. PellijeffA,BonilhaL,MorganPS,McKenzieK,JacksonSR.Parietalupdatingoflimbposture:Anevent-relatedfMRIstudy.Neuropsychologia2006;44:2685-90.連結：
74. PerennouDA,AmblardB,LaasseleM,BenaimC,HerissonC,PelissierJ.Understandingthepusherbehaviorofsomestrokepatientswithspatialdeficits:apilotstudy.ArchPhysMedRehabil2002;83:570-5.連結：
75. PerennouDA,LeblondC,AmblardB,MicallefJP,HerissonC,PelissierJY.Transcutaneouselectricnervestimulationreducesneglect-relatedposturalinstabilityafterstroke.ArchPhysMedRehabil2001;82:440-8.連結：
76. PerennouDA,LeblondC,AmblardB,MicallefJP,RougetE,PelissierJ.Thepolymodalsensorycortexiscrucialforcontrollinglateralposturalstability:evidencefromstrokepatients.BrainResBull2000;53:359-65.連結：
78. PisellaL,GreaH,TiliketeC,VighettoA,DesmurgetM,RodeG,BoissonD,RossettiY.An'automaticpilot'forthehandinhumanposteriorparietalcortex:towardreinterpretingopticataxia.NatNeurosci2000;3:729-36.連結：
79. PooleJL,WhitneySL.Motorassessmentscaleforstrokepatients:concurrentvalidityandinterraterreliability.ArchPhysMedRehabil1988;69:195-7.連結：
80. PosnerM,BoiesS.Componentsofattention.PsycholRev1971;78:391-408.連結：
81. PosnerMI,WalkerJA,FriedrichFJ,RafalRD.Effectsofparietalinjuryoncovertorientingofattention.JNeurosci1984;47:1863-74.連結：
82. PraamstraP,BoutsenL,HumphreysGW.FrontoparietalcontrolofspatialattentionandmotorintentioninhumanEEG.JNeurophysiol2005;94:764-74.連結：
83. ReddingGM,WallaceB.Prismadaptationandunilateralneglect:reviewandanalysis.Neuropsychologia2006;44:1-20.連結：
84. RietdykS,PatlaAE,WinterDA,IsgacMG,LittleCE.Balancerecoveryfrommedio-lateralperturbationsoftheupperbodyduringstanding.JBiomech1999;32:1149-58.連結：
85. Roden-JulligA,BrittonM,GustafssonC,Fugl-MeyerA.Validationoffourscalesfortheacutestageofstroke.JInternMed1994;236:125-36.連結：
86. RogersMW,HedmanLD,PaiYC.Kineticanalysisofdynamictransitionsinstancesupportaccompanyingvoluntarylegkneeflexionmovementsinhemiparetivadults.ArchPhysMedRehabil1993;74:19-25.連結：
87. RogersMW,HedmanLD,JohnsonME,CainTD,HankeTA.Lateralstabilityduringforward-inducedsteppingfordynamicbalancerecoveryinyoungandolderadults.JGerontolABiolSciMedSci2001;56:M589-M594.連結：
88. RordenC,BergerMF,KarnathHO.Disturbedlinebisectionisassociatedwithposteriorbrainlesions.BrainRes2006;1080:17-25.連結：
89. RungeCF,ShupertCL,HorakFB,ZajacFE.Ankleandhipposturalstrategiesdefinedbyjointtorques.Gait&Posture1999;10:161-70.連結：
90. RushworthMFS,Johansen-BergH,GobelSM,DevlinJT.Theleftparietalandpremotorcortices:Motorattentionamdselection.Neuroimage2003;20:S89-S100.連結：
91. RushworthMFS,Johansen-BergH,YoungSA.Parietalcortexandspatial-posturaltransformationduringarmmovements.JNeurophysiol1998;79:478-82.連結：
92. RushworthMFS,NixonPD,PassinghamRE.Parietalcortexandmovement.II.Spatialrepresentation.ExpBrainRes1997;117:311-23.連結：
93. RushworthMFS,NixonPD,PassinghamRE.Parietalcortexandmovement.I.Movementselectionandreaching.ExpBrainRes1997;117:292-310.連結：
94. SchenkenbergT,BradfordDC,AjaxET.Linebisectionandunilateralvisualneglectinpatientswithneurologicimpairment.Neurology1980;30:509-17.連結：
95. SealJ,GrossC,BioulacB.Activityofneuronsinarea5duringasimplearmmovementinmonkeysbeforeandafterdeafferentationofthetrainedlimb.BrainRes1982;250:229-43.連結：
96. Shumway-CookA,WoollacottMH.MotorControl:TheoryandPraticalApplications.Seconded.Philadelphia:LippincottWilliams&Wilkins;2001.連結：
97. SmaniaN,MartiniMC,GambinaG,TomelleriG,PalamaraA,NataleE,MarziCA.Thespatialdistributionofvisualattentioninhemineglectandextinctionpatients.Brain1998;121:1759-70.連結：
98. SnyderLH,BatistaAP,AndersenRA.Codingofintentionintheposteriorparietalcortex.Nature1997;386:167-70.連結：
99. SnyderLH,BatistaAPAndersenRA.Changeinmotorpaln,withoutachangeinthespatallocusofattention,modulatesactivityintheposteriorparietalcortex.JNeurophysiol1998;79:2814-9.連結：
100. StapletonT,AshburnA,StackE.Apilotstudyofattentiondeficits,balancecontrolandfallsinthesubacutestagefollowingstroke.ClinRehabil2001;15:437-44.連結：
101. StelnmetzPN,RoyA,FltzgeraldPJ,HsiaoSS,JohnsonKO,NleburE.Attentionmodulatessynchronizedneuronalfiringinprimatesomatosensorycortex.Nature2000;404:187-90.連結：
102. TaubeW,SchubertM,GruberM,BeckS,FaistM,GollhoferA.Directcorticospinalpathwayscontributetoneuromuscularcontrolofperturbedstance.JApplPhysiol2006;101:420-9.連結：
103. TiliketeC,RodeG,RossettiY,PichonJ,LiL,BoissonD.Prismadaptationtorightwardopticaldeviationimprovesposturalimbalanceinleft-hemipareticpatients.CurrBiol2001;11:524-8.連結：
104. ThoenissenD,ZillesK,ToniI.Differentialinvolvementofparietalandprecentralregionsinmovementpreparationandmotorintention.JNeurosci2002;22:9024-34.連結：
105. ToniI,ThoenissenD,ZillesK.Movementpreparationandmotorintention.Neuroimage2001;14:S110-S117.連結：
106. TokunoCDandEngJJ.Gaitinitiationisdependentonthefunctionoftheparetictrailinglimbinindividualswithstroke.Gait&Posture2006;24:424-428.連結：
107. ValenzaN,SeghierML,SchwartzS,LazeyrasF,VuilleumierP.Tactileawarenessandlimbpositioninneglect:functionalmagneticresonanceimaging.AnnNeurol2004;55:139-43.連結：
109. VandenbergheR,GeeraertsS,MolenberghsP,LafosseC,VandenbulckeM,PeetersK,PeetersR,VanHP,OrbanGA.Attentionalresponsestounattendedstimuliinhumanparietalcortex.Brain2005;128:2843-57.連結：
110. WeeJYM,HopmanWM.Strokeimpairmentpredictorsofdischargefunction,lengthofstay,anddischargedestinationinstrokerehabilitation.AmJPhysMedRehabil2005;84:604-12.連結：
111. WenHM,MokVC,FanYH,LamWW,TangWK,WongA,HuangRX,WongKS.Effectofwhitematterchangesoncognitiveimpairmentinpatientswithlacunarinfarcts.Stroke2004;35:1826-30.連結：
113. WiseSP,BoussaoudD,JohnsonPB,CaminitiR.Premotorandparietalcortex:corticocorticalconnectivityandcombinatorialcomputations.AnnuRevNeurosci1997;20:25-42.連結：
114. WolpertDM,GoodbodySJ,HusainM.Maintaininginternalrepresentations:theroleofthehumansuperiorparietallobe.NatNeurosci1998;1:529-33.連結：
7. BergK,Wood-DauphineeS,WilliamsJI.TheBalanceScale:reliabilityassessmentwithelderlyresidentsandpatientswithanacutestroke.ScandJRehabMed1995;27:27-36.
8. BergKO,MakiBE,WilliamsJI,HollidayPJ,Wood-DauphineeSL.Clinicalandlaboratorymeasuresofposturalbalanceinanelderlypopulation.ArchPhysMedRehabil1992;73:1073-80.
9. BerglundK,Fugl-MeyerAR.Upperextremityfunctioninhemiplegia.Across-validationstudyoftwoassessmentmethods.ScandJRehabMed1986;18:155-7.
31. Fugl-MeyerAR,JaaskoL,LeymanI,OlssonS,SteglindS.Thepost-strokehemiplegicpatient.1.amethodforevaluationofphysicalperformance.ScandJRehabMed1975;7:13-31.
44. HorakFB.,HlavackaF,ShupertCL.Vestibular-somatosensoryinteractionsforhumanposture.In:MergnerT,HlavackaF,editors.Multisensorycontrolofposture.NewYork:Plenumpress;1995.p.237-42.
51. KandelER,SchwartzJH,JessellTM.PrinciplesofNeuralScience.Fourthed.McGraw-HillCompanies;2000.
77. PerennouDA.Posturaldisordersandspatialneglectinstrokepatients:Astrongassociation.RestorNeurolNeurosci.2006;24:319-334.
108. vanderLeeJH,WagenaarRC,LankhorstGJ,VogelaarTW,DevilleWL,BouterLM.Forceduseoftheupperextremityinchronicstrokepatients.Stroke1999;30:2369-75.
112. WingAM,GooodrichS,Virji-BabulN,JennerJR,GlappS.Balanceevaluationinhemipareticstrokepatientsusinglateralforcesappliedtothehip.ArchPhysMedRehabil1993;74:292-9.
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