Motor and Visuospatial Attention and Motor Planning After Stroke: Considerations for the Rehabilitation of Standing Balance and Gait.
Attention and planning can be altered by stroke, which can influence motor performance. Although the influence of these factors on recovery from stroke has been explored for the upper extremity (UE), their impact on balance and gait are unknown. This perspective article presents evidence that altere...
| Publicado en: | Physical Therapy Vol. 95; no. 10; pp. 1423 - 1433 |
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| Autores principales: | , , , , |
| Formato: | glossary pictorial tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110306336&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110306336 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Oct2015 vid: 95 iid: 10 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 110306336 110306336 110306336 10.2522/ptj.20140492 NLM25929533 PMC4595814 110306336 ppf: 1423 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Motor and Visuospatial Attention and Motor Planning After Stroke: Considerations for the Rehabilitation of Standing Balance and Gait. aug: au: Peters, Sue Handy, Todd C. Lakhani, Bimal Boyd, Lara A. Garland, S. Jayne affil: Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada sug: subj: Stroke Rehabilitation Gait Balance, Postural Standing Stroke Complications Perceptual Distortion Physical Therapy Methods Spatial Perception Visual Perception Models, Theoretical Recovery Muscle, Skeletal Physiology Brain Physiology Psychomotor Performance Lower Extremity Physiopathology ab: Attention and planning can be altered by stroke, which can influence motor performance. Although the influence of these factors on recovery from stroke has been explored for the upper extremity (UE), their impact on balance and gait are unknown. This perspective article presents evidence that altered motor and visuospatial attention influence motor planning of voluntary goal-directed movements poststroke, potentially affecting balance and gait. Additionally, specific strategies for rehabilitation of balance and gait poststroke in the presence of these factors are discussed. Visuospatial attention selects relevant sensory information and supports the preparation of responses to this information. Motor attentional impairments may produce difficulty with selecting appropriate motor feedback, potentially contributing to falls. An original theoretical model is presented for a network of brain regions supporting motor and visuospatial attention, as well as motor planning of voluntary movements. Stroke may influence this functional network both locally and distally, interfering with input or output of the anatomical or functional regions involved and affecting voluntary movements. Although there is limited research directly examining leg function, evidence suggests alterations in motor and visuospatial attention influence motor planning and have a direct impact on performance of gait and balance. This model warrants testing comparing healthy adults with individuals with stroke. pubtype: Academic Journal doctype: glossary pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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