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PubMed1997

Psychophysical properties of the trunk midline.

This study was carry out to obtain direct evidence that the body midline actually is perceived and to assess some psychophysical properties of this line. Twelve normal, right-handed male subjects were asked to make accurate pointing movements toward the midline of the anterior trunk on the basis of their mental representation of this line. Each hand was used to point while the head was either aligned with the trunk or tilted 30 degrees to the right or left. Analysis of end-positions of pointing on trunk images acquired by an image analysis system indicated that the trunk midline indeed is perceived as a straight line. Three putative trunk midlines were taken into consideration on the basis of anatomic landmarks, and it was found that the mental representation of the trunk midline came nearest to the line orthogonal to the intermammary line crossing its midpoint. The performing hand and the position of the head relative to the trunk both had an effect on the mental representation of the trunk midline. These findings suggest that somatosensory signals from the trunk, as well as proprioceptive input from the neck, contribute to the elaboration of the subject's mental representation of the trunk midline.

Adult↗

PubMed1999

Starting position of movement and perception of angle of trunk flexion while standing with eyes closed.

The present study attempted to investigate the effect of position on the perception of angle of trunk flexion while standing. For this purpose, the range effect was factored out by setting the constant target angle at 10 degrees, with varied starting positions of trunk flexion. We found that subjects underestimated angle of trunk flexion when the starting position was close to a quiet standing posture, overestimated when close to maximum trunk flexion, and correctly perceived it when at the middle position. Less perceptual distortion was observed at the positions close to maximum trunk flexion in the present study than in our previous one, in which various target angles of trunk flexion were reproduced from a quiet standing posture. The reduced distortion in the present study was believed to have resulted from factoring out the range effect. The flexion angle of the hip joint changed in tandem with that of the trunk, while very little movement was observed in the ankle, knee, and neck joints. Judging from the changing pattern of hip-joint angle, the muscle activity of the erector spinae and biceps femoris increased gradually to 90 degrees trunk flexion. In contrast, the actual increment of muscle activity reached zero or a minimum value at the middle angles as the angle of trunk flexion increased. It was assumed that the abrupt change in kinesthetic information associated with muscle activity exerted a great influence on the perception of trunk flexion.

Hip Joint↗

PubMed2006

[Microsurgical anatomy of the facial nerve trunk in facial-hypoglossal nerve anastomosis].

OBJECTIVE: To study the microsurgical anatomy of the facial nerve (FN) trunk and provide some important morphometric data about facial-hypoglossal nerve anastomosis (FHA). METHODS: Bilateral microsurgical dissection was performed on the heads of 9 cadavers fixed with formalin with three different methods. In the first method, the posterior belly of the digastric muscle was used as a mark, and the FN trunk was identified on the medial side of this muscle. In the second method, dissection was initiated at the parotid gland, the FN trunk was identified at its entrance into the parotid gland. In the third method, the styloid process was identified and traced back to the stylomastoid foramen (SMF). The FN trunk was identified on its emergence from the SMF. In every dissection, the whole FN trunk was exposed; its diameter and depth at the the SMF and its length were measured; its relationship, with other structures was studied. RESULTS: The FN invariably emerged from the cranial base through the SMF. Its diameter upon its emergence from the foramen was 2.57 +/- 0.60 mm. The mean minimal distance of the FN trunk from the skin surface in this area was 22.62 +/- 2.88 mm. The length of the FN trunk was 15.71 +/- 1.97 mm. The distance between the bifurcation and the mastoidale was 18.20 +/- 4.41 mm. The distance between the bifurcation and the mandibular angle was 39.91 +/- 8.38 mm. The distance between the mastoidale and the SMF was 17.91 +/- 2.68 mm. The branches from the FN trunk proximal to its bifurcation were the posterior auricular nerve, the digastric muscle nerve and the stylohyoid muscle nerve. CONCLUSION: The third method to expose the FN trunk on its emergence from the SMF is safe and reliable. It is feasible to use only part of the hypoglossal nerve fibers for anastomosis with the FN trunk.

Adult↗

PubMedDate not supplied

Head-trunk coordination during hops using one or two feet in children and adults.

The main purpose of this study was to investigate the development of head-trunk coordination during single hops using one foot or two feet in children of two ages (5.5 to 6 and 7 to 7.5) and adults (n = 6/group). The kinematics of the subjects' hops were analyzed by means of an automatic optical TV-image processor called the ELITE system. The absolute angular dispersion of the head, trunk, and leg about the pitch and the roll axis were measured. Head and trunk pitch and roll anchoring indexes were calculated in order to compare the stabilization of a given segment with respect both to external space and to the underlying anatomical segment. Results were analyzed separately for 3 phases: take-off, flight, and landing. Only the last two phases, flight and landing, are presented in this paper, and the following was found: 1) During flight, under both unipedal and bipedal conditions, head and trunk stabilization in space about the pitch axis occurred in children as well as in adults, suggesting an articulated operation of the head-trunk unit. In contrast, during landing, in children and adults, head stabilization in space tended to disappear while trunk stabilization in space was still present, suggesting an en bloc operation of the head-trunk unit. Similarly, pelvis stabilization in space about the roll axis occurred in all subjects during both flight and landing under unipedal conditions, where lateral balance control is of primary importance. Taken together, these results suggest that head stabilization in space is phase dependent, while trunk stabilization is phase independent. The trunk, including the pelvis, may thus constitute a stable reference frame from which anteroposterior and lateral balance control is organized during hops. 2) For head-trunk coordination, whatever the component of rotation, the two groups of children differed from adults, but did not differ from each other, suggesting that, while jumping, the transition between 6 and 7 years of age in the organization of balance control takes place in the coordination of the lower limbs during the preparatory phase of the take-off.

Adult↗

PubMed1990

Muscle activities during asymmetric trunk angular accelerations.

The objective of this study was to characterize trunk muscle and intra-abdominal pressure behavior during extensions of the trunk when angular trunk acceleration levels and trunk twist were varied during lifting exertions. Since force is related to acceleration, it was believed that changes in trunk acceleration would cause activity changes in the muscles and abdominal cavity pressurization mechanics that load the spine during manual materials handling tasks. The electromyographic activity of 10 trunk muscles and intra-abdominal pressure were studied in 39 subjects as they moved their trunks under high, medium, and low constant angular acceleration conditions. The results indicated that almost all the muscles were affected by acceleration and asymmetry. Muscle activities of up to 50% of maximum were observed even though a minimal amount of torque was being produced by the back. Coactivation of muscles was also apparent. Muscles located at the greatest distances from the spine, such as the latissimus dorsi and oblique groups, increased their activities the most as trunk acceleration increased. Muscles located farthest from the spine also played an important role as the trunk became more asymmetric. Intra-abdominal pressure changed minimally over the test conditions. The nature of these responses and their impact on spine loading are discussed.

Acceleration↗

PubMed2005

Fetal head-to-trunk volume ratio in chromosomally abnormal fetuses at 11 + 0 to 13 + 6 weeks of gestation.

OBJECTIVE: To determine the pattern of early growth disturbance in chromosomally abnormal fetuses by comparing the volume of the fetal head to that of the trunk. METHODS: The fetal trunk and head volume was measured using three-dimensional (3D) ultrasound in 145 chromosomally abnormal fetuses at a median gestational age of 12 (range, 11 + 0 to 13 + 6) weeks. The head volume was measured separately and then subtracted from the total head and trunk volume to obtain the volume of the fetal trunk. The head-to-trunk ratios were then calculated and the Mann-Whitney U-test was used to determine the significance of differences from 500 chromosomally normal fetuses. RESULTS: The fetal head volume for crown-rump length (CRL) was significantly smaller than normal in trisomy 21, trisomy 13 and Turner syndrome (P < 0.001, P < 0.001 and P = 0.001, respectively), whereas no significant differences were found in trisomy 18 and triploidy (P = 0.139 and P = 0.070, respectively). The fetal trunk volume for CRL was significantly smaller in all chromosomal abnormalities (P < 0.001) except Turner syndrome (P = 0.134). The head-to-trunk ratio for CRL was significantly larger in trisomy 18, trisomy 13 and triploidy (P < 0.001), but normal in trisomy 21 (P = 0.221) and Turner syndrome (P = 0.768). CONCLUSIONS: In trisomy 21 and Turner syndrome, the growth deficit was symmetrical with the head and trunk being equally affected, whereas in triploidy and trisomies 18 and 13 there was asymmetrical growth restriction with the trunk being more severely compromised than the head.

Adolescent↗

PubMed1981

Total body bone mineral and lean body mass by dual-photon absorptiometry. III. Comparison with trunk calcium by neutron activation analysis.

Dual-photon absorptiometry using 153Gd (44 and 100 keV) was used to measure the bone mineral content (BMC) of the trunk and of the total body (TBBM) in 7 volunteers with no overt bone disease. These values were compared to those obtained with partial-body neutron activation of calcium (trunk Ca). The trunk Ca seemed to represent best a 60 x 30 cm area; the correlation coefficient with the corresponding BMC in that area was 0.97 (SEE congruent to 7%). Trunk Ca was also highly correlated with TBBM (r = 0.96; SEE = 8%) and with radius BMC (r = 0.92; SEE = 11%), but the correlations with the BMC of smaller subareas of the trunk were lower (r congruent to 0.9; SEE approximately 12%). The BMC of the lumbar spine was only moderately correlated with trunk Ca, radius BMC and TBBM (r approximately 0.82; SEE approximately 18%), and only slightly more associated with trunk BMC (r approximately 0.88; SEE approximately 14%). The BMC of the combined lumbar-thoracic spine showed higher correlations with trunk Ca, radius BMC and TBBM (r approximately 0.87; SEE approximately 13%), and trunk BMC (r = 0.93; SEE approximately 10%). An accurate and sensitive measure of spinal status requires a direct measurement of that area.

Adult↗

PubMedDate not supplied

Segmental inertial parameters of the human trunk as determined from computed tomography.

This study used computed tomography (CT) imaging to determine in vivo mass, center of mass (CM), and moments of inertia (Icm) about the CM of discrete segments of the human torso. Four subjects, two males and two females, underwent serial transverse CT scans that were collected at 1-cm intervals for the full length of the trunk. The pixel intensity values of transverse images were correlated to tissue densities, thereby allowing trunk section mass properties to be calculated. The percentage of body mass observed by vertebral levels ranged from 1.1% at T1 to 2.6% at L5. The masses of the upper, middle, and lower trunk segments as percentages of body mass were estimated to be 18.5, 12.2, and 10.7%, respectively. The whole trunk mass was estimated to comprise 41.6% of the total body mass. Transverse vertebral CM values were found to lie anterior to their respective vertebral centroids by up to 5.0 cm in the lower thoracic region. For the upper, middle, and lower trunk segments, the average CM positions were found to be 25.9, 62.5, and 86.9% of the distance from the superior to inferior ends of the trunk. The upper and middle trunk CMs corresponded to approximately 4.0 cm anterior to T7/T8 vertebral centroid levels and 1.0 cm anterior to L3/L4 vertebral centroid levels, respectively. For the whole trunk, the CM was 52.7% of the distance from the xiphoid process and approximately 2.0 cm anterior to L1/L2 vertebral centroid levels. Variations in CM and Icm values were observed between subject, but these were within the range of previous reports of body segment parameters. Differences from previous studies were attributable to variations in boundary definitions, measurement techniques, population groups, and body states (live versus cadaver) examined. The disparity between previous findings and findings of this study emphasizes the need to better define the segmental properties of the trunk so that improved biomechanical representation of the body can be achieved.

Abdomen↗

PubMed2006

The role of the neck and trunk in facilitating head stability during walking.

An apparent goal of the human postural system is to maintain head stability during walking. Although much is known about sensory-motor stabilising mechanisms associated with the head and neck, less is known about how the postural system attenuates motion between the trunk and neck segments in order to regulate head motion. Therefore the purpose of this study was to determine the role that the neck and the trunk play in stabilising the head at a range of walking speeds. Eight healthy male subjects (age: 23+/-4 years) performed self-selected slow, preferred, and fast walking speed trials along a 30 m walkway. Four custom-designed wireless triaxial accelerometers were attached to the head, upper trunk, lower trunk, and shank of each subject to measure vertical (VT), anterior-posterior (AP), and mediolateral (ML) accelerations. Acceleration data were examined in each direction using RMS, power spectral, harmonic, and regularity measures. Signal regularity was increased from the lower to upper trunk for all walking speeds and directions with the exception of the slow speed in the AP direction. Evidence from analysis of power spectral and amplitude characteristics of acceleration signals was suggestive that accelerations are also attenuated from the lower to upper trunk by dynamics of the intervening trunk segment. Differences in selected power spectral and amplitude characteristics between the accelerations of the upper trunk and head due to the intervening neck segment were only detected in the AP direction at preferred and fast walking speeds. Overall the findings of the present study suggest that the trunk segment plays a critical role in regulating gait-related oscillations in all directions. Only accelerations in the direction of travel at preferred and fast speeds required additional control from the neck segment in order to enhance head stability during walking.

Acceleration↗

PubMed2006

Basal cell carcinoma on the trunk is associated with excessive sun exposure.

BACKGROUND AND OBJECTIVE: Basal cell carcinoma (BCC) is the most common of all cancers. Ultraviolet radiation is the major etiologic agent in the pathogenesis of BCC, but there is not a straightforward relationship between cumulative exposure and risk. A high proportion of lesions arise on the trunk, which is generally much less exposed to the sun than the head, the major site affected. We tested the hypothesis that the phenotypic determinants and patterns of sun exposure that give rise to BCC on the head and trunk vary in a way that explains the anomalous site distribution. METHODS: The study was set in the context of the Nambour Skin Cancer Study, a community-based follow-up study among 1621 participants with virtually complete ascertainment of BCCs between 1992 and 2004. We compared phenotypic and sun exposure characteristics of participants who developed a first BCC of the head or trunk with those of participants who had no diagnosis of BCC. RESULTS: BCCs of the trunk were more likely to occur in men; they also occurred at a younger age than BCCs of the head. There was a positive association between sun sensitivity and BCC of the head that was absent for BCC of the trunk. A high number of solar keratoses conferred a greater than 3-fold risk for BCCs of both the head and the trunk. BCCs of the trunk had a particularly strong association with the number of reported sunburns and solar lentigines on the trunk, whereas many lentigines conferred a greater than 3-fold risk of truncal BCC compared with a 50% increased risk of BCC of the head. LIMITATIONS: The relatively small numbers of tumors may have limited our ability to detect statistically significant differences. CONCLUSIONS: BCCs of the trunk are the result of overexposure of the sensitive basal cells of the epidermis to ultraviolet radiation. This may result from acute intense exposures sufficient to cause sunburn among people whose ability to tan makes the skin of their face generally less susceptible to the carcinogenic effects of ultraviolet radiation.

Age Distribution↗

PubMed2005

Trunk stiffness and dynamics during active extension exertions.

Spinal stability is related to the recruitment and control of active muscle stiffness. Stochastic system identification techniques were used to calculate the effective stiffness and dynamics of the trunk during active trunk extension exertions. Twenty-one healthy adult subjects (10 males, 11 females) wore a harness with a cable attached to a servomotor such that isotonic flexion preloads of 100, 135, and 170 N were applied at the T10 level of the trunk. A pseudorandom stochastic force sequence (bandwidth 0-10 Hz, amplitude +/-30 N) was superimposed on the preload causing small amplitude trunk movements. Nonparametric impulse response functions of trunk dynamics were computed and revealed that the system exhibited underdamped second-order behavior. Second-order trunk dynamics were determined by calculating the best least-squares fit to the IRF. The quality of the model was quantified by comparing estimated and observed displacement variance accounted for (VAF), and quality of the second-order fits was calculated as a percentage and referred to as fit accuracy. Mean VAF and fit accuracy were 87.8 +/- 4.0% and 96.0 +/- 4.3%, respectively, indicating that the model accurately represented active trunk kinematic response. The accuracy of the kinematic representation was not influenced by preload or gender. Mean effective stiffness was 2.78 +/- 0.96 N/mm and increased significantly with preload (p < 0.001), but did not vary with gender (p = 0.425). Mean effective damping was 314 +/- 72 Ns/m and effective trunk mass was 37.0 +/- 9.3 kg. We conclude that stochastic system identification techniques should be used to calculate effective trunk stiffness and dynamics.

Adult↗

PubMed2000

Effects of external trunk loads on lumbar spine stability.

Stability of the lumbar spine is an important factor in determining spinal response to sudden loading. Using two different methods, this study evaluated how various trunk load magnitudes and directions affect lumbar spine stability. The first method was a quick release procedure in which effective trunk stiffness and stability were calculated from trunk kinematic response to a resisted-force release. The second method combined trunk muscle EMG data with a biomechanical model to calculate lumbar spine stability. Twelve subjects were tested in trunk flexion, extension, and lateral bending under nine permutations of vertical and horizontal trunk loading. The vertical load values were set at 0, 20, and 40% of the subject's body weight (BW). The horizontal loads were 0, 10, and 20% of BW. Effective spine stability as obtained from quick release experimentation increased significantly (p<0.01) with increased vertical and horizontal loading. It ranged from 785 (S.D.=580) Nm/rad under no-load conditions to 2200 (S.D.=1015) Nm/rad when the maximum horizontal and vertical loads were applied to the trunk simultaneously. Stability of the lumbar spine achieved prior to force release and estimated from the biomechanical model explained approximately 50% of variance in the effective spine stability obtained from quick release trials in extension and lateral bending (0.53<R(2)<0.63). There was no such correlation in flexion trials. It was concluded that lumbar spine stability increased with increased trunk load magnitude to the extent that this load brought about an increase in trunk muscle activation. Indirectly, our data suggest that muscle reflex response to sudden loading can augment the lumbar spine stability level achieved immediately prior to the sudden loading event.

Adult↗

PubMed2000

An empirical approach to characterizing trunk muscle coactivation using simulation input modeling techniques.

Accurately describing trunk muscle coactivation is fundamental to quantifying the spine reaction forces that occur during lifting tasks and has been the focus of a great deal of research in the spine biomechanics literature. One limitation of previous approaches has been a lack of consideration given to the variability in these coactivation strategies. The research presented in this paper is an empirical approach to quantifying and modeling trunk muscle coactivation using simulation input modeling techniques. Electromyographic (EMG) data were collected from 28 human subjects as they performed controlled trunk extension exertions. These exertions included isokinetic (10 and 45 degrees /s) and constant acceleration (50 degrees /s/s) trunk extensions in symmetric and asymmetric (30 degrees ) postures at two levels of trunk extension moment (30 and 80Nm). The EMG data were collected from the right and left pairs of the erector spinae, latissimus dorsi, rectus abdominis, external obliques and internal obliques. Each subject performed nine repetitions of each combination of independent variables. The data collected during these trials were used to develop marginal distributions of trunk muscle activity as well as a 10x10 correlation matrix that described how the muscles cooperated to produce these extension torques. These elements were then combined to generate multivariate distributions describing the coactivation of the trunk musculature. An analysis of these distributions revealed that increases in extension moment, extension velocity and sagittal flexion angle created increases in both the mean and the variance of the distributions of the muscular response, while increases in the rate of trunk extension acceleration decreased both the mean and variance of the distributions of activity across all muscles considered. Increases in trunk asymmetry created a decrease in mean of the ipsi-lateral erector spinae and an increase in the mean of all other muscles considered, but there was little change in the variance of these distributions as a function of asymmetry.

Acceleration↗

PubMed2002

Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions.

OBJECTIVE: To compare the relative contribution of various trunk muscles to the stability of the lumbar spine. DESIGN: Quantification of spine stability with a biomechanical model. BACKGROUND: Modern low back rehabilitation techniques focus on muscles that stabilize the lumbar spine. However, the relative contribution of various trunk muscles to spine stability is currently unknown. METHODS: Eight male subjects performed isometric exertions in trunk flexion, extension, lateral bending, and axial rotation, and isometric exertions under vertical trunk loading and in a lifting hold. Each isometric trial was repeated three times at 20%, 40%, and 60% of the maximum trunk flexion force or with a load of 0%, 20%, 40%, and 60% of body weight for the latter two exertions. Surface EMG data from 12 major trunk muscles were used in the biomechanical model to estimate stability of the lumbar spine. A simulation of each trial was performed repeatedly with one of the 10 major trunk muscle groups removed from the model. RESULTS: Relative contribution of each muscle to spine stability was significantly affected by the combination of loading magnitude and direction (3-way interaction). None of the removed muscles reduced spine stability by more than 30%. CONCLUSIONS: A single muscle cannot be identified as the most important for the stability of the lumbar spine. Rather, spine stability depends on the relative activation of all trunk muscles and other loading variables. RELEVANCE: This study will improve our understanding of individual trunk muscles' contribution to overall stability of the lumbar spine.

Adult↗

PubMed2003

Kinematic analysis of the hip and trunk during bilateral stance on firm, foam, and multiaxial support surfaces.

OBJECTIVE: To differentiate hip and trunk motion during double-leg stance. DESIGN: Trunk and hip angular position variances were measured on different support surfaces with and without vision. BACKGROUND: Postural control results from motion about the hips and trunk during bilateral stance. While the hip joint has been studied extensively, information concerning relative amounts of hip and trunk motions during postural control is limited. METHODS: Trunk flexion/extension, trunk lateral flexion, right and left hip flexion/extension and abduction/adduction angular position variances were assessed in 14 normal subjects using an electromagnetic tracking system during bilateral stance on firm, foam, and multiaxial support surfaces with and without vision. RESULTS: Significantly greater amounts of motion occurred at all joints for the multiaxial-eyes closed condition compared to all other surface-vision conditions. No significant differences were found between any other surface-vision conditions. Within the multiaxial-eyes closed condition, right and left hip flexion/extension and abduction/adduction magnitudes were significantly greater than those of trunk flexion and lateral flexion, and left hip flexion/extension motion was significantly greater than that of the right hip. CONCLUSIONS: Postural control mechanisms involve similar amounts of motion at the hips and trunk, except for conditions under which a rigid base of support becomes unstable and vision is eliminated. RELEVANCE: These results suggest that the trunk and hips should be considered separately during kinematic analysis of postural control. This information may be useful in providing a more sensitive assessment of postural control to identify balance-related pathologies associated with stroke, concussion, and somatosensory deficits.

Abdomen↗

PubMed1996

The effect of trunk support on performance during arm ergometry in patients with cervical cord injuries.

Earlier studies have shown that the diaphragm might have a postural function that could interfere with its respiratory function during arm cycling in patients with cervical cord injuries with impaired elbow extension. The purpose of this study was to evaluate the effect of trunk support on working performance in such patients. Ten patients with low-cervical-cord injuries performed an arm ergometer test without and with trunk support with at least one week between the tests. The work load averaged 30 (20-50) Watt. Oxygen uptake at steady state averaged 0.71 +/- 0.09 l/min without trunk support and 0.64 +/- 0.10 l/min with trunk support, P < 0.05. There was no difference in blood lactate without or with trunk support. Maximum performance time averaged 8.3 +/- 4.3 min without trunk support and 19.5 +/- 8.8 min with trunk support, P < 0.01. Oxygen saturation tended to decrease during work and returned to resting values after termination. This study showed that trunk support during arm ergometry in cervical-cord-injury patients with impaired elbow extension decreased the energy cost during sub-maximal work and increased the time to perform work. The results indicate that trunk stabilisation might improve performance of activities of daily living and that it should also be considered during exercise affecting the postural balance of these patients.

Adult↗

PubMed2000

Trunk-assisted prehension: specification of body segments with imposed temporal constraints.

The authors used a trunk-assisted prehension task to examine intersegment coordination. Participants (N = 7) reached to grasp an object placed beyond full arm extension, thus requiring trunk flexion to achieve the target object, under 4 varying temporal constraints. Kinematic analyses were performed in which the motions of the arm, the trunk, and the endpoint were characterized. The spatial trajectories and the segments' peak velocity data revealed that under high temporal constraints the arm was more responsible for endpoint motion than the trunk, whereas in the unconstrained condition the trunk was more involved. In addition, the arm exhibited a decline in spatial variability toward the end of the movement in all conditions, whereas the trunk did not. The present study is the first to show that when temporal demand is increased for a trunk-assisted prehensile task, the arm plays a larger role than the trunk in the transport of the hand to the object. The data also suggest that the arm participates in the fine accuracy control of the reach, whereas the trunk does not.

Adult↗

PubMed2001

The relationships between trunk function and the findings of transcranial magnetic stimulation among patients with stroke.

In this study, we investigated the relationship between the motor evoked potentials obtained from trunk muscles and the clinical function of trunk muscle. Twenty patients with unilateral hemispheric stroke and 11 healthy adults were examined. The responses of the bilateral external oblique muscles and the erector spinae muscles to the magnetic stimulation of multiple sites over both cortical hemispheres were recorded. Trunk muscle performance was assessed using the Trunk Control Test and Stroke Impairment Assessment Set. In the stroke group, stimulation of the affected hemisphere resulted in a motor evoked potential in only one patient, while the other 19 stroke patients produced no response to stimulation of the affected hemisphere. Stimulation of the unaffected hemisphere evoked bilateral responses in 19 patients. Further, stimulation of the unaffected hemisphere in the stroke group produced larger motor evoked potentials in the ipsilateral muscles than the motor evoked potentials recorded in the ipsilateral muscles of the control group. The clinical assessment scores of trunk function (i.e. Trunk Control Test and trunk items of Stroke Impairment Assessment Set) were correlated with the amplitudes of the motor evoked potentials of the ipsilateral external oblique muscle that were evoked by stimulation of the unaffected hemisphere. Our results suggest that the recovery of trunk function after stroke is associated with an increase in ipsilateral motor evoked potentials in the external oblique muscle upon stimulation of the unaffected hemisphere, suggesting a role for compensatory activation of uncrossed pathways in recovery of trunk function.

Adult↗