Painkilling drugs that make many therapies possible are a blessing for patients. Thanks to modern anesthetics, not only can surgical operations be conducted without causing pain, they are also used for various diagnostic procedures.
In the ‘Constraint-Induced Movement Therapy’ (CIMT) the healthy arm is being restrained in a cuff, while the stroke-affected arm and hand are intensely training fine motor skills.
Photo: Jan-Peter Kasper/FSU
Anesthetics can be very useful in therapies for stroke patients, as psychologists and physicians of the Friedrich Schiller University Jena (Germany) and the University Hospital Jena are now able to prove.
In the ‘Journal of Neuroscience’ (DOI:10.1523/JNEUROSCI.5912-11.2012) the researchers present the results of their study, showing how a local anesthetic can distinctly improve the motor skills of patients after a stroke.
“Many stroke patients suffer from chronic impairment of the hand or of the complete arm,” Professor Dr. Thomas Weiss explains. Together with expert colleagues the psychologist of the department of Biological and Clinical Psychology at Jena University has been working for a number of years on a specialized medical training therapy which clearly enhances the mobility of stroke patients. In the ‘Constraint-Induced Movement Therapy’ (CIMT) the healthy arm is being restrained in a cuff, while the stroke-affected arm and hand are intensely training fine motor skills. Patients are asked to carry out tasks such as stacking small toy blocks or putting tiny pins into a perforated board. Daily activities like washing one’s hand are part of the training.“Nearly every affected person benefits from this training,” Weiss‘s colleague Prof. Dr. Wolfgang Miltner says. The chair of Biological and Clinical Psychology developed the therapy together with American colleagues and refers to the comprehensive study results about the efficiency of the program. “We are happy to carry out this therapy on many patients - together with our colleagues from the psychology department in the neurological day hospital,” the director of the clinic for Neurology, Prof. Dr. Otto Witte, stresses.
“Unsurprisingly, the motor performance of all patients was strongly enhanced,” Prof. Weiss commented on the result. “Beyond that, it became obvious that the patients who received the anesthetic benefited even more than the placebo group,“ Weiss says. The researchers could show the reason for this effect using magnetoencephalographic imaging (MEG) of the patients. The temporary interruption of nerve impulses from the forearm leads to a decreasing activity in the brain areas processing these impulses. “At the same time neighboring brain cells are activated more strongly,” the Jena Psychologist explains. Thus the brain reacts to the missing impulses from the forearm with an increased sensitivity in the hand as the MEG images showed. Consequently the motor performance improves as well. “This process starts within minutes,” Thomas Weiss says.
A subsequent study is going to show whether the combination of local anesthetics and therapeutic exercise will improve the mobility of stroke patients in the long term.Original Publication:
Dr. Ute Schönfelder | idw
A study shows how the brain switches into memory mode
06.05.2016 | Rheinische Friedrich-Wilhelms-Universität Bonn
An experimental Alzheimer's drug reverses genetic changes thought to spur the disease
04.05.2016 | Rockefeller University
Using an ultra fast-scanning atomic force microscope, a team of researchers from the University of Basel has filmed “living” nuclear pore complexes at work for the first time. Nuclear pores are molecular machines that control the traffic entering or exiting the cell nucleus. In their article published in Nature Nanotechnology, the researchers explain how the passage of unwanted molecules is prevented by rapidly moving molecular “tentacles” inside the pore.
Using high-speed AFM, Roderick Lim, Argovia Professor at the Biozentrum and the Swiss Nanoscience Institute of the University of Basel, has not only directly...
If a person pushes a broken-down car alone, there is a certain effect. If another person helps, the result is the sum of their efforts. If two micro-particles are pushing another microparticle, however, the resulting effect may not necessarily be the sum their efforts. A recent study published in Nature Communications, measured this odd effect that scientists call “many body.”
In the microscopic world, where the modern miniaturized machines at the new frontiers of technology operate, as long as we are in the presence of two...
Researchers from the Max Planck Institute Stuttgart have developed self-propelled tiny ‘microbots’ that can remove lead or organic pollution from contaminated water.
Working with colleagues in Barcelona and Singapore, Samuel Sánchez’s group used graphene oxide to make their microscale motors, which are able to adsorb lead...
Neutron scattering and computational modeling have revealed unique and unexpected behavior of water molecules under extreme confinement that is unmatched by any known gas, liquid or solid states.
In a paper published in Physical Review Letters, researchers at the Department of Energy's Oak Ridge National Laboratory describe a new tunneling state of...
Honeycomb structures as the basic building block for industrial applications presented using holo pyramid
Researchers of the Alfred Wegener Institute (AWI) will introduce their latest developments in the field of bionic lightweight design at Hannover Messe from 25...
27.04.2016 | Event News
15.04.2016 | Event News
12.04.2016 | Event News
06.05.2016 | Earth Sciences
06.05.2016 | Life Sciences
06.05.2016 | Life Sciences