Chapter

Neurophysiological Principles for the Assessment of Residual Motor Control Below the Spinal Cord Injury in Humans

Byron A Kakulas, Keith Tansey and Milan R Dimitrijevic

in Restorative Neurology of Spinal Cord Injury

Published in print December 2011 | ISBN: 9780199746507
Published online January 2012 | e-ISBN: 9780199918768 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199746507.003.0002
Neurophysiological Principles for the Assessment of Residual Motor Control Below the Spinal Cord Injury in Humans

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This chapter discusses the specific clinical and neurophysiological principles that underlie the assessment of residual motor control caudal to a spinal cord injury (SCI) in humans. It describes clinical, laboratory, and neurophysiological criteria for recognizing subclinical neurocontrol of movement in chronic spinal cord injury. It also reviews published work that describes and supports the neurophysiologically differentiated “discomplete syndrome” that exists within the paralyzed, clinically motor-complete patient population. Finally, it covers the examination of motor control in gait and introduces the lumbosacral locomotor central pattern generator circuitry, its behavior, and modification after SCI.

Keywords: residual motor control; neurocontrol; discomplete syndrome; paralyzed patients; gait; lumbosacral locomotor central pattern generator circuitry

Chapter.  12777 words.  Illustrated.

Subjects: Neuroscience

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