Zusammenfassung
Einzelne transkraniell applizierte elektrische oder magnetische Kortexreize rufen einfache Muskelzuckungen hervor, nie jedoch komplexere Bewegungsabläufe. Im Bereich der oberen Extremität handelt es sich hierbei vorwiegend um Beugebewegungen der kontralateralen Finger, des Handgelenkes und des Ellenbogens. Das Überwiegen von Beugebewegungen nach Kortexstimulation ist wie der Bewegungseffekt nach Reizung des Plexus brachialis auf die stärkere Kraftentwicklung der Flexoren aufgrund günstigerer Hebelarme zurückzuführen, da elektromyographische Ableitungen der kortikal ausgelösten Muskelantworten eine simultane Aktivierung sowohl der Beuge-als auch der Streckmuskeln zeigen. Bei Vorkontraktion der Streckmuskeln können mit der transkraniellen Stimulation jedoch auch Extensionsbewegungen ausgelöst werden, die besonders im Bereich der Finger und des Handgelenks auftreten.
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Meyer, BU. (1992). Physiologische Grundlagen. In: Meyer, BU. (eds) Magnetstimulation des Nervensystems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-47601-3_5
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