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Subtle upper limb impairment in asymptomatic multiple sclerosis subjects
1 Department of Neurology, Hospital 'P Antero Micone', Genova, Italy
* To whom correspondence should be addressed.
We evaluated upper limb function in multiple sclerosis (MS) subjects (11 clinically definite MS patients and seven clinically isolated syndrome (CIS) subjects), with a normal upper limb standard neurological examination. Subjects performed center-out reaching movements under visual control, with and without vision of the hand. Their movements were recorded through a digitizing tablet. Motor performance was also related to lesion load, estimated from magnetic resonance imaging (MRI). We found that in MS and CIS subjects, under the hand vision condition, movements were significantly less smooth, and had a less symmetric speed profile. However, the observed impairment did not correlate with MRI findings. This result may be interpreted as evidence of a compensatory strategy, elicited by subtle alterations in sensorimotor control. Key Words: asymptomatic, digitizing tablet, multiple sclerosis, upper limb, sensorimotor control
First published on February 9, 2007, doi:10.1177/1352458506069926 This article has been cited by other articles:
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