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review article

Brain imaging of locomotion in neurological conditions

Allali, Gilles
•
Blumen, Helena M.
•
Devanne, Herve
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December 1, 2018
Neurophysiologie Clinique-Clinical Neurophysiology

Impaired locomotion is a frequent and major source of disability in patients with neurological conditions. Different neuroimaging methods have been used to understand the brain substrates of locomotion in various neurological diseases (mainly in Parkinson's disease) during actual walking, and while resting (using mental imagery of gait, or brain-behavior correlation analyses). These studies, using structural (i.e., MRI) or functional (i.e., functional MRI or functional near infra-red spectroscopy) brain imaging, electrophysiology (i.e., EEG), non-invasive brain stimulation (i.e., transcranial magnetic stimulation, or transcranial direct current stimulation) or molecular imaging methods (i.e., PET, or SPECT) reveal extended brain networks involving both grey and white matters in key cortical (i.e., prefrontal cortex) and subcortical (basal ganglia and cerebellum) regions associated with locomotion. However, the specific roles of the various pathophysiological mechanisms encountered in each neurological condition on the phenotype of gait disorders still remains unclear. After reviewing the results of individual brain imaging techniques across the common neurological conditions, such as Parkinson's disease, dementia, stroke, or multiple sclerosis, we will discuss how the development of new imaging techniques and computational analyses that integrate multivariate correlations in "large enough datasets" might help to understand how individual pathophysiological mechanisms express clinically as an abnormal gait. Finally, we will explore how these new analytic methods could drive our rehabilitative strategies. (C) 2018 Elsevier Masson SAS. All rights reserved.

  • Details
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Type
review article
DOI
10.1016/j.neucli.2018.10.004
Web of Science ID

WOS:000455859800002

Author(s)
Allali, Gilles
Blumen, Helena M.
Devanne, Herve
Pirondini, Elvira  
Delval, Arnaud
Van De Ville, Dimitri  
Date Issued

2018-12-01

Publisher

ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER

Published in
Neurophysiologie Clinique-Clinical Neurophysiology
Volume

48

Issue

6

Start page

337

End page

359

Subjects

Clinical Neurology

•

Neurosciences

•

Physiology

•

Neurosciences & Neurology

•

gait disorders

•

neuroimaging

•

neurological conditions

•

methods

•

review

•

dementia

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parkinson's disease

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stroke

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multiple sclerosis

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direct-current stimulation

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transcranial magnetic stimulation

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parkinsons-disease patients

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motoric cognitive risk

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theta-burst stimulation

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white-matter integrity

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body-weight support

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functional connectivity

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multiple-sclerosis

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corticospinal tract

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

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Available on Infoscience
January 31, 2019
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/154241
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