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Motor and Visuospatial Attention and Motor Planning After Stroke: Considerations for the Rehabilitation of Standing Balance and Gait

Sue Peters, Todd C. Handy, Bimal Lakhani, Lara A. Boyd, S. Jayne Garland
DOI: 10.2522/ptj.20140492 Published 1 October 2015
Sue Peters
S. Peters, MPT, Department of Physical Therapy, The University of British Columbia, Vancouver, British Columbia, Canada.
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Todd C. Handy
T.C. Handy, PhD, Department of Psychology, The University of British Columbia.
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Bimal Lakhani
B. Lakhani, PhD, Department of Physical Therapy, The University of British Columbia.
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Lara A. Boyd
L.A. Boyd, PhD, Department of Physical Therapy, The University of British Columbia.
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S. Jayne Garland
S.J. Garland, PhD, Department of Physical Therapy, The University of British Columbia, 212-2177 Wesbrook Mall, Vancouver, British Columbia V6T 1Z3, Canada.
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Figure 1.
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Figure 1.

The dorsal and ventral streams include the occipital cortex and the posterior parietal cortex (PPC) and inferior temporal cortex (ITC), respectively. The dorsal frontoparietal network includes the PPC and the prefrontal cortex (PFC). The ventral frontoparietal network includes the inferior frontal gyrus (IFG) and the temporoparietal junction (TPJ). Motor attention includes the primary sensory cortex (S1) and the PPC. The PPC is important for the dorsal visual stream (part of visuospatial attention), the dorsal frontoparietal network, and motor attention.

Figure 2.
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Figure 2.

The prefrontal cortex (PFC) selects a movement-related goal while sensory signals from the dorsal stream and primary sensory cortex (S1) converge on the posterior parietal cortex (PPC). The PPC narrows (or converges) the attentionally selected signals pertaining to the goal, based on visuospatial and motor attentional priorities. The supplementary motor area (SMA) and premotor cortex (PMc) areas receive this information and generate a motor plan based on the attention-filtered sensory signals and movement goals. The PPC is important for the dorsal visual stream (part of visuospatial attention), the dorsal frontoparietal network, and motor attention.

Tables

Table.
Table.

Summary of Anatomical and Functional Regions Associated With Motor and Visuospatial Attention and Motor Planning

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Vol 95 Issue 10 Table of Contents
Physical Therapy: 95 (10)

Issue highlights

  • Physical Therapist Practice in the Intensive Care Unit
  • Edema in Axillary Web Syndrome
  • Persistent Pelvic Girdle Pain
  • Predictors of Wheelchair-Use Confidence
  • Physical Play and Leisure in Children With Motor Impairments
  • Safe and Effective Prescription of Exercise in Chronic Obstructive Pulmonary Disorder
  • Measuring Balance Function in Patients With Total Knee Arthroplasty
  • Internet-Based Pain Coping Skills Protocol
  • Motor Planning After Stroke
  • Promoting Health and Wellness
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Motor and Visuospatial Attention and Motor Planning After Stroke: Considerations for the Rehabilitation of Standing Balance and Gait
Sue Peters, Todd C. Handy, Bimal Lakhani, Lara A. Boyd, S. Jayne Garland
Physical Therapy Oct 2015, 95 (10) 1423-1432; DOI: 10.2522/ptj.20140492

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Motor and Visuospatial Attention and Motor Planning After Stroke: Considerations for the Rehabilitation of Standing Balance and Gait
Sue Peters, Todd C. Handy, Bimal Lakhani, Lara A. Boyd, S. Jayne Garland
Physical Therapy Oct 2015, 95 (10) 1423-1432; DOI: 10.2522/ptj.20140492
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  • Article
    • Abstract
    • Operational Definitions
    • Clinical Relevance of Attention After Stroke
    • Clinical Importance of Motor Planning After Stroke
    • Visuospatial Attention and Its Influence on Motor Planning
    • Visuospatial Attention After a Stroke
    • Motor Attention and Its Influence on Motor Planning
    • Dual Tasking as a Means to Assess Motor Attention
    • Motor Planning After Stroke
    • Type of Movement Cue Influences Activity of Cortical Regions
    • Proposed Theoretical Model for Brain Regions Supporting Motor and Visuospatial Attention and Motor Planning of Voluntary Goal-Directed Movements
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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Show more Perspectives

Subjects

  • Geriatrics
    • Stroke (Geriatrics)
  • Perspectives
  • Neurology/Neuromuscular System
    • Stroke (Neurology)
    • Motor Control and Motor Learning

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