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Evidence of readiness potentials in hemiplegic patients

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64 EVIDENCE OF READINESS POTENTIALS IN HEMIPLEGIC PATIENTS   

Diana  M.E.  Torta,  Lorenzo  Pia,  Alessia  Folegatti,  Marco  Neppi‐Modona,  Sergio  Vighetti  ,  Paola Perozzo , Lorys Castelli, Paolo Cerrato, Anna Berti    

   

Readiness potentials (RPs) represent the cortical contribution to pre‐motor planning of willed  actions. In the present study we aim at investigating whether hemiplegic patients still possess  the  ability  to  generate  Readiness  Potentials  (RPs)  despite  their  inability  to  move  contralesional limbs. In order to test our hypothesis, we recorded RPs in a patient (G.M.) with  complete left upper limb hemiplegia due to a right‐hemisphere damage sparing frontal and  parietal  areas.  The  task  comprised  two  different  conditions:  1)  a  motor  execution  task,  in  which  the  patient  was  asked  to  press  a  button  with  his  right  (RT)  or  left  thumb  (LT)  at  his  own  pace  2)  a  motor  imagery  task  in  which  the  self  paced  movement  was  to  be  mentally  simulated.  We found preserved RPs in G.M. both in the LT and RT executed conditions and  in the LT and RT simulated conditions.  The present results confirm and extend previous data  showing  that  hemiplegic  patients  still  have  a  preserved  ability  to  plan  and  intend  actions  notwithstanding  their  inability  to  move  contralesional  limbs  and  concur  to  suggest  that  execution  of  a  voluntary  action  is  not  a  necessary  condition  for  generating  brain  potentials  related to our experience of intending to act. 

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