Abstract
Perspectives for the Use of Neurotechnologies in Conjunction With Muscle Autotransplantation in Children.
Highlights
Specialty section: This article was submitted to Neuroprosthetics, a section of the journal Frontiers in Neuroscience
One of the main problems that determines the limitation or even impossibility of self-care of patients suffering from arthrogryposis is the lack of active movements in the upper limb joints, which can be restored by autotransplantation of the muscles of various donor areas (Hall, 1997; Bamshad et al, 2009; Loeffler and Lewis, 2016)
The most studied question in this regard is the representation of the muscles in the cerebral cortex, i.e., motor homunculus, where the most pertinent question is whether cortical muscles’ representations do exist at all or only synergies and movement characteristics are encoded in the cortex (Schieber, 2001)
Summary
A major limiting factor for the adequate self-care in patients with this pathology is a lack of the active elbow flexion due to the fibro-fatty degeneration of the flexors of the forearm Such deficits significantly affect the quality of life because many vital functions are associated with the elbow movements, for example, bringing food to the mouth. For these patients it is important to secure functional recovery of the biceps brachii muscle, which is performed by non-free (with preservation of the vascular-muscular bundle) autotransplantation of the muscles surrounding the shoulder joint (commonly by the pectoralis major or the latissimus dorsi muscles) (Oishi et al, 2017).
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