Actividad cerebral correspondiente a la deglutición y actividad de las manos: revisión de literatura
DOI:
https://doi.org/10.34024/rnc.2024.v32.15580Palabras clave:
Homúnculo Motor, Deglutición, Movimiento de las manos, Resonancia Magnética FuncionalResumen
Objetivo. Analizar la relación entre el nivel de actividad cerebral durante el acto motor de la mano y la deglutición en estudios que utilizaron imágenes por Resonancia Magnética Funcional (RMF). Método. Se realizó una revisión narrativa de la literatura y las fuentes de datos que se obtuvieron de las plataformas Pubmed, Biblioteca Virtual en Salud y Google Scholar. Resultados. Se encontraron pocos estudios que investigaran la activación neurológica correlacionada con el movimiento de las manos y la deglutición através de RMF, pero todos los estudios muestran una relación topográfica entre las principales áreas de actividad de las manos y la deglutición, así como algunos estudios que muestran alguna relación neurofuncional entre ambas áreas simultâneas. Conclusión. Se sabe que la circunvolución precentral tiene áreas importantes que inervan las manos y la cavidad bucal, las cuales se ubican en áreas cercanas, siendo objeto de interrogantes sobre las interacciones funcionales. Los hallazgos ya descritos pueden alentar estudios y discusiones, pero se necesita más investigación para describir y medir la relación entre las áreas motoras de las manos y la deglutición.
Descargas
Citas
Ravist J, Stack J. The lower motor neuron homunculus. Brain 2022;145:3727-9. https://doi.org/10.1093/brain/awac310
Dziewas R, Warnecke T, Zurcher P, Esquema JC. Dysphagia in COVID-19: multilevel damange to the swallowing network? Eur Acad Neurol 2020;27:e46-7. https://doi.org/10.1111/ene.14367
Marchesan IQ. O que se considera normal na deglutição. In: JacobI JS, Levy DS, Silva LMC (ed). Disfagia: avaliação e tratamento. Rio de Janeiro: Revinter; 2004.
Angelis EC, Fúria CLB. Tratamento fonoaudiológico em hospital oncológico – disfagias em câncer de cabeça e pescoço. In: Hernandez AM, Marchesan I (ed). Atuação fonoaudiológica no ambiente hospitalar. Rio de Janeiro: Revinter; 2001
Heidler MD. Dysphagia in tracheostomized patients after long-term mechanical ventilation: become sensitive to reduced pharyngo-laryngeal sensitivity. Pneumologie 2019;73:533-7. https://doi.org/10.1055/a-0977-5276
Brodsky MB, Pandian V, Needham DM. Post-extubation dysphagia: a problem needing multidisciplinary efforts. Inten Care Med 2020;46:93-6. https://doi.org/10.1007/s00134-019-05865-x
Barros APB, Ferraz HB. Controle neurológico da deglutição. In: Dedivittis RA, Santoro PP, Arakawa-sugueno L (ed). Manual prático de disfagia: diagnóstico e tratamento. Rio de Janeiro: Revinter; 2017.
Silagi ML, Morillo LS. Nutrição e hidratação em demência avançada: aspectos clínicos e éticos. In: Brucki SMD, Morillo LS, Ferretti CEL, Nitrini R. Manejo da doença de Alzheimer moderada e grave. São Paulo: Omnifarma; 2015.
El-shamy S, El-banna MF. Effect of Wii training on hand function in children with hemiplegic cerebral palsy. Physiother Theory Practice 2020;36:38-44. https://doi.org/10.1080/09593985.2018.1479810
Nikmaram N, Scholz DS, Grossbach M, Schmidt SB, Spogis J, Belardinelli P, et al. Musical sonification of arm movements in stroke rehabilitation Yields limited benefits. Front Neurosci 2019;13:1-14. https://doi.org/10.3389/fnins.2019.01378
Ying J. Brain morphometric and functional magnetic resonance imaging study on patients with visual field defects resulting from suprasellar tumors: preoperative and postoperative assessment. Word Neurosurger 2020;134:353-9. https://doi.org/10.1016/j.wneu.2019.10.060
Hernandez AM. Sucção e deglutição: aspectos neurofisiológicos. In: Levy DS, Almeida ST. Disfagia Infantil. Rio de janeiro: Thieme Revinter; 2018.
Alghadir A, Zafar H, Al-Eisa E, Iqbal ZA. Effect of posture on swallowing. Afr Health Sci 2017;17:133-7. https://doi.org/10.4314/ahs.v17i1.17
Takai O, Brown S, Liotti M. Representation of the speech effectors in the human motor cortex: somatotopy or overlap? Brain Language 2010;113:39-44. https://doi.org/10.1016/j.bandl.2010.01.008
Holas MA, DePippo KL, Reding MJ. Aspiration and relative risck of medical complications following stroke. Arc Neurol 1994;51:1051-3. https://doi.org/10.1001/archneur.1994.00540220099020
Suzuki MK, Asada Yuko, Ito J, Hayashi K, Inoue H, Kitano H. Activation of cerebellum and basal ganglia on volitional swallowing detected by Functional Magnetic Resonance Imaging. Dysphagia 2003;18:71-7. https://doi.org/10.1007/s00455-002-0088-x
Schelp AO, Cola PC, Gatto AR, Silva RG, Carvalho LR. Incidência de disfagia orofaríngea após acidente vascular encefálico em hospital público de referência. Arq Neuropsiquiatr 2004;62:503-6. https://doi.org/10.1590/S0004-282X2004000300023
Smithard DG, O’Neill PA, England RE, Park CL, Wyatt R, Martin DF, et al. The natural history of dysphagia following a stroke. Dysphagia 1997;12:188-93. https://doi.org/10.1007/PL00009535
Zeharia N, Hofstetter S, Flash T, Amedi A. A whole-body sensory-motor gradient is revealed in the medial wall of the parietal lobe. J Neurosci 2019;9:7882-92. https://doi.org/10.1523/JNEUROSCI.0727-18.2019
Cortese S, Aoki YY, Itahashi T, Castellanos FX, Eickoff SB. Systematic review and meta-analysis: resting-state functional magnetic resonance imaging studies of attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatr 2021;60:61-75. https://doi.org/10.1016/j.jaac.2020.08.014
Carnevale L, Maffei A, Landolfi AG, Carnevale D, Lembo G. Brain functional magnetic resonance imaging highlights altered connections and functional networks in patients with hypertension. Hypertension 2020;76:1480-90. https://doi.org/10.1161/HYPERTENSIONAHA.120.15296
Giacomantone JO. Ressonância magnética funcional com filtragem difusão anisotrópica robusta (Dissertação). São Paulo: Universidade de São Paulo; 2005.
Willett FR, Deo DR, Avansino DT, Rezaii P, Hochberg LR, Henderson JM, et al. Hand knob area of premotor cortex represents the whole body in a compositional way. Cell 2020;181:396-409. https://doi.org/10.1016/j.cell.2020.02.043
Prudente CN, Stilla R, Buetefisch CM, Singh S, Hess EJ, Hu X, et al. Neural substrates for head movements in humans: a functional magnetic resonance imaging study. J Neurosci 2015;35:9163-72. https://doi.org/10.1523/JNEUROSCI.0851-15.2015
Koten Jr JW, Schuppen A, Morozova M, Lohofer A, Koschutning K, Madeira G. On the homogeneity and heterogeneity of cortical thickness profiles in Homo sapiens. Sci Rep 2017;7:1-8. https://doi.org/10.1038/s41598-017-17154-y
Martin R, Barr A, Maclntosh B, Smith R, Stevens T, Taves D, et al. Cerebral cortical processing of swallowing in older adults. Exp Brain Res 2007;176:12-22. https://doi.org/10.1007/s00221-006-0592-6
Jenabi M, Bico KK, Jovem RJ, Brennan N, Holodny A. Identification of the corticobulbar tracts of the tongue and face using deterministic and probabilistic DTI fiber tracking in patients with brain tumor. Am J Neuroradiol 2015;36:2036-41. https://doi.org/10.3174/ajnr.A4430
Ishibashi H, Morioka T, Nishio S, Shigeto H, Yamamoto T, Fukui M. Magnetoencephalographic investigation of somatosensory homunculus in patients with peri-Rolandic tumors. Neurol Res 2001;23:29-38. https://doi.org/10.1179/016164101101198253
Gandhoke GS, Belykh E, Zhao X, Leblanc R, Preul MC. Edwin Boldrey and Wilder Penfield’s Homunculus: a live given by Mrs Cantlie (in and out of realism). World Neurosurg 2019;132:377-88. https://doi.org/10.1016/j.wneu.2019.08.116
Schieber MH, Poliakov AV. Partial inactivation of the primary motor cortex hand area: effects on individual finger movements. J Neurosci 1998;18:9038-54. https://doi.org/10.1523/JNEUROSCI.18-21-09038.1998
Alluri V, Toivianinen P, Burunat I, Kliucho M, Vuust P, Brattico E. (). Connectivity patterns during music listening: evidence for action-based processing in musicians. Hum Brain Mapp 2017;38:2955-70. https://doi.org/10.1002/hbm.23565
Indovina Iole, Sanes JN. On somatotopic representation centers for finger movements in human primary motor cortex and supplementary motor area. Neuroimage 2001;13:1027-34. https://doi.org/10.1006/nimg.2001.0776
Inoue T, Uda T, Kuki I, Yamamoto N, Nagase S, Nukui M, et al. (). Distinct dual cortico-cortical networks successfully identified between supplemental and primary motor areas during intracranial EEG for drug-resistant frontal lobe epilepsy. Epilep Behav Rep 2021;15:1-6. http://doi.org/10.1016/j.ebr.2021.100429
Gallese V, Fadiga L, Fogassi L, Rizzolatti G. Action recognition in the premotor cortex. Brain 1996;119:593-609. https://doi.org/10.1093/brain/119.2.593
Saavedra APL. Mapeamento de regiões de ativação cerebral durante tarefas deglutórias por imagens de ressonância magnética funcional (Dissertação). Cidade: Universidade Federal do Pará; 2013.
Zeharia N, Hertz U, Flash T, Amedi A. Negative blood oxygenation level dependent homunculus and somatotopic information in primary motor cortex and supplementary motor area. Proc Nat Acad Sci USA 2012;109:18565-70. https://doi.org/10.1073/pnas.1119125109
Chen X, Huang Y, Liu S, Yi J, Chen W, Wang Y, et al. Functional magnetic resonance imaging evaluation of masticatory muscle dysfunction in unilateral exodontia rabbits. Dentomaxillofac Radiol 2022;51:20220022. https://doi.org/10.1259/dmfr.20220022
Murayama N, Lin YY, Salenius S, Hari R. Oscilatory interaction between human motor cortex and trunk muscles during isometric contraction. Neuroimage 2001;14:1206-13. https://doi.org/10.1006/nimg.2001.0907
Wise NJ, Frangos E, Komisaruk BR. Activation of sensory cortex by imagined genital stimulation: an fMRI analysis. Sociaffective Neurosci Psychol 2016;6:1-8. https://doi.org/10.3402/snp.v6.31481
Filho EDM, Gomes GF, Furkim AM. Manual de cuidados do paciente com disfagia. São Paulo: Lovise; 2000.
Silagi ML, Morillo LS. Nutrição e hidratação em demência avançada: aspectos clínicos e éticos. In: Brucki SMD, Morillo LS, Ferreti CEL, Nitrini R. Manejo da doença de Alzheimer moderada e grave. São Paulo: Omnifarma; 2015.
Fush T. The brain as an organ of the living being. In: Fush T (ed). Ecology of the brain: the phenomenology and biology of the embodied mind. Oxford: Oxford University Press; 2017.
Leão REB, Araújo FCRS. Análise da qualidade de vida de indivíduos com Parkinson que apresentam sintoma de vertigem. Braz J Health Rev 2021;4:27045-57. https://doi.org/10.34119/bjhrv4n6-273
Bara-Jimmenz W, Catalão MJ, Hallett M, Gerloff C. Abnormal somatosensory homunculusin dystonia of the hand. Ann Neurol 1998;44:828-31. https://doi.org/10.1002/ana.410440520
Kocak M, Ulmer JL, Ugurel MS, Gaggl W, Prost RW. Motor homunculus: passive mapping in healthy volunteers by using functional MR Imaging- Initial results. Radiology 2009;251:485-92. https://doi.org/10.1148/radiol.2512080231
Bede P, Bokde A, Elamin M, Byrne S, Mclaughlin RL, Jordan N, et al. Grey matter correlates of clinical variables in amyotrophic lateral sclerosis (ALS): a neuroimaging study of ALS motor phenotype heterogeneity and cortical focality. J Neurol Neurosurg Psychiatr 2013;84:766-73. https://doi.org/10.1136/jnnp-2012-302674
Makin TR, Filippini N, Duff EP, Slater DH, Tracey I, Johanseg-Berg H. Network-level reorganisation of functional connectivity following arm amputation. Neuroimage 2015;114:217-25. https://doi.org/10.1016/j.neuroimage.2015.02.06
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Rômulo Evandro Brito de Leão; Arnaldo Lobo Neto, Regiane Lima Gonçalves ; Carla Cristina Paiva Paracampo , Fernando Allan de Farias Rocha
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.