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00:00:00
and to do morning human
00:00:05
we wanted in this study we wanted to find out what happens in the brain
00:00:10
impatiently perform grip reconstruction with tandem transfers for total pages
00:00:17
and the second was to question no talents this um
00:00:22
post comment from something but none that the brain gnomes only function not specific muscles
00:00:31
we don't know that the brightness organised in centres centre for vision centre
00:00:37
for addition an this cortex park motor and sensory and centres
00:00:47
if you look more specific at the sentence the model centre phase and the hand
00:00:54
time has the most dominant are all this motor cortex
00:00:59
and the sun sorry area it's their lips on the fingers
00:01:04
i mean if we combine these two models we have this monster of a big hands and be lips
00:01:13
it is easy to make i had that cortical hand that baseball's sense of function
00:01:20
if you touch the first thing go that far more i picture with joe
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activity in this area the second thing i hear third thing here
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it's much more difficult if you want to not muscle function because it
00:01:37
it's almost impossible to activate on only one saying in most
00:01:43
different other nelson's respiratory muscles muscle for the controller to
00:01:48
control that or limp would also be activated
00:01:50
so have this next picture so what we're going to create a map of the brain
00:01:57
we have to wash it away these disturbing muscles and therefore we
00:02:02
have to it's a big process to make these maps
00:02:09
in previous studies that i'm calling says and then this amplitude as we have done
00:02:18
and they have shown an enlargement of this motor area
00:02:24
but no we'll case you and in the bright
00:02:29
so we wanted to study the cortical representation before and after tandem transfer
00:02:39
there is a typical patient with that topic yeah retreat intact masses
00:02:43
below the elbow and two tendons are prepared for transfer
00:02:49
but we want to donate include oneness with wanting in most and the
00:02:52
back to read it is that is a elbow flex so
00:02:58
and there is a result on active key grip reconstruction go
00:03:02
to start with this particular radios duplex opposes loners transfer
00:03:09
the study we included twenty five of them are serious in eleven patient i'm pretty healthy controls
00:03:17
and we chose to ways to assess the function the results
00:03:24
this is a three d. n. dimensional reconstruction this is the real party pictures and
00:03:31
you can see centres of activity and this is stream and post operative be
00:03:36
and we have to watch away or these disturbing muscles based on or not
00:03:46
and this is the result up to the washington c. d. and you can
00:03:50
see the red area is that pale party the real the elbow area
00:03:56
and was about to be three months later we have a new area the green area
00:04:02
located in the cortex the other hand area or okay so this muscle has
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the centre has moved on from the elbow area to the hand area
00:04:15
but we also had another model to assess the results we
00:04:21
walked every cent are all the sun does all activity in
00:04:26
this brenda coordinates and or mathematicians they calculated the results
00:04:33
and here is the sword the colours on open say this is the elbow a
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real real productively and this is the post operative area located in hand yeah
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so we conclude that um the human cortex is couple capable
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of original sin itself spats usually that is great and
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you centre or activity and it seems that this is the

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