Transcriptions
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and to do morning human
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we wanted in this study we wanted to find out what happens in the brain
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impatiently perform grip reconstruction with tandem transfers for total pages
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and the second was to question no talents this um
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post comment from something but none that the brain gnomes only function not specific muscles
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we don't know that the brightness organised in centres centre for vision centre
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for addition an this cortex park motor and sensory and centres
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if you look more specific at the sentence the model centre phase and the hand
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time has the most dominant are all this motor cortex
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and the sun sorry area it's their lips on the fingers
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i mean if we combine these two models we have this monster of a big hands and be lips
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it is easy to make i had that cortical hand that baseball's sense of function
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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
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it's almost impossible to activate on only one saying in most
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different other nelson's respiratory muscles muscle for the controller to
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control that or limp would also be activated
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so have this next picture so what we're going to create a map of the brain
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we have to wash it away these disturbing muscles and therefore we
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have to it's a big process to make these maps
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in previous studies that i'm calling says and then this amplitude as we have done
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and they have shown an enlargement of this motor area
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but no we'll case you and in the bright
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so we wanted to study the cortical representation before and after tandem transfer
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there is a typical patient with that topic yeah retreat intact masses
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below the elbow and two tendons are prepared for transfer
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but we want to donate include oneness with wanting in most and the
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back to read it is that is a elbow flex so
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and there is a result on active key grip reconstruction go
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to start with this particular radios duplex opposes loners transfer
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the study we included twenty five of them are serious in eleven patient i'm pretty healthy controls
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and we chose to ways to assess the function the results
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this is a three d. n. dimensional reconstruction this is the real party pictures and
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you can see centres of activity and this is stream and post operative be
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and we have to watch away or these disturbing muscles based on or not
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and this is the result up to the washington c. d. and you can
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see the red area is that pale party the real the elbow area
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and was about to be three months later we have a new area the green area
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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
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but we also had another model to assess the results we
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walked every cent are all the sun does all activity in
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this brenda coordinates and or mathematicians they calculated the results
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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