ArticleBrain communications2026
Functional and structural neuroplasticity of somatosensory system in hemiplegic cerebral palsy.
Article in Brain communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Children with hemiplegic cerebral palsy exhibit diverse sensory deficits linked to varied atypical brain reorganization patterns. The underlying mechanisms of these patterns remain poorly understood. Using multimodal neuroimaging, we associate functional and structural neuroplasticity in the somatosensory system of children with hemiplegic cerebral palsy with lesion type and behavioural outcome. We hypothesize that different lesion types produce distinct patterns of neuroplasticity, which correlate with varying levels of sensory and motor behavioural deficits. We examined 22 children with hemiplegic cerebral palsy (7 with cortical-subcortical, 12 with periventricular, and 3 with other lesions) and 24 age-matched neurotypical controls. We assessed the somatosensory outcomes through touch sensitivity and two-point discrimination measures, and motor outcomes through movement range, accuracy, dexterity, and fluency measures. We quantified the integrity of ascending sensory and somatosensory commissural fibres with diffusion-weighted MRI and measured cortical responses to haptic stimulation with magnetoencephalography and high-density EEG. Children with cortical-subcortical lesions demonstrated higher sensory thresholds and worse movement quality in the paretic hand compared to the periventricular lesion (
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