Changes in blood flow velocity in the middle and anterior cerebral arteries evoked by walking

Nedeltchev, Krassen; Arnold, Marcel; Nirkko, Arto; Sturzenegger, Mathias; Rihs, Frank; Bühler, Robert; Mattle, Heinrich P (2002). Changes in blood flow velocity in the middle and anterior cerebral arteries evoked by walking. Journal of clinical ultrasound, 30(3), pp. 132-8. Hoboken, N.J.: Wiley-Blackwell 10.1002/jcu.10047

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PURPOSE: Transcranial Doppler sonography (TCD) is an established method for assessing changes in blood flow velocity (BFV) coupled to brain activity. Our objective was to investigate whether walking induces measurable changes in BFV in healthy subjects. METHODS: Changes in BFV in both middle cerebral arteries (MCAs) of 40 healthy adult subjects during walking on a treadmill were measured using bilateral TCD. In 8 of the 40 subjects, 1 anterior cerebral artery (ACA) was monitored simultaneously with the contralateral MCA. The percentage increase in BFV (BFVI%) compared with the baseline velocity (V(0)), the percentage decrease in BFV (BFVD%) compared with the V(0), and the normalized ACA-MCA ratio were analyzed. RESULTS: The overall mean (+/- standard deviation [SD]) V(0) was 59.9 +/- 11.6 cm/second in the left MCA and 60.1 +/- 12.9 cm/second in the right MCA. Women had higher V(0) values than men had. Walking evoked an initial mean overall BFVI% in both left (8.4 +/- 5.1%) and right MCAs (9.1 +/- 5.1%), followed by a decrease to below baseline values in 38 of 40 subjects. A statistically significant increase of the normalized ACA-MCA ratio was measured, indicating that changes in BFV in the ACA territory were coupled to brain activation during walking. CONCLUSIONS: The use of functional TCD showed different changes in BFV in the ACAs and MCAs during walking. This method may be an interesting tool for monitoring progress in patients with motor deficits of the legs, such as paresis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Nirkko, Arto Christian, Rihs, Frank

ISSN:

0091-2751

ISBN:

11948568

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

02 Mar 2023 23:22

Publisher DOI:

10.1002/jcu.10047

PubMed ID:

11948568

Web of Science ID:

000174113500003

URI:

https://boris.unibe.ch/id/eprint/28478 (FactScience: 120945)

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