Improved motor imagery skills after repetitive passive somatosensory stimulation: a parallel-group, pre-registered study.

IF 3.4 3区 医学 Q2 NEUROSCIENCES Frontiers in Neural Circuits Pub Date : 2025-01-07 eCollection Date: 2024-01-01 DOI:10.3389/fncir.2024.1510324
Kyoko Kusano, Masaaki Hayashi, Seitaro Iwama, Junichi Ushiba
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Abstract

Introduction: Motor-imagery-based Brain-Machine Interface (MI-BMI) has been established as an effective treatment for post-stroke hemiplegia. However, the need for long-term intervention can represent a significant burden on patients. Here, we demonstrate that motor imagery (MI) instructions for BMI training, when supplemented with somatosensory stimulation in addition to conventional verbal instructions, can help enhance MI capabilities of healthy participants.

Methods: Sixteen participants performed MI during scalp EEG signal acquisition before and after somatosensory stimulation to assess MI-induced cortical excitability, as measured using the event-related desynchronization (ERD) of the sensorimotor rhythm (SMR). The non-dominant left hand was subjected to neuromuscular electrical stimulation above the sensory threshold but below the motor threshold (St-NMES), along with passive movement stimulation using an exoskeleton. Participants were randomly divided into an intervention group, which received somatosensory stimulation, and a control group, which remained at rest without stimulation.

Results: The intervention group exhibited a significant increase in SMR-ERD compared to the control group, indicating that somatosensory stimulation contributed to improving MI ability.

Discussion: This study demonstrates that somatosensory stimulation, combining electrical and mechanical stimuli, can improve MI capability and enhance the excitability of the sensorimotor cortex in healthy individuals.

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重复被动体感刺激后运动意象技能的改善:一项平行组预先登记的研究。
基于运动图像的脑机接口(MI-BMI)已被确立为脑卒中后偏瘫的有效治疗方法。然而,对长期干预的需要可能对患者构成重大负担。在这里,我们证明了运动意象(MI)指令的BMI训练,当辅以体感刺激,除了传统的口头指令,可以帮助提高MI能力的健康参与者。方法:16名参与者在体感觉刺激前后的头皮EEG信号采集期间进行心肌梗死,以评估心肌梗死引起的皮质兴奋性,使用感觉运动节律(SMR)的事件相关去同步(ERD)来测量。非优势左手受到高于感觉阈值但低于运动阈值(St-NMES)的神经肌肉电刺激,以及使用外骨骼的被动运动刺激。参与者被随机分为干预组和对照组,前者接受体感刺激,后者在没有刺激的情况下保持静止。结果:干预组SMR-ERD较对照组显著升高,表明体感刺激有助于心肌梗死能力的改善。讨论:本研究表明,电刺激和机械刺激相结合的体感刺激可以改善健康人的心肌梗死能力,增强感觉运动皮层的兴奋性。
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来源期刊
CiteScore
6.00
自引率
5.70%
发文量
135
审稿时长
4-8 weeks
期刊介绍: Frontiers in Neural Circuits publishes rigorously peer-reviewed research on the emergent properties of neural circuits - the elementary modules of the brain. Specialty Chief Editors Takao K. Hensch and Edward Ruthazer at Harvard University and McGill University respectively, are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics and the public worldwide. Frontiers in Neural Circuits launched in 2011 with great success and remains a "central watering hole" for research in neural circuits, serving the community worldwide to share data, ideas and inspiration. Articles revealing the anatomy, physiology, development or function of any neural circuitry in any species (from sponges to humans) are welcome. Our common thread seeks the computational strategies used by different circuits to link their structure with function (perceptual, motor, or internal), the general rules by which they operate, and how their particular designs lead to the emergence of complex properties and behaviors. Submissions focused on synaptic, cellular and connectivity principles in neural microcircuits using multidisciplinary approaches, especially newer molecular, developmental and genetic tools, are encouraged. Studies with an evolutionary perspective to better understand how circuit design and capabilities evolved to produce progressively more complex properties and behaviors are especially welcome. The journal is further interested in research revealing how plasticity shapes the structural and functional architecture of neural circuits.
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