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Using a self-modulated treadmill as a novel approach to study cognitive-motor and biomechanical outcomes during dual-task walking in individuals with and without lower limb loss. 使用自我调节跑步机作为研究双任务行走中认知-运动和生物力学结果的一种新方法。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-21 DOI: 10.1007/s00221-025-07209-2
Emma P Shaw, Sarah R Bass, Jonathan R Gladish, Kyle Pietro, Alexandra A Shaver, Christopher Gaskins, Steven Kahl, Christopher L Dearth, Matthew W Miller, Alison Pruziner, Bradley D Hatfield, Brad D Hendershot, Rodolphe J Gentili

Combined examination of mental workload and biomechanics during dual-task walking in individuals with lower-limb loss is limited to fixed, but not self-modulated walking pace, for which the latter enables dynamic cognitive-motor behavior as typically engaged during community ambulation. By assessing electroencephalography (EEG) (theta, low/high-alpha power) and biomechanics (gait speed, double limb support, stride width), the cerebral cortical activity underlying mental workload and walking mechanics were examined when individuals with and without lower-limb loss executed a cognitive task (assessed via response time and accuracy) under variable demand (seated and walking). Both populations maintained walking mechanics (unchanged gait speed, double limb support, stride width) during dual-task walking across demand and exhibited similarly elevated neurocognitive engagement (e.g., attention, action monitoring) indicated by similar theta power increase and low/high-alpha power decrease when facing greater demand. However, injured individuals exhibited relative performance decrement (degraded response time/accuracy), which suggests attenuated cognitive-motor efficiency relative to uninjured (i.e., similar cortical activity across groups with degraded performance). Moreover, while uninjured individuals during dual-task walking could robustly engage neurocognitive processes to maintain walking mechanics and successfully attend to the concurrent cognitive task, those with lower-limb loss did not exhibit such a robust recruitment (i.e., unchanged frontal/temporal high-alpha power). Such alterations in individuals with lower-limb loss leads to maintenance of walking at the cost of a concurrent task. The present work informs rehabilitation practice and reveals specific cognitive-motor outcomes for individuals with lower-limb loss in an enhanced ecological context.

在双任务行走中,下肢丧失个体的精神负荷和生物力学的联合检查仅限于固定的,而不是自我调节的行走速度,后者使动态认知运动行为成为社区行走中典型的参与。通过评估脑电图(EEG) (θ波,低/高α功率)和生物力学(步态速度,双肢支撑,步幅),研究了有和没有下肢丧失的个体在可变需求(坐着和步行)下执行认知任务(通过反应时间和准确性评估)时,大脑皮层活动对精神负荷和步行力学的影响。两组受试者在双任务行走过程中均保持行走机制(步态速度、双肢支撑、步幅不变),并表现出相似的神经认知参与(如注意力、动作监测),表现为面对更大需求时相似的θ波功率增加和低/高α波功率下降。然而,受伤个体表现出相对的表现下降(反应时间/准确性下降),这表明相对于未受伤的个体,认知运动效率下降(即,在表现下降的组中,皮层活动相似)。此外,在双任务行走过程中,未受伤的个体可以有效地参与神经认知过程来维持行走机制并成功地参与同时进行的认知任务,而下肢丧失的个体则没有表现出这种强大的招募(即额叶/颞叶不变的高α功率)。在下肢丧失的个体中,这种改变导致以牺牲并发任务为代价维持行走。目前的工作为康复实践提供了信息,并揭示了在增强的生态环境下下肢丧失个体的特定认知运动结果。
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引用次数: 0
Pitching-specific facilitation of upper-limb corticospinal excitability during motor imagery of sports motor skills. 运动技能运动意象中上肢皮质脊髓兴奋性的俯仰特异性促进。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-20 DOI: 10.1007/s00221-025-07226-1
Daiki Yamasaki, Naotsugu Kaneko, Tatsuya Kato, Yume Mashiki, Kimitaka Nakazawa

Pitching is an essential skill in baseball, requiring precise and well-coordinated neural control. However, elucidating its underlying neural mechanisms remains challenging because of the methodological difficulties in assessing neural activity during dynamic movement. Motor imagery (MI) provides a potential approach for investigating neural control in pitching, as MI of basic movements activates neural processes similar to those during actual movement. This study examined how MI of pitching, with and without visual guidance, modulates corticospinal excitability in muscles involved in pitching. Electromyographic activity was recorded from the flexor carpi radialis (FCR), extensor carpi radialis, first dorsal interosseous, and abductor pollicis brevis (APB) muscles. Corticospinal excitability was evaluated by motor-evoked potential (MEP) amplitudes, elicited by transcranial magnetic stimulation to the primary motor cortex. MEPs were measured during kinesthetic MI across five sports skills, using only MI in Experiment 1 and using MI with a model video (vMI) in Experiment 2. Results showed that both types of baseball-MI significantly facilitated corticospinal excitability in APB, and baseball-vMI significantly facilitated corticospinal excitability in FCR, but not in other recorded muscles compared with those at rest. These results likely reflect the relative contribution and functional role of each muscle and fine motor control in actual pitching. The facilitation in APB was specific to baseball-MI/vMI, and this specificity is further supported by the findings that each sport's MI/vMI selectively facilitated corticospinal excitability in the muscle involved in the imagined movements. These findings provide foundational knowledge and a methodology for investigating the modulation of corticospinal excitability during pitching.

投球是棒球的一项基本技能,需要精确和协调良好的神经控制。然而,阐明其潜在的神经机制仍然具有挑战性,因为在评估动态运动中的神经活动的方法上存在困难。运动想象(MI)为研究投球中的神经控制提供了一种潜在的方法,因为基本运动的MI激活了与实际运动相似的神经过程。本研究考察了在有和没有视觉引导的情况下,俯仰的MI如何调节与俯仰有关的肌肉的皮质脊髓兴奋性。记录桡腕屈肌(FCR)、桡腕伸肌、第一背骨间肌和拇短外展肌(APB)的肌电活动。通过经颅磁刺激初级运动皮层引起的运动诱发电位(MEP)振幅来评估皮质脊髓兴奋性。在运动觉性心肌梗死期间,我们测量了五项运动技能的mep,在实验1中只使用心肌梗死,在实验2中使用心肌梗死与模型视频(vMI)。结果显示,两种类型的棒球- mi均显著促进了APB的皮质脊髓兴奋性,棒球- vmi显著促进了FCR的皮质脊髓兴奋性,但与休息时相比,其他记录肌肉的皮质脊髓兴奋性没有显著提高。这些结果可能反映了每块肌肉和精细运动控制在实际投球中的相对贡献和功能作用。APB的促进作用是棒球-MI/vMI特有的,这种特异性进一步得到了研究结果的支持,即每种运动的MI/vMI选择性地促进了参与想象运动的肌肉的皮质脊髓兴奋性。这些发现为研究投球期间皮质脊髓兴奋性的调节提供了基础知识和方法。
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引用次数: 0
The influence of hand dominance, object distance, and size on reach-to-grasp coordination in a virtual environment. 虚拟环境中手优势、物体距离和大小对手握协调的影响。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-19 DOI: 10.1007/s00221-026-07229-6
Anna Akbaş, Hidetaka Hibino, Diego Soto Gómez, Robert Sainburg, Mathew Yarossi, Eugene Tunik, Mariusz P Furmanek

Hand dominance influences motor control, yet the nature of asymmetries in reach-to-grasp coordination remains unclear. We used an immersive, haptic-free virtual environment to examine how hand dominance, object size, and distance shape kinematics and muscle activity during reach-to-grasp actions. Twelve right-handed participants performed unilateral movements with both hands toward virtual objects varying in size and distance. Kinematic and electromyographic data were collected from transport- and grasp-related muscles. A 2 (Hand: dominant, non-dominant) × 3 (Distance: near, middle, far) × 3 (Size: small, medium, large) repeated-measures ANOVA evaluated effects on movement parameters. Transport with the non-dominant hand showed higher peak velocities and accelerations and greater variability in 3-D position compared with the dominant hand. These differences were accompanied by increased triceps brachii activation during late transport, likely reflecting compensatory deceleration and stabilization before grasp. In contrast, grasp kinematics and grasp-related electromyographic activity did not differ significantly between hands. Task parameters modulated both transport and grasp, but object distance more strongly influenced transport, whereas object size more consistently affected grasp. Reach-to-grasp coordination in virtual reality revealed functional specialization between the hands, with asymmetries evident in transport but not grasp. These findings support models proposing a proximal-distal division of motor function between limbs. The results also demonstrate the utility of haptic-free VR as a methodological tool for investigating and potentially training limb-specific motor strategies in healthy individuals.

手优势影响运动控制,但不对称的性质在伸手-抓协调尚不清楚。我们使用了一个沉浸式的、无触觉的虚拟环境来研究手的优势、物体大小和距离形状运动学和肌肉活动在伸手抓握动作中的作用。12名右撇子参与者用双手朝不同大小和距离的虚拟物体单向移动。运动和肌电数据从运输和抓握相关肌肉收集。2(手:优势、非优势)× 3(距离:近、中、远)× 3(尺寸:小、中、大)重复测量方差分析评估对运动参数的影响。与优势手相比,非优势手的移动表现出更高的峰值速度和加速度以及更大的三维位置变异性。这些差异伴随着运输后期肱三头肌激活的增加,可能反映了抓握前的代偿减速和稳定。相比之下,双手之间的抓取运动学和抓取相关的肌电活动没有显著差异。任务参数调节转移和抓取,但物体距离更强烈地影响转移,而物体大小更一致地影响抓取。虚拟现实中的手握协调揭示了双手之间的功能专门化,在搬运过程中不对称明显,但在抓握过程中不对称。这些发现支持了四肢之间运动功能的近端-远端划分模型。研究结果还表明,无触觉VR作为一种方法学工具,可用于调查和潜在地训练健康个体的肢体特异性运动策略。
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引用次数: 0
Modular organization of intermuscular and interjoint interaction during ball catching. 在接球过程中肌肉间和关节间相互作用的模块化组织。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-18 DOI: 10.1007/s00221-025-07228-z
Sergey Moiseev, Ruslan Gorodnichev, Yuri Gerasimenko

The aim of this study was to examine the organization of ball-catching movements with different biomechanical structures, which are among the profile elements in rhythmic gymnastics, based on common synergies. An additional goal was to identify specific synergies presumably formed during the performing of movements with increased coordinative complexity. Synergy parameters were derived from simultaneously recorded electromyographic (EMG) data from 16 muscles and joint angle kinematics; factor analysis and principal component analysis were applied. It was found that at the kinematic level, participants demonstrated similar motor control strategies for catching the ball. Interjoint coordination was structured into two modules, independent of the motor task's complexity. The specificity of kinematic modules manifested in a shift of the main peak of interjoint interaction synchronization, driven by the subjective perception of the ball contact moment. At the muscular level, up to five muscle modules were identified, two of which were consistently present across different ball-catching movements. Their function is associated with generating active motions of the upper limb segments and stabilizing the shoulder girdle. The component composition of muscle synergies is largely determined by the movements' biomechanical structure and the presence of a common subtask within them.

本研究的目的是基于共同的协同作用,研究不同生物力学结构的接球动作组织,这些结构是艺术体操中轮廓元素之一。另一个目标是确定特定的协同作用可能形成在执行运动增加协调复杂性。协同参数来源于同时记录的16块肌肉和关节角度运动学的肌电图(EMG)数据;采用因子分析和主成分分析。研究发现,在运动学水平上,参与者表现出类似的接球运动控制策略。关节间协调被分为两个模块,独立于运动任务的复杂性。运动模块的特殊性表现为关节间相互作用同步主峰的移位,由球接触力矩的主观感知驱动。在肌肉水平上,多达五个肌肉模块被识别出来,其中两个在不同的接球动作中始终存在。它们的功能与产生上肢节段的主动运动和稳定肩带有关。肌肉协同作用的组成在很大程度上取决于运动的生物力学结构和其中共同子任务的存在。
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引用次数: 0
Intersegmental gait coordination differs by walking ability in subacute stroke. 亚急性中风患者的行走能力不同,节段间步态协调也不同。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-14 DOI: 10.1007/s00221-025-07190-w
John W Chow, Dobrivoje S Stokic
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引用次数: 0
Research on the influence of MW on situation awareness in shearer monitoring tasks in intelligent coal mines. 智能煤矿采煤机监测任务中兆瓦对态势感知的影响研究。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-11 DOI: 10.1007/s00221-025-07214-5
Xiaofang Yuan, Jiamin Fan, Yelan Zhang

The study examined the impact of mind wandering (MW) on situation awareness (SA) under varying task difficulties and pinpointed the sensitive SA indicators. 43 participants completed the shearer status monitoring task under simple and complex tasks. It collected operational performance, SAGAT, SART, eye movements, and EEG data, followed by linear mixed models analysis. The results showed that: (1) During the simple task, MW with meta-awareness led to higher performance and SA compared to MW without meta-awareness. In the complex task, SA of MW without meta-awareness surpassed that of MW with meta-awareness. (2) MW without meta-awareness exhibited longer average fixation durations in the simple task. Furthermore, MW with meta-awareness showed inferior β1 and β2 absolute powers in the complex task. (3) β1 and β2 relative power, β2 absolute power, θ/β1, and θ/β2 weakly correlated with SAGAT in MW with meta-awareness, suggesting potential as sensitive SA indicators. SA moderately negatively correlates with fixation intensity. Conversely, δ and θ relative power, β1 and β2 relative power, β2 absolute power, θ/α1, θ/α2, θ/β1, and θ/β2 weakly correlated with SART in MW without meta-awareness, indicating potential as sensitive SA indicators. Moreover, fixation frequency may be linked to brain alertness levels. (4) As task difficulty increased, performance and SA decreased, whereas eye movement data increased. The research reveals the internal relationship between subconscious MW and SA under different task difficulties, and identifies a series of potentially sensitive physiological indicators. It provides a new perspective and empirical basis for further exploring the impact of MW on SA. The research findings can offer certain references for the optimization of operator training content and the design of information requirements for monitoring interfaces.

本研究考察了不同任务难度下走神对情境意识的影响,并确定了情境意识的敏感指标。43名参与者完成了简单任务和复杂任务下的采煤机状态监测任务。它收集了操作性能、SAGAT、SART、眼动和EEG数据,然后进行线性混合模型分析。结果表明:(1)在简单任务中,有元感知的认知行为比没有元感知的认知行为具有更高的绩效和SA。在复杂任务中,无元意识的认知能力优于有元意识的认知能力。(2)在简单任务中,不含元意识的记忆记忆平均注视时间更长。具有元意识的小白鼠在复杂任务中表现出较低的β1和β2绝对权力。(3) β1和β2的相对功率、β2的绝对功率、θ/β1和θ/β2与脑卒中患者SAGAT呈弱相关,具有元意识,提示作为脑卒中敏感指标的潜力。SA与固定强度中度负相关。相反,δ和θ相对功率、β1和β2相对功率、β2绝对功率、θ/α1、θ/α2、θ/β1和θ/β2与无元意识的MW患者SART呈弱相关,提示作为SA敏感指标的潜力。此外,注视频率可能与大脑的警觉性水平有关。(4)随着任务难度的增加,成绩和认知能力下降,而眼动数据增加。本研究揭示了不同任务难度下潜意识认知能力与认知能力之间的内在联系,并确定了一系列潜在的敏感生理指标。这为进一步探讨绩效对SA的影响提供了新的视角和实证依据。研究结果可为操作员培训内容的优化和监控界面信息需求的设计提供一定的参考。
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引用次数: 0
Mental fatigue and brain activation using prolonged task-based fMRI: a systematic review on time-on-task and sequential task paradigms. 使用基于任务的长时间功能磁共振成像技术研究精神疲劳和大脑激活:对任务时间和顺序任务范式的系统回顾。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-11 DOI: 10.1007/s00221-025-07222-5
Manon Marie Roose, Emilie Schampheleer, Jelle Habay, Kevin De Pauw, Romain Meeusen, Peter Van Schuerbeek, Suzanna Russell, Hubert Raeymaekers, Bart Roelands

Mental fatigue (MF) has a significant impact on performance and decision-making in various contexts. It is considered a transient psychophysiological state characterized by impaired cognition and behavior across a range of dynamic contexts. This condition is related to changes in activity and connectivity across certain brain regions. Despite advances in understanding MF, the neural mechanisms remain unclear, necessitating further investigation. This systematic review synthesizes task-based fMRI evidence on MF during prolonged tasks, identifies convergent activation patterns and methodological gaps, and outlines possible future research. Following PRISMA, we searched PubMed, Web of Science, PsycINFO and Embase until November 6th, 2025. Eligible studies involved healthy participants, a mentally fatiguing task ≥ 30 min, and task-based BOLD fMRI acquired either on-task or in pre/post designs. Study characteristics and fMRI findings were extracted; risk of bias was appraised with NIH tools. Nine studies (n = 235) met the inclusion criteria. Across both designs an increase in MF was recurrently linked to higher activation in prefrontal and salience-related regions (DLPFC/VLPFC/DMPFC, ACC, insula) and the thalamus, while tendencies towards deactivation in posterior cortices (parieto-occipital/precuneus) were observed. Some studies also reported cerebellar effects. This review demonstrates the complexity of the neural correlates of MF and underscores the need for comprehensive research to understand its impact on brain functioning.

心理疲劳对不同情境下的绩效和决策均有显著影响。它被认为是一种短暂的心理生理状态,其特征是在一系列动态环境中认知和行为受损。这种情况与大脑某些区域的活动变化和连通性有关。尽管对MF的了解有所进展,但神经机制仍不清楚,需要进一步研究。本系统综述综合了长时间任务中基于任务的fMRI证据,确定了趋同激活模式和方法上的差距,并概述了可能的未来研究。在PRISMA之后,我们搜索了PubMed, Web of Science, PsycINFO和Embase,直到2025年11月6日。符合条件的研究包括健康受试者,≥30分钟的精神疲劳任务,以及在任务中或在前/后设计中获得的基于任务的BOLD fMRI。提取研究特征和fMRI结果;使用NIH工具评估偏倚风险。9项研究(n = 235)符合纳入标准。在两种设计中,MF的增加与前额叶和显著性相关区域(DLPFC/VLPFC/DMPFC, ACC,脑岛)和丘脑的高激活反复相关,而后皮质(顶枕/楔前叶)的失活趋势被观察到。一些研究还报告了对小脑的影响。这篇综述表明了MF神经相关的复杂性,并强调了对其对脑功能的影响进行全面研究的必要性。
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引用次数: 0
Dynamic thumb localization and its adaptation: quantification with a novel robotic task. 动态拇指定位及其适应性:一种新型机器人任务的量化。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-11 DOI: 10.1007/s00221-025-07211-8
Luis Garcia-Fernandez, Andria J Farrens, Christopher A Johnson, Vicky Chan, Joel C Perry, Eric T Wolbrecht, David J Reinkensmeyer

The thumb plays a crucial role in hand function, yet its proprioceptive abilities remain poorly understood. Here we quantified dynamic thumb localization ability, as well as how this ability adapts to a perturbation, in unimpaired participants. For this, we developed a novel task in which a robot moved the thumb in a circle and participants pressed a button when they felt their thumb aligning with a target point on a screen, receiving visual error feedback in the form of a ball jumping toward the target after they pushed the button. The task also incorporated a propriovisual rotational perturbation to elicit and measure adaptation. To characterize thumb localization ability, we varied thumb speed and rotation diameter, assessed the effect of the propriovisual rotational perturbation, and compared index finger performance. Following task familiarization, average thumb localization error was relatively consistent, with a constant error (CE) of - 5.9°, variable error (VE) of 25.2°, and absolute error (AE) of 29.2°. Errors did not change significantly with speed or circle diameter. Reversing thumb rotation temporarily increased error followed by rapid error adaptation across the next 20 trials, as would be expected if individuals adapted using a body-centered (movement-aligned) frame of reference rather than a world-centered spatial frame. Localization error was comparable for the thumb and the index finger error for the same task and was correlated with a different, robotic assessment of finger proprioception (ρ = 0.61, p = 0.001). These findings indicate that dynamic thumb localization is somewhat inaccurate, although it can leverage visual feedback within a body-centered reference frame to adapt. Further, in unimpaired adults, the dynamic localization abilities of the thumb and index finger are related.

拇指在手部功能中起着至关重要的作用,但其本体感觉能力仍然知之甚少。在这里,我们量化动态拇指定位能力,以及这种能力如何适应扰动,在未受损的参与者。为此,我们开发了一个新颖的任务,在这个任务中,机器人在一个圆圈中移动拇指,当参与者感觉到他们的拇指与屏幕上的目标点对齐时,他们按下一个按钮,在他们按下按钮后,会收到一个球向目标跳去的视觉误差反馈。该任务还结合了本体视觉旋转扰动来诱导和测量适应。为了表征拇指定位能力,我们改变了拇指的速度和旋转直径,评估了本体视觉旋转扰动的影响,并比较了食指的表现。任务熟悉后,拇指定位误差的平均值相对一致,恒定误差(CE)为- 5.9°,可变误差(VE)为25.2°,绝对误差(AE)为29.2°。误差随速度或圆直径的变化不显著。在接下来的20次试验中,逆转拇指旋转暂时增加了错误,随后快速适应错误,如果个体适应使用以身体为中心(运动对齐)的参考框架而不是以世界为中心的空间框架,这是可以预期的。对于同一任务,拇指和食指的定位误差具有可比性,并且与不同的机器人对手指本体感觉的评估相关(ρ = 0.61, p = 0.001)。这些发现表明,动态拇指定位有些不准确,尽管它可以利用以身体为中心的参考框架内的视觉反馈来适应。此外,在未受损的成年人中,拇指和食指的动态定位能力是相关的。
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引用次数: 0
A cross-sectional study of the association between the lymphocyte to high-density lipoprotein ratio and pain in parkinson's disease. 淋巴细胞与高密度脂蛋白比值与帕金森病疼痛关系的横断面研究
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-11 DOI: 10.1007/s00221-025-07224-3
Qiming Jiang, Yanchun Gao, Yuan Yuan, Wanjun Li, Jing Cheng, Jinru Zhang, Xiaoyu Cheng, Kai Li, Junyi Liu, Chengjie Mao

To explore the association between lymphocyte to high-density lipoprotein ratio (LHR) and pain in Parkinson's disease (PD). In this cross-sectional study, 133 inpatients with PD (84 with pain, 49 without pain) were consecutively recruited. Demographic, clinical, and peripheral immune-inflammatory markers were compared between PD patients with and without pain. Risk factors were identified through binary logistic regression. The independent association of the LHR with pain was assessed using multivariable logistic regression, with progressive adjustment for demographic, clinical, and comorbidity factors. Subgroup analyses were conducted to assess the consistency of the association across different clinical subgroups. Compared with patients without pain, those with pain had higher levodopa equivalent daily dose, more severe motor symptoms, greater levels of anxiety, depression, and sleep disturbances, along with elevated LHR. Binary logistic regression identified LHR (odds ratio [OR] = 3.64, 95% confidence interval [CI] 1.56-8.49, P = 0.003) as independent risk factors for pain. In the multivariable model, adjusted for key covariates including age, sex, disease duration, and major comorbidities, LHR remained a significant and independent risk factor (adjusted OR = 4.50, 95% CI 1.77-11.47, P = 0.002). Subgroup analyses confirmed the stability of this association across age, sex, body mass index, hypertension, diabetes, disease duration, and age at onset, with no significant interactions observed (P > 0.05). In this observational study, a higher LHR was positively associated with pain in PD. Future studies should validate these findings and explore LHR-based interventions.

探讨淋巴细胞与高密度脂蛋白比值(LHR)与帕金森病(PD)疼痛的关系。在这项横断面研究中,133例住院PD患者(84例有疼痛,49例无疼痛)被连续招募。比较有疼痛和无疼痛PD患者的人口学、临床和外周免疫炎症标志物。通过二元逻辑回归确定危险因素。LHR与疼痛的独立关联采用多变量逻辑回归进行评估,并对人口统计学、临床和合并症因素进行逐步调整。进行亚组分析以评估不同临床亚组间相关性的一致性。与无疼痛的患者相比,疼痛患者的左旋多巴当量日剂量更高,运动症状更严重,焦虑、抑郁和睡眠障碍水平更高,LHR升高。二元logistic回归发现LHR(优势比[OR] = 3.64, 95%可信区间[CI] 1.56 ~ 8.49, P = 0.003)是疼痛的独立危险因素。在多变量模型中,校正了关键协变量,包括年龄、性别、病程和主要合并症,LHR仍然是一个重要的独立危险因素(校正OR = 4.50, 95% CI 1.77-11.47, P = 0.002)。亚组分析证实了这种关联在年龄、性别、体重指数、高血压、糖尿病、病程和发病年龄之间的稳定性,没有观察到显著的相互作用(P < 0.05)。在这项观察性研究中,较高的LHR与PD患者的疼痛呈正相关。未来的研究应该验证这些发现,并探索基于lhr的干预措施。
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引用次数: 0
Effects of repeated blocks of split-belt walking on locomotor adaptation, physiological arousal response and cortical activation. 分带步行重复阻滞对运动适应、生理唤醒反应和皮层激活的影响。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-12-27 DOI: 10.1007/s00221-025-07218-1
Kaya Yoshida, Shannon B Lim, Lara A Boyd, Janice J Eng, Amy Schneeberg, Theodore J Huppert, Courtney L Pollock
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引用次数: 0
期刊
Experimental Brain Research
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