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Pilates and Transcranial Direct Current Stimulation for Stability, Balance, and Depression in Patients with Stroke. 普拉提和经颅直流电刺激对脑卒中患者稳定性、平衡性和抑郁的影响。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-07-01 DOI: 10.1080/00222895.2025.2522134
HyeMin Lee, JongEun Yim

This study aimed to investigate the effects of combining Pilates and transcranial direct current stimulation (tDCS) on core stability, balance, and depression in stroke patients. Forty subjects were randomly divided into an experimental group (n = 20) and a control group (n = 20). The experimental group received 20 min of tDCS followed by 30 min of Pilates exercises, while the control group underwent sham tDCS with the same Pilates regimen. Both groups followed the intervention schedule twice a week for 4 weeks. Core stability, static balance, and dynamic balance were assessed using the pressure biofeedback stabilizer (PBS), functional reach test (FRT), and timed up and go (TUG) test. Depression levels were evaluated using the short form geriatric depression scale-Korean version (SGDS-K). Both groups showed significant improvements in core stability, balance, and depression (p < 0.001) after the intervention, but the experimental group demonstrated significantly greater gains compared to the control group (p < 0.05). The results suggest that the combined treatment of Pilates and tDCS offers superior benefits over Pilates alone in improving physical and emotional outcomes in stroke patients. Incorporating tDCS into rehabilitation programs could enhance recovery and quality of life for stroke survivors.

本研究旨在探讨普拉提联合经颅直流电刺激(tDCS)对脑卒中患者核心稳定性、平衡性和抑郁的影响。40例受试者随机分为实验组(n = 20)和对照组(n = 20)。实验组接受20分钟的tDCS,然后进行30分钟的普拉提运动,而对照组则接受假tDCS和相同的普拉提方案。两组均遵循干预计划,每周两次,持续4周。通过压力生物反馈稳定器(PBS)、功能到达测试(FRT)和计时到达测试(TUG)来评估核心稳定性、静态平衡和动态平衡。使用韩国版老年抑郁量表(SGDS-K)评估抑郁水平。两组在核心稳定性、平衡性和抑郁方面均有显著改善(p < 0.05)
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引用次数: 0
Evaluating Upper Extremity Selective Motor Control and Its Relationship with Trunk Control and Balance in Spastic CP. 评估痉挛性脑瘫患者上肢选择性运动控制及其与躯干控制和平衡的关系。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-08-11 DOI: 10.1080/00222895.2025.2536841
Bayram Sırrı, Bülent Elbasan

Upper extremity Selective Voluntary Motor Control (SVMC) is a key factor influencing upper extremity functions in children with Cerebral Palsy (CP), but differences in SVMC of the upper extremity between unilateral and bilateral CP and its association with trunk control and balance remain unclear. This study aims to examine differences in upper extremity SVMC and its association with trunk control and balance in 58 children (31 unilateral, 27 bilateral) with spastic CP. SVMC, balance, and trunk control were assessed using the Selective Control of Upper Extremity Scale (SCUES). Pediatric Balance Scale (PBS), and the Trunk Control Measurement Scale (TCMS), respectively. No significant difference in SCUES scores was found between unilateral and bilateral CP (p > 0.05). SCUES scores correlated with TCMS in both types (p < 0.05), with a stronger correlation in bilateral CP (unilateral rho = 0.38, bilateral rho = 0.87). PBS correlated with SCUES only in bilateral cases (p < 0.01, rho = 0.88). In conclusion, impaired upper extremity SVMC is common in spastic CP and more linked to trunk control and balance in bilateral than unilateral cases. Addressing this difference may guide the development of tailored interventions for both types.

上肢选择性随意运动控制(SVMC)是影响脑瘫(CP)患儿上肢功能的关键因素,但目前尚不清楚单侧和双侧脑瘫患儿上肢SVMC的差异及其与躯干控制和平衡的关系。本研究旨在探讨58例痉挛性CP患儿(31例单侧,27例双侧)上肢SVMC的差异及其与躯干控制和平衡的关系。采用上肢选择性控制量表(SCUES)评估SVMC、平衡和躯干控制。小儿平衡量表(PBS)和躯干控制量表(TCMS)。单侧和双侧CP的SCUES评分无显著差异(p < 0.05)。sces评分与两种类型患者的TCMS呈正相关(p < 0.05)
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引用次数: 0
Effects of Upper Limb Robot Therapy with Action Observation Training on Subacute Stroke Patients: A Randomised Controlled Trial. 上肢机器人配合动作观察训练对亚急性脑卒中患者的疗效:一项随机对照试验。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-04-28 DOI: 10.1080/00222895.2025.2497376
Yoon-Mo Yang, Ju-Hyung Park

Action observation training (AOT) is recognised as an effective method for enhancing motor function by engaging mirror neurons. This study investigated the combined effects of AOT and upper limb robot therapy on upper extremity function, movement quality, activities of daily living (ADL), muscle activity, and coordination in stroke patients. Twenty-four subacute stroke patients were randomly assigned to either an intervention group (AOT + robot therapy, n = 12) or a control group (robot therapy only, n = 12). Primary outcomes were assessed using FMA-UE and ARAT, while secondary outcomes included the Point-to-Point test, K-MBI, %RVC, and CCR. Both groups demonstrated significant improvements in upper extremity function, movement quality, ADL, and muscle activity. However, the intervention group showed significantly greater enhancements in upper extremity function, ADL, and muscle activity than the control group. Additionally, CCR values were negative for all movements in the intervention group, whereas in the control group, only shoulder flexion exhibited a negative value. These findings suggest that integrating AOT with upper limb robot therapy enhances muscle activity, coordination, and functional recovery in subacute stroke patients, highlighting its potential as a valuable rehabilitation approach.

动作观察训练(Action observation training, AOT)被认为是一种通过镜像神经元参与来增强运动功能的有效方法。本研究探讨AOT与上肢机器人联合治疗对脑卒中患者上肢功能、运动质量、日常生活活动(ADL)、肌肉活动和协调性的影响。24例亚急性脑卒中患者随机分为干预组(AOT +机器人治疗,n = 12)和对照组(仅机器人治疗,n = 12)。主要结局采用FMA-UE和ARAT进行评估,次要结局包括点对点测试、K-MBI、RVC %和CCR。两组在上肢功能、运动质量、ADL和肌肉活动方面均有显著改善。然而,干预组在上肢功能、ADL和肌肉活动方面的改善明显大于对照组。此外,干预组所有运动的CCR值均为负值,而在对照组中,只有肩部屈曲呈现负值。这些研究结果表明,将AOT与上肢机器人治疗相结合可以增强亚急性卒中患者的肌肉活动、协调和功能恢复,突出了其作为一种有价值的康复方法的潜力。
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引用次数: 0
Challenge Accepted: A Systematic Scoping Review of the Applications of the Challenge Point Framework. 接受挑战:挑战点框架应用的系统范围审查。
IF 1.1 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-06-26 DOI: 10.1080/00222895.2025.2508283
Ashleigh Thomas, Lara Paul, Seipati Rasenyalo, Ben Jones, Sharief Hendricks

The Challenge Point Framework (CPF) guides practice design for optimal motor skill learning. The CPF's use and prevalence has not been reported. This review's aims are to - (i) identify research areas that use the CPF, (ii) determine the CPF's prevalence across research areas and (iii) summarise applications of the CPF across research areas. A systematic scoping review, following modified PRISMA-ScR guidelines, was conducted. Papers referencing Guadagnoli and Lee's (2004) "Challenge Point Framework" paper were reviewed against inclusion/exclusion criteria. Data from 100 included papers were analysed for (1) numerical; (2) thematic; and (3) descriptive summaries. Four themes were identified and common CPF applications were identified within each theme. CPF use has been viewed favourably whilst its limitations have been acknowledged (e.g., lack of practical application research).

挑战点框架(CPF)指导最佳运动技能学习的练习设计。CPF的使用和流行情况没有报道。本综述的目的是(i)确定使用CPF的研究领域,(ii)确定CPF在各个研究领域的流行程度,(iii)总结CPF在各个研究领域的应用。根据修改后的PRISMA-ScR指南,进行了系统的范围审查。引用Guadagnoli和Lee的论文(2004)根据纳入/排除标准对“挑战点框架”论文进行了审查。对纳入的100篇论文的数据进行分析:(1)数值分析;(2)主题;(3)描述性总结。确定了四个主题,并在每个主题中确定了共同的CPF应用。CPF的使用受到好评,但也承认其局限性(例如,缺乏实际应用研究)。
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引用次数: 0
Oral-Motor Complexity Influences Center of Pressure Patterns in Adults with Stroke-Related Communication Disorders. 口腔运动复杂性影响脑卒中相关沟通障碍患者压力模式中枢。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-06-30 DOI: 10.1080/00222895.2025.2519151
Daria Pressler, Sarah Hamilton Dugan, Amu De Silva, Michael A Riley, Sarah M Schwab-Farrell

People with stroke (PwS) often exhibit altered postural control, and concomitant stroke-related communication disorders (e.g., aphasia, dysarthria) may be an underrecognized risk factor for post-stroke falls. This heightened fall risk may be related to alterations in postural control that emerge during different speaking and listening conditions. This study evaluated how variations in the relative articulatory demands during speech production-termed "oral-motor complexity"-affect postural center of pressure (COP) patterns among PwS, both with communication disorders (PwS-CDis) and without (PwS). Three groups of adults (PwS, PwS-CDis, and a nondisabled Control group) stood on a force platform while completing four 30-second quiet stance trials, followed by twelve 30-second trials randomized across three experimental conditions of varying oral-motor complexities ("ba", "puh tuh kuh", "rah shah lah nah"). COP variability (SD) was significantly higher during experimental conditions compared to quiet stance, regardless of group and movement plane. Differences in nonlinear time-dependent metrics were found across oral-motor task conditions, particularly among PwS-CDis, suggesting oral-motor complexity may influence underlying postural-motor organization. Distinct temporal-dynamical patterns observed in PwS-CDis indicate a possible link between pathology, postural control, and speech motor tasks, which is relevant when evaluating postural control in individuals with stroke-related communication disorders.

中风患者(PwS)经常表现出姿势控制的改变,同时伴有中风相关的交流障碍(如失语、构音障碍)可能是中风后跌倒的一个未被充分认识的危险因素。这种增加的跌倒风险可能与在不同的口语和听力条件下出现的姿势控制的改变有关。本研究评估了言语产生过程中相对发音需求的变化(称为“口腔运动复杂性”)如何影响有沟通障碍(PwS- cdis)和无沟通障碍(PwS)的PwS患者的体位压力中心(COP)模式。三组成年人(PwS, PwS- cdi和非残疾对照组)站在一个力平台上,同时完成四次30秒的安静站立试验,然后在三种不同的口腔运动复杂程度的实验条件下随机进行12次30秒的试验(“ba”,“puh tuh kuh”,“rah shah lah nah”)。在实验条件下,无论群体和运动平面,COP变异性(SD)都明显高于安静姿态。非线性时间相关指标在口腔运动任务条件下存在差异,特别是在pws - cdi中,这表明口腔运动复杂性可能影响潜在的姿势运动组织。在pws - cdi中观察到的不同的时间-动力学模式表明病理、姿势控制和言语运动任务之间可能存在联系,这在评估卒中相关沟通障碍患者的姿势控制时是相关的。
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引用次数: 0
Effects of Motor Imagery on Skin Conductance and Pelvic Floor Sensorimotor Condition: A Randomised Controlled Trial. 运动意象对皮肤电导和盆底感觉运动状况的影响:一项随机对照试验。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-05-05 DOI: 10.1080/00222895.2025.2496153
Ferran Cuenca-Martínez, Ana Isabel Rubio-Baños, Laura Fuentes-Aparicio, Núria Sempere-Rubio

The main aim was to assess the effects of motor imagery (MI) plus pelvic floor musculature (PFM) isometric exercises (IE) on skin conductance and pelvic floor sensorimotor condition. Thirty healthy women were randomised into two groups: MI+IE (n = 15), and sham-MI+IE (CG) group (n = 15). A pre- and post-intervention evaluation was conducted. Regarding the skin conductance, significant between-group differences were found in favour of MI+IE in the imagination phase with a large effect size (mean differences (MD)=1.79 μS, p = 0.037, d = 0.82). This greater sympathetic activation in the MI+IE group was accompanied by significantly greater hypoalgesia on presumed referral area of menstrual pain compared with the CG with a moderate effect size (MD = 0.722 Kg/cm2, p = 0.048, d = 0.76). Finally, regarding the PFM strength, significant between-group differences were also found in favour of MI+IE compared with the CG with a large effect size (MD = 64.9 g, p = 0.035, d = 0.81). The results showed that adding MI to an IE program resulted in statistically greater improvements in pelvic floor sensorimotor function than IE alone in a single session and this should be considered clinically. Finally, one of the neurophysiological mechanisms by which the greater hypoalgesia generated in the experimental group could be explained through the activation of the sympathetic-excitatory system.

主要目的是评估运动想象(MI)加盆底肌肉组织(PFM)等长运动(IE)对皮肤电导和盆底感觉运动状况的影响。30名健康女性随机分为两组:MI+IE组(n = 15)和假MI+IE (CG)组(n = 15)。进行干预前和干预后的评估。对于皮肤电导,在想象期MI+IE组间差异显著且效应量大(平均差异(MD)=1.79 μS, p = 0.037, d = 0.82)。与CG组相比,MI+IE组更大的交感神经激活伴随着更大的痛觉减退,并伴有中等效应(MD = 0.722 Kg/cm2, p = 0.048, d = 0.76)。最后,在PFM强度方面,与CG相比,MI+IE组间也存在显著差异,且效应量较大(MD = 64.9 g, p = 0.035, d = 0.81)。结果显示,在IE计划中加入心肌梗死,在统计学上比单独进行IE治疗对盆底感觉运动功能的改善更大,这应该在临床上加以考虑。最后,在实验组中产生更大的痛觉减退的神经生理机制之一可以通过交感兴奋系统的激活来解释。
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引用次数: 0
Auditory Cues and Feedback in the Serial Reaction Time Task: Evidence for Sequence Acquisition and Sensory Transfer. 序列反应时间任务中的听觉线索和反馈:序列获取和感觉转移的证据。
IF 1.1 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-01-19 DOI: 10.1080/00222895.2024.2448130
Elena M Broeckelmann, Toby Martin, Cheryl M Glazebrook

The present experiment used the Serial Reaction Time Task(SRTT) to investigate if auditory cueing or feedback in the form of spatially compatible tones benefited sequence learning similarly. Fifty-three neurotypical adults (18-35 years; 32 cis-females; 21 cis-males) were randomly assigned to three groups in which they practiced a visual SRTT: Group AC was supplemented with auditory cues; group AF received auditory feedback; group NS performed without sound. Retention and transfer tests (i.e., in the other two sensory conditions), and an explicit awareness test were conducted 48 h after practice. Changes in Total Sequence Time (TST), Total Error (TE), and acquired knowledge of the 10-item sequence order quantified sequence learning and were assessed using a two-way mixed ANOVA with repeated measures (p ≤ 0.05). A significant group-by-time interaction indicated only the AC group maintained their performance improvements when the sequence was perturbed. Overall, improvements in TST on day 1 and day 2 were consistent with all groups acquiring task-general and sequence-specific knowledge. TE outcomes suggested no speed-accuracy tradeoff. On Day 2, all groups performed best in the no-sound condition, indicating performance was maintained when sound cues or feedback were removed. All groups acquired equivalent implicit motor sequence knowledge regardless of sound condition.

本实验采用序列反应时间任务(SRTT)来研究听觉提示或空间相容音调形式的反馈是否同样有利于序列学习。53名典型神经成年人(18-35岁;32 cis-females;21名顺式男性被随机分为三组,每组进行视觉SRTT练习:AC组辅以听觉提示;AF组接受听觉反馈;NS组无声音表演。练习后48小时进行保留和转移测试(即在其他两种感觉条件下)和外显意识测试。总序列时间(TST)、总误差(TE)和获得的10项序列顺序知识的变化量化了序列学习,并采用重复测量的双向混合方差分析(p≤0.05)进行评估。显著的组-时间交互作用表明,当序列受到干扰时,只有AC组保持了他们的表现改善。总体而言,第1天和第2天的TST改善与所有组获得任务一般性和序列特异性知识一致。TE结果显示没有速度和准确性的权衡。在第2天,所有组在无声音条件下表现最好,这表明当声音提示或反馈被移除时,表现仍保持不变。无论健康状况如何,所有组都获得了相同的隐性动作序列知识。
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引用次数: 0
Non-Linearity in Development of Dynamic Balance Repertoire in Middle Childhood. 儿童中期动态平衡技能发展的非线性。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-08-21 DOI: 10.1080/00222895.2025.2546694
Håvard Lorås, Monika Haga

The current understanding of balance development in middle childhood is predominantly from static postural tasks, in which a typical finding is a linear pattern. A paucity of studies, however, have examined the development of dynamic balance. Thus, we investigated how 354 girls and boys aged 7-10-years-old crossed a river on a wide or narrow plank in virtual reality, while their movement strategies were measured. Sex, height and perceived motor competence were examined as covariates. The results indicated that age did not appear as a significant independent variable for any measures, and that significant differences emerged between boys and girls. These findings suggest that dynamic balance can have a non-linear development in middle childhood, with boys and girls utilizing different task-specific strategies.

目前对儿童中期平衡发展的理解主要来自静态姿势任务,其中一个典型的发现是线性模式。然而,研究动态平衡发展的研究却很少。因此,我们调查了354名7-10岁的女孩和男孩如何在虚拟现实中在宽或窄的木板上过河,同时测量了他们的运动策略。性别、身高和感知运动能力作为协变量进行检验。结果表明,在任何测量中,年龄都不是一个重要的独立变量,男孩和女孩之间出现了显著差异。这些发现表明,动态平衡在儿童中期可能呈非线性发展,男孩和女孩使用不同的任务特定策略。
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引用次数: 0
Association Between Motor Competence and Response Time in Portuguese Youth. 葡萄牙青少年运动能力与反应时间的关系。
IF 1.2 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-09-25 DOI: 10.1080/00222895.2025.2563878
Fábio Flôres, Ricardo Drews, Vanessa Santos, Ana Reyes, Nuno Casanova, Priscila Cardozo

This study explores the association between motor competence (MC) and response time (RT) in schoolchildren. 251 participants (mean age 14.58 ± 3.07 years) completed assessments over two sessions using standardized procedures. MC was evaluated through the Motor Competence Assessment, which includes stability, locomotor, and manipulative skills, while RT was measured using a structured reaction task. Pearson correlations and multiple linear regression analyses examined the relationships between variables. Moderate correlation (r = -0.35, p < .001), with stability and manipulative skills as significant predictors of RT were found. The model accounted for 24.4% of RT variance, highlighting MC's role in neuromuscular coordination and cognitive processing. These findings emphasize the importance of MC in more efficient responses during youth, with potential applications for physical education and sports.

本研究旨在探讨学童运动能力与反应时间的关系。251名参与者(平均年龄14.58±3.07岁)采用标准化程序完成了两次评估。MC通过运动能力评估来评估,包括稳定性、运动能力和操作技能,而RT则通过结构化反应任务来测量。Pearson相关性和多元线性回归分析检验了变量之间的关系。中度相关(r = -0.35, p < .001),稳定性和操作技能是RT的显著预测因子。该模型占RT方差的24.4%,突出了MC在神经肌肉协调和认知加工中的作用。这些发现强调了MC在青少年时期更有效的反应中的重要性,并在体育教育和运动中具有潜在的应用价值。
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引用次数: 0
Increasing Movement Amplitude in Speeded Hitting Enhances Contact Velocity Without Affecting Directional Accuracy or Movement Variability. 在加速击球中增加运动幅度可提高接触速度,而不会影响方向准确性或运动变异性。
IF 1.1 4区 心理学 Q4 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-10-14 DOI: 10.1080/00222895.2024.2411995
Victor Hugo Alves Okazaki, Luis Augusto Teixeira

Performance of sport-related ballistic motor skills, like ball hitting in golf and baseball, requires wide movements to produce highly fast and spatially accurate movements. In this study, we assessed the effect of movement amplitude on directional accuracy in a ballistic hitting task. Participants performed the task of moving a manual handle over a flat surface to hit with high speed a moveable disc, aiming to propel it towards a frontal target. Five movement amplitudes were compared, ranging from 11.5 cm to 27.5 cm in steps of 4 cm. Kinematic analysis evaluated motions of the handle, disc, and arm joints. Results showed that greater movement amplitudes led to longer acceleration phases, with delayed peak velocities at the handle, shoulder and elbow, leading to higher contact and peak linear velocities of the handle, and higher angular velocities at the shoulder and elbow. Manipulation of movement amplitude led to no evidence for effects on either disc directional accuracy or variability. Results also revealed no evidence for differences in variability of contact velocity, peak velocity and time of peak velocity across movement amplitudes in the shoulder, elbow, and wrist. Our results indicated that greater movement amplitudes in hitting a spatial target lead to increased contact velocity while not affecting directional accuracy or movement variability.

与运动相关的弹道运动技能,如高尔夫球和棒球中的击球,需要大范围的运动来产生高度快速和空间精确的动作。在本研究中,我们评估了运动幅度对弹道击球任务中方向准确性的影响。受试者在一个平面上移动手动手柄,高速击打一个可移动的圆盘,目的是将其推向一个正面目标。比较了五种运动幅度,从 11.5 厘米到 27.5 厘米不等,步幅为 4 厘米。运动学分析评估了手柄、圆盘和手臂关节的运动。结果显示,运动幅度越大,加速阶段越长,手柄、肩部和肘部的峰值速度越晚,导致手柄的接触速度和峰值线速度越高,肩部和肘部的角速度越高。对运动幅度的控制没有证据表明会对圆盘方向的准确性或可变性产生影响。结果还显示,没有证据表明肩部、肘部和腕部不同运动幅度的接触速度、峰值速度和峰值速度时间的可变性存在差异。我们的结果表明,在击打空间目标时,较大的运动幅度会导致接触速度增加,但不会影响方向准确性或运动变异性。
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引用次数: 0
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Journal of Motor Behavior
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