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Comparison of Toe Clearance Characteristics Between Simulated Obstacle Crossing Using Visual Height Cues and Actual Obstacle Crossing. 利用视觉高度线索模拟过障与实际过障的脚趾间隙特性比较。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-23 DOI: 10.3390/brainsci16020248
Mao Kasai, Yumi Machida, Miku Washizu, Kenichi Sugawara, Tomotaka Suzuki

Background/Objectives: Tripping is a major cause of falls and necessitates accessible training. This study aimed to fundamentally evaluate the biomechanical fidelity of a simplified simulated obstacle-crossing paradigm using visual height cues. Methods: Two experiments that included healthy young adults evaluated toe clearance (TC) responsiveness during simulated crossing to four visual cue heights (Experiment 1: n = 16) and compared it with actual crossing (4-16% leg length) to assess biomechanical fidelity (Experiment 2: n = 18). Linear mixed models were used to analyze the effects of obstacle height, task condition, and walking course on vertical TC metrics, including minimum and maximum clearance and quartile coefficient of variation (QCV) for both the lead and trail limbs. Results: In Experiment 1, TC parameters scaled systematically with cue height (p < 0.001), confirming that visual cues elicited adaptive gait adjustments. In Experiment 2, although the maximum TC scaled similarly across conditions, the minimum TC was systematically reduced in the simulated condition compared to actual obstacle crossing (p < 0.001). Furthermore, the simulated condition exhibited increased QCV (p < 0.001), particularly for the trail limb at the highest obstacle height. Conclusions: Motor intention and execution precision were dissociated in the simulated obstacle crossing. Without physical risk, the central nervous system appeared to prioritize effort economy over the precise fine-tuning of safety margins. These results suggest that task repetition in risk-free simulations alone may be insufficient for acquiring safe obstacle-crossing strategies and highlight the importance of task-relevant feedback for ensuring biomechanical fidelity in fall-prevention research.

背景/目的:绊倒是跌倒的主要原因,需要进行无障碍培训。本研究旨在利用视觉高度线索,从根本上评估一个简化的模拟过障范式的生物力学保真度。方法:两组健康青年在模拟穿越四种视觉线索高度(实验1:n = 16)时评估脚趾间隙(TC)的反应性,并将其与实际穿越(4-16%腿长)进行比较,以评估生物力学保真度(实验2:n = 18)。采用线性混合模型分析障碍高度、任务条件和行走路线对垂直TC指标的影响,包括最小和最大间隙和四分位数变异系数(QCV)。结果:在实验1中,TC参数随线索高度系统缩放(p < 0.001),证实视觉线索引发适应性步态调整。在实验2中,尽管最大TC在不同条件下的比例相似,但与实际过障相比,模拟条件下的最小TC有系统地减小(p < 0.001)。此外,模拟条件显示出增加的QCV (p < 0.001),特别是在最高障碍物高度的步道肢体。结论:在模拟越障过程中,运动意图和执行精度是分离的。在没有身体风险的情况下,中枢神经系统似乎优先考虑节省精力,而不是对安全边际的精确微调。这些结果表明,单靠无风险模拟中的任务重复可能不足以获得安全的过障策略,并强调了任务相关反馈对确保跌倒预防研究中生物力学保真度的重要性。
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引用次数: 0
Sense of Time in Neurodevelopmental Disorders: ADHD and Developmental Dyscalculia from a Dimensional and Transdiagnostic Perspective. 神经发育障碍的时间感:从维度和跨诊断的角度看ADHD和发展性计算障碍。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-23 DOI: 10.3390/brainsci16020249
Federica Cortesi, Sara Eralda Santirocchi, Rachele Montanelli, Lisa Toffoli, Andrea Gambarini, Gian Marco Marzocchi, Giovanna Mioni, Giovanni Mento, Anna Lucia Ogliari, Enrico Toffalini, Valentina Tobia

Background: Sense of Time (SoT) refers to a range of cognitive abilities involved in the time processing (TP) and management (TM) of temporal durations. Impairments in these abilities can impact various domains of daily life, including academic, social, and recreational activities. Recent evidence suggests that children with neurodevelopmental disorders (NDDs), particularly ADHD and Developmental Dyscalculia (DD), often exhibit deficits in time-related cognitive functions. Adopting a transdiagnostic approach, the present study investigates the relationships among SoT skills, inattention and hyperactivity, and mathematical difficulties, considering both categorical and dimensional perspectives. Methods: A total of 811 children completed SoT assessments (computerized tasks and self- and proxy-report questionnaires), mathematical tests, and questionnaires measuring attention and hyperactivity traits (self and proxy report). Results: Correlational analyses revealed significant associations between SoT and attention/hyperactivity, as well as between SoT and mathematical abilities. Group differences in TP and TM variables were examined using both categorical (diagnostic groups) and dimensionally derived group approaches. The results indicated more marked contrasts using the dimensional approach. Specifically, attentional and executive control difficulties appeared to have greater associations with TP and TM skills than mathematical difficulties alone. No evidence for attentional X mathematical difficulties interaction emerged. Conclusions: The SoT abilities were impaired in children with both ADHD and DD. A transdiagnostic dimensional approach allows for a more nuanced understanding of SoT profiles across different types of atypical development within the NDDs spectrum. Practical and clinical implications are discussed.

背景:时间感(SoT)是指涉及时间加工(TP)和时间持续时间管理(TM)的一系列认知能力。这些能力的缺陷会影响日常生活的各个领域,包括学术、社交和娱乐活动。最近的证据表明,患有神经发育障碍(ndd)的儿童,特别是ADHD和发展性计算障碍(DD),经常表现出与时间相关的认知功能缺陷。本研究采用一种跨诊断的方法,从分类和维度的角度探讨了SoT技能、注意力不集中和多动以及数学困难之间的关系。方法:共811名儿童完成了SoT评估(计算机任务和自我和代理报告问卷)、数学测试和注意力和多动特征问卷(自我和代理报告)。结果:相关分析显示,短时记忆与注意力/多动之间以及短时记忆与数学能力之间存在显著关联。使用分类(诊断组)和维度衍生组方法检查TP和TM变量的组差异。结果表明,使用量纲方法对比更明显。具体来说,注意力和执行控制困难似乎与TP和TM技能有更大的联系,而不仅仅是数学困难。没有证据表明注意力与数学困难之间存在相互作用。结论:ADHD和DD患儿的SoT能力均受损。跨诊断维度的方法可以更细致地了解ndd谱系中不同类型非典型发育的SoT特征。讨论了实际和临床意义。
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引用次数: 0
Temporal Dynamics of Auditory Evoked Neural Oscillations Under a Paired-Pulse Suppression Paradigm. 配对脉冲抑制模式下听觉诱发神经振荡的时间动力学。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-23 DOI: 10.3390/brainsci16020247
Tomosuke Nakano, Eishi Motomura, Kazuki Hisatomi, Yusuke Nakayama, Kanako Shinke, Takayasu Watanabe, Yasuhiro Kawano, Koji Inui, Motohiro Okada

Background/Objectives: Deficits in auditory change detection are well-known in psychiatric disorders such as schizophrenia. An abrupt change in sound feature during periodic sounds elicits both evoked potentials and a transient change in neural oscillations. Both of these cerebral responses are thought to reflect the automatic change detection. However, the similarities and dissimilarities between these cerebral responses are unclear. To clarify them, we compared the temporal dynamics of evoked potentials and low gamma oscillations under a paired-pulse paradigm. Methods: Healthy adults (n = 21) participated. The stimulus was a 2 s sound consisting of a train of 25 ms pure tones. The sound pressure was increased by 15 dB twice within a 600 ms interval. Electroencephalographic signals were recorded from Fz and Cz electrodes referenced to linked mastoids. The peak (N100)-to-peak (P200) amplitude and the inter-trial phase coherence (ITPC) of low gamma oscillations were analyzed. Results: Auditory steady-state responses were evoked around 40 Hz. An abrupt change in sound pressure transiently decreased the ITPC of the oscillations at 40 Hz, whereas it increased the ITPC at the remaining frequencies. Unlike the change-related potentials, the degree of ITPC responses did not differ between the two changes. Conclusions: The synchrony of low gamma oscillations transiently responded to an abrupt increase in sound pressure but did not show paired-pulse suppression. This novel neurophysiological approach enables a focus on the neural change detection from multiple angles, which could be useful for investigations of psychiatric disorders.

背景/目的:听觉变化检测缺陷在精神分裂症等精神疾病中是众所周知的。在周期性声音中,声音特征的突然变化会引起诱发电位和神经振荡的短暂变化。这两种大脑反应被认为反映了自动变化检测。然而,这些大脑反应的异同之处尚不清楚。为了澄清它们,我们比较了在成对脉冲模式下诱发电位和低伽马振荡的时间动态。方法:健康成人21例。刺激是由一串25毫秒的纯音组成的2秒的声音。在600 ms的时间间隔内,声压增加了15 dB两次。从Fz和Cz电极参考连接的乳突记录脑电图信号。分析了低伽马振荡的峰(N100)-峰(P200)幅值和试验间相位相干性(ITPC)。结果:40 Hz左右诱发了听觉稳态反应。在40 Hz时,声压的突变会瞬时降低振动的ITPC,而在其余频率下,声压的突变会增加振动的ITPC。与变化相关电位不同,ITPC的响应程度在两种变化之间没有差异。结论:低伽马振荡的同步性对声压的突然增加有短暂的响应,但不表现成对脉冲抑制。这种新颖的神经生理学方法可以从多个角度关注神经变化的检测,这可能对精神疾病的研究有用。
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引用次数: 0
Exploring the Role of TSPO-PET Imaging Among MRI-Negative Patients with Temporal Lobe Epilepsy: From the Perspective of Heterogeneity. 从异质性的角度探讨TSPO-PET成像在mri阴性颞叶癫痫患者中的作用
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-22 DOI: 10.3390/brainsci16020246
Yuncan Chen, Jing Wang, Shimin Xu, Qinyue Wang, Shuhao Mei, Jiaying Lu, Yiqiao Wang, Huamei Lin, Dongyan Wu, Liang Chen, Chuantao Zuo, Yihui Guan, Jingjie Ge, Xunyi Wu

Background/Objectives: This study explored the heterogeneous distribution pattern of translocator protein 18kDa (TSPO)-PET/MRI using radioligand [18F] DPA-714 in temporal lobe epilepsy patients and identified clinical factors influencing imaging outcomes. Methods: The TSPO imaging in individual patient was evaluated with both visual reading and quantitative assessment using an asymmetry index based on cerebellum-normalized standardized uptake values. The association between clinical factors and TSPO imaging outcomes was assessed. Pathological evaluation was conducted in three patients. Results: Twenty-nine TLE patients and ten healthy controls were enrolled. Visual evaluation revealed increased [18F] DPA-714 uptake in twenty patients as compared to controls, predominantly in a unilateral regional brain, while the remaining nine patients showed visually undetectable uptake of [18F] DPA-714. Consistently, quantitative analysis revealed that 69% (20/29) patients exhibited at least one brain area with significant asymmetry index, notably in the temporal lobe (85%, 17/20). A high asymmetry index could also be observed in the parietal (13.8%, 4/29) and occipital lobe (17.2%, 5/29). Significant associations were identified between the asymmetry index and seizure frequency (p = 0.045, OR = 7.994), and the interval from last seizure to PET scan (p = 0.033, OR = 6.712). Moreover, we confirmed the pathology in three patients via immunohistochemistry, which underscored the potential of TSPO-PET in detecting minor lesion. Conclusions: TSPO-PET reveals patient-specific and network-level neuroinflammatory heterogeneity in MRI-negative TLE, supporting its potential role as a complementary tool for presurgical evaluation.

背景/目的:本研究利用放射配体[18F] DPA-714探讨颞叶癫痫患者转运蛋白18kDa (TSPO)-PET/MRI的异质性分布模式,并确定影响成像结果的临床因素。方法:采用基于小脑标准化摄取值的不对称指数,对个体患者的TSPO成像进行视觉阅读和定量评估。评估临床因素与TSPO成像结果之间的关系。对3例患者进行病理评价。结果:纳入29例TLE患者和10例健康对照。视觉评估显示,与对照组相比,20例患者的[18F] DPA-714摄取增加,主要发生在单侧大脑区域,而其余9例患者的[18F] DPA-714摄取在视觉上无法检测到。与此一致,定量分析显示69%(20/29)的患者表现出至少一个脑区具有明显的不对称指数,特别是在颞叶(85%,17/20)。顶叶(13.8%,4/29)和枕叶(17.2%,5/29)的不对称指数也较高。不对称指数与癫痫发作频率(p = 0.045, OR = 7.994)和最后一次癫痫发作至PET扫描间隔(p = 0.033, OR = 6.712)有显著相关性。此外,我们通过免疫组织化学证实了3例患者的病理,这强调了TSPO-PET在检测小病变方面的潜力。结论:TSPO-PET揭示了mri阴性TLE患者特异性和网络水平的神经炎症异质性,支持其作为术前评估补充工具的潜在作用。
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引用次数: 0
Speed-Sensitive EEG Biomarkers in a Motion Tracking Paradigm: Implications for Dynamic Visual Acuity Research. 运动跟踪范式中的速度敏感脑电图生物标志物:对动态视力研究的启示。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-22 DOI: 10.3390/brainsci16020245
Zejin Li, Guanghua Xu, Hui Li, Chenghang Du, Chengcheng Han, Xiaobing Guo, Jiahuan Wang, Sicong Zhang

Background: Dynamic visual acuity (DVA) is functionally distinct from static visual acuity (SVA), though SVA is often used clinically as a reference. Methods: To identify EEG biomarkers for DVA, we presented participants with a high-contrast checkerboard moving horizontally at speeds ranging from 4°/s to 30°/s, engaging motion-sensitive pathways while preserving spatial detail. Six EEG features-ERPs (N200 and P300), TRCA, Hjorth activity, mean curve length, and Tsallis entropy-were extracted from eight occipito-parietal channels and evaluated for speed sensitivity. Results: Hjorth activity and Tsallis entropy showed consistent monotonic trends with respect to speed. Hjorth activity exhibited the strongest univariate correlation (r = 0.88, p < 0.05). In a Lasso regression model using all speed-sensitive features, the predicted speed correlated with actual speed at r = 0.588, with TRCA-weighted features retained for their multivariate contribution. Notably, Hjorth activity peaked at PO7/PO8 (3.558 and 1.478 µV2 at 30°/s), aligning with V5/MT+ activation. Conclusion: Given its high sensitivity, neuroanatomical plausibility, and simplicity, Hjorth activity is recommended as a primary candidate for EEG-based DVA biomarker development. This study provides a foundation for objective neurophysiological evaluation of dynamic vision.

背景:动态视力(DVA)在功能上不同于静态视力(SVA),尽管临床上常将SVA作为参考。方法:为了识别DVA的脑电图生物标志物,我们向参与者展示了一个高对比度棋盘,以4°/s至30°/s的速度水平移动,在保留空间细节的同时参与运动敏感通路。从8个枕顶通道提取6个EEG特征- erp (N200和P300)、TRCA、Hjorth活性、平均曲线长度和Tsallis熵,并评估速度敏感性。结果:Hjorth活性和Tsallis熵随速度呈一致的单调趋势。Hjorth活性表现出最强的单因素相关性(r = 0.88, p < 0.05)。在使用所有速度敏感特征的Lasso回归模型中,预测速度与实际速度的相关性为r = 0.588, trca加权特征保留了其多变量贡献。值得注意的是,Hjorth活性在PO7/PO8处达到峰值(30°/s时为3.558µV2和1.478µV2),与V5/MT+激活一致。结论:考虑到Hjorth活性的高灵敏度、神经解剖学的合理性和简单性,Hjorth活性被推荐作为基于脑电图的DVA生物标志物开发的主要候选。本研究为动态视觉的客观神经生理评价提供了基础。
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引用次数: 0
L-Alliin Modulates Brain Region-Specific Neuroinflammatory Responses to Lipopolysaccharide in Diet-Induced Obese Mice. l -蒜素调节饮食诱导肥胖小鼠对脂多糖的脑区域特异性神经炎症反应。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-22 DOI: 10.3390/brainsci16020243
Celia González-Castillo, Daniel Ortuño-Sahagún, Carolina Guzmán-Brambila, Daniel Ulises Torres-Reyes, Lucrecia Carrera-Quintanar, Oscar Arias-Carrión

Background/objectives: A high-fat diet disrupts metabolic and neuroimmune balance in the brain, making neural tissue more reactive to inflammatory challenges. However, it is not well understood how this vulnerability varies across brain regions or how natural anti-inflammatory compounds influence it.

Methods: In this study, we examined how the garlic-derived molecule L-alliin modulates the inflammatory response triggered by lipopolysaccharide in the frontal cortex, hippocampus, and hypothalamus of mice fed either a standard or high-fat diet.

Results: Measurements of cytokine gene expression showed that the high-fat diet greatly increased the inflammatory response in the frontal cortex and hypothalamus, with the hypothalamus displaying the strongest overall activation. Treatment with L-alliin significantly reduced elevated cytokine levels in both regions, with the reductions most pronounced in animals on the high-fat diet. In contrast, the hippocampus showed a distinct pattern: expression of TNF-α and IL-1β changed very little across diets or treatments, whereas IL-6 and CCL2 were selectively altered by L-alliin, depending on the animals' metabolic state.

Conclusions: These findings demonstrate that diet-induced obesity does not affect the entire brain uniformly. Instead, inflammatory pathways are altered region-specifically, and L-alliin modulates these pathways with sensitivity to both brain region and metabolic condition. This work emphasizes the importance of accounting for neuroanatomical differences when developing strategies to reduce inflammation in obesity-associated conditions.

背景/目的:高脂肪饮食会破坏大脑的代谢和神经免疫平衡,使神经组织对炎症反应更强。然而,人们还不太清楚这种脆弱性在不同大脑区域之间是如何变化的,也不清楚天然抗炎化合物是如何影响它的。方法:在本研究中,我们研究了大蒜衍生分子l -蒜素如何调节由脂多糖引发的小鼠额叶皮质、海马体和下丘脑的炎症反应,这些炎症反应是喂食标准或高脂肪饮食的小鼠引起的。结果:细胞因子基因表达的测量显示,高脂肪饮食大大增加了额叶皮层和下丘脑的炎症反应,其中下丘脑表现出最强的整体激活。l -蒜素治疗显著降低了这两个区域升高的细胞因子水平,在高脂肪饮食的动物中下降最为明显。相比之下,海马表现出独特的模式:TNF-α和IL-1β的表达在饮食或治疗中变化很小,而IL-6和CCL2则根据动物的代谢状态被l -蒜素选择性地改变。结论:这些发现表明,饮食引起的肥胖并不是均匀地影响整个大脑。相反,炎症途径是特定区域改变的,l -蒜素调节这些途径,对大脑区域和代谢状况都很敏感。这项工作强调了在制定减少肥胖相关疾病炎症的策略时考虑神经解剖学差异的重要性。
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引用次数: 0
Neural Complexity of Implicit Attitudes Predicts Exercise Behavior in Hypertensive Patients: An EEG Entropy Study. 内隐态度的神经复杂性预测高血压患者的运动行为:脑电图熵研究。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-22 DOI: 10.3390/brainsci16020244
Xingyi Tang, Chengzhen Wu, Haoming Ma, Bo Yao, Ting Li, Meihua Piao

Background: Exercise is a key component in managing hypertension, yet adherence remains low. Beyond deliberate decision-making, implicit attitudes also play an important role in exercise behavior as automatic and unconscious evaluative processes. Traditional studies mostly rely on reaction time measures, which are susceptible to practice effects and fail to capture dynamic neural processing.

Objectives: This study aimed to examine whether the EEG entropy derived from implicit attitude processing can better predict exercise behavior than traditional reaction time measures in patients with hypertension.

Methods: Fifty-seven hypertensive patients completed affective and instrumental implicit association tests (IATs) with EEG recording. Seven entropy features were extracted. Multiple machine learning algorithms were applied to compare the predictive performance of reaction time with EEG entropy features. The random forest model was used to analyze the importance ranking of features from different brain regions.

Results: EEG entropy outperformed reaction times in distinguishing exercisers from non-exercisers. Affective implicit attitudes consistently demonstrated stronger accuracy than instrumental attitudes. Envelope entropy showed the most robust and significant group differences. For the random forest (RF) classifier of envelope entropy, classification accuracies were 71.9% for the affective IAT (incompatible task only), and 71.9% for the model combining affective and instrumental IAT features. Frontal and central regions contributed most to classification.

Conclusions: EEG entropy, particularly envelope entropy during affective IAT-incompatible tasks, provides superior discrimination of exercise behavior than reaction time measures. This suggests that exercise behavior is closely linked to the neural complexity underlying affective conflict processing. These findings advance our understanding of the neural dynamic patterns linking implicit attitudes and exercise behavior and suggest EEG entropy as a promising tool for assessing and intervening exercise behavior.

背景:运动是控制高血压的关键组成部分,但坚持度仍然很低。除了刻意的决策外,内隐态度作为自动和无意识的评价过程在运动行为中也起着重要的作用。传统的研究大多依赖于反应时间的测量,容易受到实践效应的影响,无法捕捉到动态的神经处理过程。目的:探讨由内隐态度加工产生的脑电熵是否比传统的反应时间测量能更好地预测高血压患者的运动行为。方法:57例高血压患者完成情感性和工具性内隐联想测验(IATs)并进行脑电图记录。提取了7个熵特征。采用多种机器学习算法比较反应时间与脑电熵特征的预测性能。采用随机森林模型对不同脑区特征的重要性排序进行分析。结果:脑电熵在区分运动者和非运动者方面优于反应时间。情感内隐态度始终表现出比工具态度更强的准确性。包络熵表现出最显著的组间差异。对于包络熵随机森林(RF)分类器,情感IAT(仅不相容任务)的分类准确率为71.9%,而结合情感和工具IAT特征的模型的分类准确率为71.9%。额区和中央区对分类贡献最大。结论:脑电熵,特别是在情感iat不相容任务时的包络熵,比反应时间测量提供了更好的运动行为辨别能力。这表明运动行为与情感冲突处理背后的神经复杂性密切相关。这些发现促进了我们对内隐态度和运动行为之间的神经动力学模式的理解,并表明脑电图熵是评估和干预运动行为的一个有前途的工具。
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引用次数: 0
Identifying Early Responders to Dry Needling for Lower-Limb Spasticity in Multiple Sclerosis: A Secondary Responder Analysis of a Pilot Randomized Controlled Trial. 识别干针治疗多发性硬化症下肢痉挛的早期反应者:一项随机对照试验的二次反应分析。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-21 DOI: 10.3390/brainsci16020240
Alberto Javier-Ormazábal, Marta González-Sierra, Montserrat González-Platas

Background/Objectives: Response heterogeneity limits the implementation of dry needling for spasticity in multiple sclerosis (MS). This secondary analysis aimed to identify early responders and explore predictors of response. Methods: We conducted a responder analysis of a pilot randomized, double-blind, sham-controlled trial (NCT05956119) including 18 ambulatory MS patients with spasticity, randomized to a single session of dry needling (n = 9) or sham (n = 9). Sensitive responder criteria were defined as improvement ≥ 2.0 s in Timed Up-and-Go, ≥5 points in MSQOL-54 physical component, or ≥10% in 25-Foot Walk Test at 4 weeks. Results: Using these criteria, 33.3% (3/9) of dry needling recipients were classified as responders versus 0% (0/9) in the sham group (p = 0.214). Responders were more frequently observed among participants with relapsing-remitting MS (100% vs. 40%, p = 0.090) and lower baseline disability (Expanded Disability Status Scale 3.4 vs. 4.4). A positive association was observed between baseline pyramidal subscore and physical quality-of-life change, although this did not reach statistical significance (r = 0.52, p = 0.150) in the active group. Conclusions: Approximately one-third of participants met predefined responder criteria following dry needling; however, these findings should be interpreted as preliminary signals derived from an exploratory, underpowered pilot analysis. These results are hypothesis-generating and require confirmation in adequately powered trials.

背景/目的:反应异质性限制了干针治疗多发性硬化症(MS)痉挛的实施。这一次要分析旨在确定早期反应者并探索反应的预测因素。方法:我们对一项随机、双盲、假对照试验(NCT05956119)进行了应答分析,该试验包括18名患有痉挛的MS患者,随机分为单次干针治疗(n = 9)和假治疗(n = 9)。敏感反应标准定义为:Timed Up-and-Go改善≥2.0 s, MSQOL-54物理成分改善≥5分,或4周时25英尺步行测试改善≥10%。结果:根据这些标准,33.3%(3/9)的干针受者被归类为应答者,而假手术组为0% (0/9)(p = 0.214)。在复发-缓解型MS (100% vs 40%, p = 0.090)和较低基线残疾(扩展残疾状态量表3.4 vs 4.4)的参与者中,更常观察到应答者。基线金字塔亚评分与身体生活质量变化呈正相关,尽管在运动组中没有达到统计学意义(r = 0.52, p = 0.150)。结论:大约三分之一的参与者在干针后满足预定义的应答标准;然而,这些发现应该被解释为来自探索性的初步信号,动力不足的试点分析。这些结果是假设产生的,需要在充分有力的试验中得到证实。
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引用次数: 0
Association of Human Gut Microbiota with Alzheimer's Disease Pathogenesis: An Exploratory Clinical Study. 人类肠道菌群与阿尔茨海默病发病机制的关联:一项探索性临床研究。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-21 DOI: 10.3390/brainsci16020242
Tadashi Ohara, Yasuyuki Taki

Background/Objectives: The gut-brain axis and its role in neurological disorders have garnered increasing attention in recent years. However, studies assessing the association between microbiota and Alzheimer's disease in Japanese cohorts are scarce. This study investigated the potential role of the brain-gut axis in Japanese patients with Alzheimer's disease (AD), focusing specifically on the role of microbiota composition in AD pathogenesis. Methods: Ten patients with AD and 21 healthy adults across three different age groups were enrolled. Fecal microbiota composition was assessed using 16S rRNA gene sequencing. Results: We found that some bacterial species, such as Ruminococcus inulinivorans and Ruminococcus torques, were more abundant in the AD group, whereas others-including Agathobacter rectalis, Bacteroides uniformis, and Clostridium butyricum-were relatively more abundant in healthy adults. However, individual taxa differences did not reach statistical significance. Conclusions: Although our preliminary findings suggest no significant differences in fecal microbiota compositions between patients with AD and healthy individuals, they suggest that microbiota can identify a potential risk for AD development. Future research may help elucidate the bacterial species associated with AD pathogenesis, potentially enabling the use of microbiota composition as a screening tool to identify healthy individuals and those with AD or preclinical AD-an increasingly critical goal amid rising global dementia rates and the urgent need for preventive strategies.

背景/目的:肠脑轴及其在神经系统疾病中的作用近年来受到越来越多的关注。然而,在日本队列中评估微生物群与阿尔茨海默病之间关系的研究很少。本研究探讨了脑肠轴在日本阿尔茨海默病(AD)患者中的潜在作用,特别关注微生物群组成在AD发病机制中的作用。方法:纳入3个不同年龄组的10例AD患者和21例健康成人。采用16S rRNA基因测序法评估粪便微生物群组成。结果:我们发现一些细菌种类,如猪瘤胃球菌和托克瘤胃球菌,在AD组中更丰富,而其他细菌种类,包括直肠无杆菌、均匀拟杆菌和丁酸梭菌,在健康成人中相对更丰富。然而,个体分类群差异没有达到统计学意义。结论:虽然我们的初步研究结果表明阿尔茨海默病患者和健康个体之间的粪便微生物群组成没有显著差异,但它们表明微生物群可以识别阿尔茨海默病发展的潜在风险。未来的研究可能有助于阐明与阿尔茨海默病发病机制相关的细菌种类,有可能使用微生物群组成作为筛选工具来识别健康个体和阿尔茨海默病或临床前阿尔茨海默病患者——在全球痴呆症发病率上升和迫切需要预防策略的情况下,这是一个日益重要的目标。
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引用次数: 0
Decoupled Bidirectional Spatio-Temporal Fusion Network for Hybrid EEG-fNIRS Cognitive Task Classification. 解耦双向时空融合网络用于EEG-fNIRS混合认知任务分类。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-21 DOI: 10.3390/brainsci16020241
Zirui Wang, Guanghao Huang, Zhuochao Chen, Xiaorui Liu, Yinhua Liu, Keum-Shik Hong

Background/Objectives: Multimodal neuroimaging, particularly the integration of electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS), has emerged as a key methodology for investigating brain function and classifying neural activity. However, the efficient fusion of these two signals remains a formidable challenge due to their significant spatio-temporal heterogeneity. This paper presents the BiSTF-Net, which integrates decoupled and bi-directional spatio-temporal fusion mechanisms to enhance the performance of cognitive task recognition. Methods: In BiSTF-Net, the spatial features of EEG and fNIRS are mutually guided and enhanced through an efficient bi-directional cross modal guidance (Bi-CMG). Then, the temporal latencies of fNIRS signals are aligned in a data-driven manner using adaptive temporal alignment (ATA). Subsequently, the aligned features are deeply fused into a modality-invariant, discriminative representation via a symmetric cross-attention fusion (SCAF) module. Results: Evaluated on the mental arithmetic (MA), motor imagery (MI), and word generation (WG) tasks, the BiSTF-Net achieves average accuracies of 83.33%, 82.09%, and 84.99% respectively. Conclusions: The BiSTF-Net exhibits superior performance compared to the existing methods, offers a robust and interpretable solution for multimodal EEG-fNIRS cognitive task classification, and provides a methodological foundation for future extensions to other multimodal data and broader real-world clinical applications.

背景/目的:多模态神经成像,特别是脑电图(EEG)和功能近红外光谱(fNIRS)的结合,已经成为研究脑功能和分类神经活动的关键方法。然而,由于这两种信号具有明显的时空异质性,如何有效地融合它们仍然是一个艰巨的挑战。为了提高认知任务识别的性能,本文提出了一种集成了解耦和双向时空融合机制的BiSTF-Net。方法:在BiSTF-Net中,通过有效的双向交叉模态引导(Bi-CMG),对EEG和fNIRS的空间特征进行相互引导和增强。然后,使用自适应时序对齐(ATA)以数据驱动的方式对近红外信号的时间延迟进行对齐。随后,通过对称交叉注意融合(SCAF)模块,将对齐的特征深度融合为模态不变的判别表示。结果:在心算(MA)、运动意象(MI)和词生成(WG)任务上,BiSTF-Net的平均准确率分别达到83.33%、82.09%和84.99%。结论:与现有方法相比,BiSTF-Net表现出优越的性能,为多模态EEG-fNIRS认知任务分类提供了一个稳健且可解释的解决方案,并为未来扩展到其他多模态数据和更广泛的实际临床应用提供了方法基础。
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Brain Sciences
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