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The Dual Impact of Pretest Sensitisation and the Cognitive Acceleration Through Science Education Programme in the Solomon Four-Group Design. 所罗门四组设计中科学教育计划对测试前敏化和认知加速的双重影响。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-31 DOI: 10.3390/brainsci16010064
Mourad El Karkri, Antonio Quesada, Marta Romero-Ariza

Background/Objectives: Many studies have investigated the Cognitive Acceleration through Science Education (CASE) programme, demonstrating its impact on students' reasoning and learning development across different educational contexts. Likewise, numerous experimental investigations have employed the Solomon Four-Group Design (SFGD) to control for pretest sensitisation and improve the validity of intervention studies. However, despite the extensive use of both frameworks independently, no previous research has integrated them within a single study. The present research therefore combines the theoretical foundations of CASE with the methodological rigour of the SFGD to explore the influence of intervention outcomes under different pretest conditions on learners' cognitive growth. Methods: This study examines differences associated with pretest sensitisation and the CASE programme among middle school students using a quasi-experimental research design. The study was conducted with 88 students divided into four groups, two experimental and two control, following the Solomon Four-Group Design to account for pretest sensitisation and its potential interaction with the treatment. Results: Statistical analyses revealed that the observed outcomes differed between pretested and non-pretested groups, with the pretested conditions showing larger post-test differences than the non-pretested ones. Conclusions: Rather than establishing causal effects, this study highlights key methodological considerations related to pretest sensitisation when evaluating cognitive acceleration interventions. The findings provide practical guidance for researchers and educators in designing, analysing, and interpreting classroom-based intervention studies where pretesting may influence observed outcomes.

背景/目的:许多研究调查了认知加速通过科学教育(CASE)计划,证明了它在不同教育背景下对学生推理和学习发展的影响。同样,许多实验研究采用了所罗门四组设计(SFGD)来控制测试前致敏并提高干预研究的有效性。然而,尽管这两个框架被广泛地独立使用,但之前没有研究将它们整合到一个单一的研究中。因此,本研究将CASE的理论基础与SFGD方法的严密性相结合,探讨不同前测条件下的干预结果对学习者认知成长的影响。方法:本研究采用准实验研究设计,考察中学生在测试前致敏和CASE项目方面的差异。这项研究将88名学生分为四组,两组实验组和两组对照组,遵循所罗门四组设计,以解释测试前致敏及其与治疗的潜在相互作用。结果:统计分析显示,预测组和未预测组的观察结果存在差异,预测条件比未预测条件的后测差异更大。结论:在评估认知加速干预时,本研究强调了与测试前致敏相关的关键方法学考虑,而不是建立因果关系。这些发现为研究人员和教育工作者在设计、分析和解释课堂干预研究时提供了实用的指导,在这些研究中,预测试可能会影响观察到的结果。
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引用次数: 0
Shared Disease Mechanisms in Neurodevelopmental Disorders: A Cellular and Molecular Biology Perspective. 神经发育障碍的共同疾病机制:细胞和分子生物学视角。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010054
Elizabeth A Pattie, Philip H Iffland

Neurodevelopmental disorders (NDDs) are defined as a group of conditions that result from impaired brain development. Disorders that are commonly classified under NDDs include intellectual disability (ID), autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), communication and learning disorders, developmental delay (DD), brain malformations, cerebral palsy, Down syndrome, schizophrenia, and childhood epilepsies. A significant hinderance in the development of targeted treatments for NDDs are gaps in understanding how underlying genetic changes alter cellular physiology and how these changes may converge or diverge across NDDs with similar symptoms. Here, we focus on the genetic overlap between epilepsy, ASD, and other NDDs to identify common cellular and molecular mechanisms that may inform future treatments for each of these disorders individually or together. We describe several genes-including CDKL5, TSC1/2, SCN1a, and TANC2-that have been associated with epilepsy, ASD, or other NDD phenotypes that play a critical role in regulating one or more stages of brain development or function but differ widely in their disease-causing mechanisms. We also describe genotype-phenotype relationships. Finally, how a gene may cause NDDs through distinct functional pathways, or where different types of pathogenic variants within the same gene can have significantly different phenotypic outcomes is detailed.

神经发育障碍(ndd)被定义为一组由大脑发育受损引起的疾病。通常被归类为ndd的疾病包括智力残疾(ID)、自闭症谱系障碍(ASD)、注意力缺陷/多动障碍(ADHD)、沟通和学习障碍、发育迟缓(DD)、脑畸形、脑瘫、唐氏综合症、精神分裂症和儿童癫痫。在开发针对ndd的靶向治疗方面的一个重大障碍是,在了解潜在的遗传变化如何改变细胞生理学以及这些变化如何在具有类似症状的ndd之间趋同或分化方面存在差距。在这里,我们关注癫痫、ASD和其他ndd之间的遗传重叠,以确定共同的细胞和分子机制,这可能为未来单独或共同治疗这些疾病提供信息。我们描述了几种与癫痫、ASD或其他NDD表型相关的基因,包括CDKL5、TSC1/2、SCN1a和tanc2,这些基因在调节大脑发育或功能的一个或多个阶段发挥关键作用,但其致病机制差异很大。我们还描述了基因型与表型的关系。最后,详细介绍了一个基因如何通过不同的功能途径引起ndd,或者同一基因内不同类型的致病变异如何具有显著不同的表型结果。
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引用次数: 0
Targeting Lifestyle in CNS Inflammatory Demyelinating Diseases: Insights from Diet and Exercise as Potential Disease Modifiers. 针对中枢神经系统炎症性脱髓鞘疾病的生活方式:饮食和运动作为潜在疾病调节剂的见解。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010057
Eleonora Virgilio, Federico Abate Daga, Matteo Bronzini, Marta Morra, Rachele Rosso, Alessandro Maglione, Manuela Matta, Federica Masuzzo, Simona Rolla

This narrative review explores the impact of diet and physical exercise both as a risk factor of central nervous system inflammatory diseases, but more importantly as potential adjunctive disease modifiers in Multiple Sclerosis (MS), Neuromyelitis Optica Spectrum Disorders (NMOSD), and Myelin Oligodendrocyte Glycoprotein (MOG) antibody-associated disease (MOGAD). The majority of evidence relies on MS preclinical and clinical studies, but preclinical studies also support the benefit of lifestyle intervention in NMOSD and MOGAD. In MS, adherence to healthy diets (particularly Mediterranean and MIND diets) could lead to a milder disease course with reduced relapse rates, while structured exercise from early disease stages promotes neuroprotection by upregulating neurotrophic factors and preserving brain volume, possibly impacting disease progression. The ketogenic diet and intermittent caloric restriction also showed promising results. Physical activity, including both aerobic training and resistance training, emerges as a potential disease-modifying strategy by promoting neuroprotection, reducing inflammation, and supporting functional and cognitive outcomes, particularly when implemented early in the disease course. A synergistic approach alongside disease-modifying treatments (DMTs) would further positively modulate core pathological processes. Evidence for NMOSD and MOGAD warrants further investigation. We highlight that integrating personalized lifestyle strategies would be beneficial from the early stages. However, future large-scale, standardized trials are required to fully confirm the neuroprotective potential of diet and exercise across the entire spectrum of CNS disorders.

这篇叙述性综述探讨了饮食和体育锻炼作为中枢神经系统炎症性疾病的危险因素的影响,但更重要的是作为多发性硬化症(MS)、视神经脊髓炎谱系障碍(NMOSD)和髓鞘少梢胶质细胞糖蛋白(MOG)抗体相关疾病(MOGAD)的潜在辅助疾病调节剂。大多数证据依赖于MS临床前和临床研究,但临床前研究也支持生活方式干预对NMOSD和MOGAD的益处。在多发性硬化症中,坚持健康饮食(特别是地中海和MIND饮食)可能导致病程较轻,复发率降低,而从疾病早期开始的有组织的锻炼通过上调神经营养因子和保持脑容量来促进神经保护,可能影响疾病进展。生酮饮食和间歇性热量限制也显示出有希望的结果。体育活动,包括有氧训练和阻力训练,通过促进神经保护,减少炎症,支持功能和认知结果,特别是在疾病过程的早期实施,成为一种潜在的疾病改善策略。协同方法与疾病改善治疗(dmt)将进一步积极调节核心病理过程。NMOSD和MOGAD的证据值得进一步调查。我们强调,从早期阶段开始,整合个性化的生活方式策略将是有益的。然而,未来需要大规模的标准化试验来充分确认饮食和运动在整个中枢神经系统疾病中的神经保护潜力。
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引用次数: 0
Associations Between Generative AI Use and Facial Expression-Derived Central Executive Network Indices: A Pilot Study. 生成人工智能使用与面部表情衍生的中央执行网络指数之间的关联:一项试点研究。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010058
Keisuke Kokubun, Yoshinori Yamakawa, Anna Yoshida, Shinichiro Sanji

Background/Objectives: The rapid diffusion of generative AI has raised concerns about its potential influence on human cognition, particularly during creative work. This pilot study explored task-related associations between generative AI use and facial expression-derived indices that have previously been shown to correlate with gray matter volume in the default mode network (DMN) and central executive network (CEN). Methods: Thirty-three business professionals completed three AI-supported writing tasks involving concept generation, concept combination, and a mixed task. Results: The results showed a statistically robust reduction in the CEN-related facial expression index during the concept combination task, whereas no corrected changes were observed during concept generation or the mixed task. In addition, higher creative self-efficacy was associated with smaller reductions in the CEN-related index. Conclusions: Given the indirect nature of the facial expression measures, the absence of a control condition, and the exploratory design, these findings should be interpreted cautiously and primarily as hypothesis-generating. Future research using controlled designs and direct neuroimaging methods is needed to clarify the cognitive and neural mechanisms underlying AI-assisted creativity.

背景/目的:生成式人工智能的迅速扩散引起了人们对其对人类认知的潜在影响的担忧,特别是在创造性工作中。这项初步研究探索了生成式人工智能使用与面部表情衍生指数之间的任务相关关系,这些指数先前已被证明与默认模式网络(DMN)和中央执行网络(CEN)中的灰质体积相关。方法:33名商业专业人士完成了三个人工智能支持的写作任务,包括概念生成、概念组合和混合任务。结果:结果显示,在概念组合任务中,cen相关的面部表情指数有统计学意义上的显著降低,而在概念生成或混合任务中,没有观察到纠正的变化。此外,较高的创造性自我效能感与cen相关指数的下降幅度较小相关。结论:考虑到面部表情测量的间接性质,缺乏控制条件,以及探索性设计,这些发现应该谨慎地解释,主要是假设生成。未来的研究需要使用控制设计和直接神经成像方法来阐明人工智能辅助创造力背后的认知和神经机制。
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引用次数: 0
Sensory Phenotypes in Autism Spectrum Disorder Associated with Distinct Patterns of Social Communication, Repetitive and Restrictive Behaviors or Interests, and Comorbidities: A State-of-the-Art Review. 自闭症谱系障碍的感觉表型与不同的社会交流模式、重复和限制性行为或兴趣以及合并症相关:最新进展
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010053
Carla Consoli, Laura Turriziani, Marta Antoci, Marianna Lo Monaco, Graziana Ceraolo, Giulia Spoto, Antonio Gennaro Nicotera, Gabriella Di Rosa

Sensory processing differences, reported in up to 97% of individuals with autism spectrum disorder (ASD), are increasingly recognized as a defining feature of the condition, shaping perception, cognition, and adaptive behavior. Atypical sensory responsivity, ranging from hyper- to hypo-reactivity and sensory seeking, emerges early in development and contributes to the clinical and neurobiological heterogeneity of autism. Alterations in neural connectivity, the balance of excitation and inhibition, and multisensory integration are thought to underlie these sensory profiles, influencing emotional regulation, attention, and social interaction. Sensory features also interact with co-occurring conditions such as anxiety, attention deficit hyperactivity disorder, and sleep and feeding difficulties, thereby shaping developmental trajectories and influencing adaptive behavior. Clinically, these sensory dysfunctions have a significant impact on daily participation and quality of life, extending their effects to family functioning. Understanding individual sensory phenotypes is therefore essential for accurate assessment and personalized intervention. Current therapeutic approaches include Sensory Integration Therapy, Sensory-Based Interventions, Sequential Oral Sensory Approach, and structured physical activity programs, often complemented by behavioral and mindfulness-based techniques. Emerging neuroplasticity-oriented methods for targeted modulation of sensory processing networks include neurofeedback and non-invasive brain stimulation. Overall, current evidence highlights the central role of sensory processing in ASD and underscores the need for multidisciplinary, individualized approaches to optimize developmental trajectories and enhance adaptive functioning. This review provides an updated synthesis of sensory processing in ASD, integrating neurobiological, developmental, and clinical evidence to highlight established knowledge, unresolved questions, and priorities for future research.

据报道,多达97%的自闭症谱系障碍(ASD)患者存在感觉加工差异,这种差异越来越被认为是自闭症的一个决定性特征,影响着感知、认知和适应行为。非典型感觉反应性,从高反应性到低反应性和感觉寻求,在发育早期出现,并有助于自闭症的临床和神经生物学异质性。神经连通性的改变、兴奋和抑制的平衡以及多感觉整合被认为是这些感觉特征的基础,影响情绪调节、注意力和社会互动。感官特征还与焦虑、注意缺陷多动障碍、睡眠和进食困难等共同发生的条件相互作用,从而形成发育轨迹并影响适应行为。临床上,这些感觉功能障碍对日常参与和生活质量有重大影响,并延伸到家庭功能。因此,了解个体感觉表型对于准确评估和个性化干预至关重要。目前的治疗方法包括感觉统合疗法、基于感觉的干预、顺序口腔感觉方法和结构化的身体活动计划,通常辅以行为和正念技术。新兴的以神经可塑性为导向的定向调节感觉处理网络的方法包括神经反馈和非侵入性脑刺激。总的来说,目前的证据强调了感觉处理在ASD中的核心作用,并强调需要多学科、个性化的方法来优化发育轨迹和增强适应功能。这篇综述提供了ASD中感觉加工的最新综合,整合了神经生物学、发育和临床证据,以突出已建立的知识、未解决的问题和未来研究的重点。
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引用次数: 0
Gestational High-Fat Diet Drives Premature Differentiation of Orexigenic Neurons and Reactivity of Astrocytes in the Fetal Rat Lateral Hypothalamus. 妊娠期高脂肪饮食驱动胎鼠外侧下丘脑产氧神经元的早分化和星形胶质细胞的反应性。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010052
Nuria Galindo-Solano, Ximena Trejo-Villarreal, Geovanna Díaz-Olivares, Gustavo Rea-Palomino, Dayna Montes-Aguirre, Maricela Villagrán-Santa-Cruz, Gabriel Gutiérrez-Ospina

Background/Objectives: Gestational exposure to a high-fat diet (HFD) reprograms hypothalamic orexigenic circuits prenatally. However, whether astrocytes, critical modulators of this system, are also imprinted by HFD in the fetal brain remains unknown. We investigated the impact of HFD on the prenatal neuroglial architecture of the lateral hypothalamic area (LHA). Methods: Female Wistar rats were fed a control or a 60% fat diet for 12 weeks. Upon reaching obesity (Lee index ≥ 310), dams were mated. Fetuses were harvested via cesarean section at term, and their brains were processed for immunohistochemistry and morphometry to assess cell proliferation, orexin neuron density, and astrocytic reactivity in the LHA. Results: HFD significantly increased cell proliferation and orexinergic neuron density, and induced early signs of astrocyte reactivity in the fetal LHA. These findings reveal that both neuronal and glial components of the LHA orexigenic axis are structurally reprogrammed before birth. Conclusions: This study provides the first evidence that HFD simultaneously alters neuronal and glial developmental trajectories in the fetal hypothalamus. The concurrent programming of astrocytes and orexigenic neurons suggests a prenatal origin for neuroinflammatory susceptibility, reframing obesity as a neurodevelopmental disorder shaped by early life nutritional environments.

背景/目的:妊娠期暴露于高脂肪饮食(HFD)会在产前重新编程下丘脑的供氧回路。然而,作为这一系统的关键调节因子,星形胶质细胞是否也在胎儿大脑中被HFD所印记尚不清楚。我们研究了HFD对产前下丘脑外侧区(LHA)神经胶质结构的影响。方法:雌性Wistar大鼠分别饲喂对照组和60%脂肪饲料12周。达到肥胖(Lee指数≥310)时,进行交配。胎儿在足月通过剖宫产获得,对其大脑进行免疫组织化学和形态测定,以评估LHA中的细胞增殖、食欲素神经元密度和星形细胞反应性。结果:HFD显著增加胎儿LHA细胞增殖和增氧能神经元密度,并诱导早期星形胶质细胞反应。这些发现表明,LHA产氧轴的神经元和胶质成分在出生前都在结构上重新编程。结论:本研究提供了HFD同时改变胎儿下丘脑神经元和神经胶质发育轨迹的第一个证据。星形胶质细胞和致氧神经元的并发编程提示了神经炎症易感性的产前起源,将肥胖重新定义为早期生活营养环境形成的神经发育障碍。
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引用次数: 0
Intrinsic Functional Connectivity Network in Children with Dyslexia: An Extension Study on Novel Cognitive-Motor Training. 阅读障碍儿童的内在功能连接网络:一项新的认知运动训练的扩展研究。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010055
Mehdi Ramezani, Angela J Fawcett

Objectives: Innovative, evidence-based interventions for developmental dyslexia (DD) are necessary. While traditional methods remain valuable, newer approaches, such as cognitive-motor training, show the potential to improve literacy skills for those with DD. Verbal Working Memory-Balance (VWM-B) is a novel cognitive-motor training program that has demonstrated positive effects on reading, cognitive functions, and motor skills in children with DD. This extension study explored the neural mechanisms of VWM-B through voxel-to-voxel intrinsic functional connectivity (FC) analysis in children with DD. Methods: Resting-state fMRI data from 16 participants were collected in a quasi-double-blind randomized clinical trial with control and experimental groups, pre- and post-intervention measurements, and 15 training sessions over 5 weeks. Results: The mixed ANOVA interaction was significant for the right and left postcentral gyrus, bilateral precuneus, left superior frontal gyrus, and left posterior division of the supramarginal and angular gyri. Decreased FC in the postcentral gyri indicates reduced motor task engagement due to automation following VWM-B training. Conversely, increased FC in the bilateral precuneus, left superior frontal gyrus, and left posterior divisions of the supramarginal and angular gyri suggests a shift of cognitive resources from motor tasks to the cognitive functions associated with VWM-B. Conclusions: In conclusion, the study highlights that cognitive-motor dual-task training is more effective than single-task cognitive training for improving cognitive and motor functions in children with DD, emphasizing the importance of postural control and automaticity in dyslexia. The trial for this study was registered on 8 February 2018 with the Iranian Registry of Clinical Trials (IRCT20171219037953N1).

目的:对发展性阅读障碍(DD)进行创新的、基于证据的干预是必要的。虽然传统的方法仍然有价值,但较新的方法,如认知运动训练,显示出提高DD患者读写技能的潜力。言语工作记忆平衡(VWM-B)是一种新的认知运动训练计划,已被证明对阅读、认知功能、本扩展研究通过体素对体素内在功能连通性(FC)分析探讨了DD儿童VWM-B的神经机制。方法:收集16名参与者的静息状态fMRI数据,采用准双盲随机临床试验,包括对照组和实验组,干预前和干预后测量,以及为期5周的15次训练。结果:左右中央后回、双侧楔前叶、左侧额上回、左侧边缘上回和角回后段的混合方差分析相互作用显著。中央后回的FC减少表明VWM-B训练后的自动化导致运动任务参与减少。相反,双侧楔前叶、左侧额上回、左侧边缘上回和角回后分区的FC增加表明认知资源从运动任务转移到与VWM-B相关的认知功能。结论:综上所述,本研究强调认知-运动双任务训练比单任务认知训练更有效地改善DD儿童的认知和运动功能,强调了姿势控制和自动性在阅读障碍中的重要性。该研究的试验于2018年2月8日在伊朗临床试验登记处注册(IRCT20171219037953N1)。
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引用次数: 0
Application of Artificial Intelligence Tools for Social and Psychological Enhancement of Students with Autism Spectrum Disorder: A Systematic Review. 人工智能工具在自闭症谱系障碍学生社会和心理增强中的应用:系统综述。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-30 DOI: 10.3390/brainsci16010056
Angeliki Tsapanou, Anastasia Bouka, Angeliki Papadopoulou, Christina Vamvatsikou, Dionisia Mikrouli, Eirini Theofila, Kassandra Dionysopoulou, Konstantina Kortseli, Panagiota Lytaki, Theoni Myrto Spyridonidi, Panagiotis Plotas

Background: Children with autism spectrum disorder (ASD) commonly experience persistent difficulties in social communication, emotional regulation, and social engagement. In recent years, artificial intelligence (AI)-based technologies, particularly socially assistive robots and intelligent sensing systems, have been explored as complementary tools to support psychosocial interventions in this population.

Objective: This systematic review aimed to critically evaluate recent evidence on the effectiveness of AI-based interventions in improving social, emotional, and cognitive functioning in children with ASD.

Methods: A systematic literature search was conducted in PubMed following PRISMA guidelines, targeting English-language studies published between 2020 and 2025. Eligible studies involved children with ASD and implemented AI-driven tools within therapeutic or educational settings. Eight studies met inclusion criteria and were analyzed using the PICO framework.

Results: The reviewed interventions included humanoid and non-humanoid robots, gaze-tracking systems, and theory of mind-oriented applications. Across studies, AI-based interventions were associated with improvements in joint attention, social communication and reciprocity, emotion recognition and regulation, theory of mind, and task engagement. Outcomes were assessed using standardized behavioral measures, observational coding, parent or therapist reports, and physiological or sensor-based indices. However, the studies were characterized by small and heterogeneous samples, short intervention durations, and variability in outcome measures.

Conclusions: Current evidence suggests that AI-based systems may serve as valuable adjuncts to conventional interventions for children with ASD, particularly for supporting structured social and emotional skill development. Nonetheless, methodological limitations and limited long-term data underscore the need for larger, multi-site trials with standardized protocols to better establish efficacy, generalizability, and ethical integration into clinical practice.

背景:自闭症谱系障碍(ASD)儿童通常在社会沟通、情绪调节和社会参与方面存在持续困难。近年来,基于人工智能(AI)的技术,特别是社交辅助机器人和智能传感系统,已经被探索作为辅助工具来支持这一人群的社会心理干预。目的:本系统综述旨在批判性地评估基于人工智能的干预措施在改善ASD儿童社交、情感和认知功能方面的有效性。方法:根据PRISMA指南在PubMed中进行系统的文献检索,目标是在2020年至2025年间发表的英语研究。符合条件的研究涉及自闭症儿童,并在治疗或教育环境中实施人工智能驱动的工具。8项研究符合纳入标准,并使用PICO框架进行分析。结果:综述的干预措施包括人形机器人和非人形机器人、注视跟踪系统和心理导向应用理论。在所有研究中,基于人工智能的干预与共同注意力、社会沟通和互惠、情绪识别和调节、心理理论和任务参与的改善有关。使用标准化行为测量、观察编码、家长或治疗师报告以及生理或基于传感器的指标评估结果。然而,这些研究的特点是样本量小且不均匀,干预时间短,结果测量结果多变。结论:目前的证据表明,基于人工智能的系统可以作为ASD儿童传统干预措施的有价值的辅助手段,特别是在支持结构化的社会和情感技能发展方面。尽管如此,方法学上的局限性和有限的长期数据强调需要更大规模、多地点、标准化方案的试验,以更好地建立疗效、可推广性和临床实践中的伦理整合。
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引用次数: 0
The Effects of Varying Intensities of Unilateral Handgrip Fatigue on Bilateral Movement. 不同强度的单侧握力疲劳对双侧运动的影响。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-29 DOI: 10.3390/brainsci16010047
Adrian L Knorz, Justin W Andrushko, Sebastian Sporn, Charlotte J Stagg, Catharina Zich

Background/Objectives: The ability to maintain movement quality despite muscle fatigue is essential for daily activities and preserving independence after motor impairments. Many real-life situations involve asymmetrical muscle activation, leading to unilateral muscle fatigue. Repeated unilateral handgrip contractions at submaximal force have been linked to neural changes in both contralateral and ipsilateral motor areas, as well as improved contralateral response times in a button-press task. However, it remains unclear whether these improvements in response latency extend to higher-level benefits in overall arm movement quality. Methods: Thirty healthy participants performed unilateral handgrip fatiguing tasks at 5%, 50%, and 75% of maximum voluntary contraction (MVC) force. Subsequently, bilateral upper-limb movement quality was assessed in an object-hit task using a Kinarm robot. Results: The 50% and 75% MVC protocols elicited muscle fatigue as evidenced by declines in force output, post-exercise MVC, electromyography magnitude changes, and increased perceived exertion compared to the 5% MVC control condition. However, no significant changes in kinematic measures of the object-hit task were observed for either the fatigued (ipsilateral) or non-fatigued (contralateral) arm, indicating that unilateral handgrip fatigue did not affect higher-level movement quality. Conclusions: Previously reported improvements on contralateral response latency in a button-press task were not found to translate into advanced arm movement quality benefits.

背景/目的:在肌肉疲劳的情况下保持运动质量的能力对于运动损伤后的日常活动和保持独立性至关重要。许多现实生活中的情况都涉及到不对称的肌肉激活,导致单侧肌肉疲劳。反复的单侧握力收缩与对侧和同侧运动区的神经变化有关,也与按下按钮任务时对侧反应时间的改善有关。然而,尚不清楚这些反应延迟的改善是否延伸到整体手臂运动质量的更高水平的益处。方法:30名健康参与者在5%、50%和75%的最大自主收缩力(MVC)下进行单侧握力疲劳任务。随后,使用Kinarm机器人评估了双侧上肢运动质量。结果:与5% MVC控制条件相比,50%和75% MVC方案引起肌肉疲劳,表现为力输出下降、运动后MVC、肌电图大小变化和感知劳累增加。然而,无论是疲劳(同侧)还是非疲劳(对侧)手臂,在物体撞击任务的运动学测量中都没有观察到明显的变化,这表明单侧握力疲劳并不影响更高水平的运动质量。结论:先前报道的对侧反应延迟在按按钮任务中的改善并没有被发现转化为先进的手臂运动质量的好处。
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引用次数: 0
Prevalence and Imaging Correlates of Cerebral Diaschisis After Ischemic Stroke: A Systematic Review and Meta-Analysis. 缺血性脑卒中后脑缺血的患病率和影像学相关因素:系统回顾和荟萃分析。
IF 2.8 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-29 DOI: 10.3390/brainsci16010050
Qi Jia, Nannan Sheng, Gilles Naeije

Background/Objectives: Diaschisis, reduced neural activity, perfusion, and metabolism in structurally intact but anatomically connected regions, is a network-level consequence of focal brain injury. Despite the extensive literature, its prevalence across imaging modalities and diaschisis subtypes has not been systematically synthesized. This review aims to identify convergent evidence for diaschisis after ischemic stroke and clarify how its detection relates to neuroanatomical disconnection, clinical factors, and imaging methods. (PROSPERO: CRD420251017909). Methods: PubMed and Embase were searched through February 2025 for studies reporting quantitative measures of diaschisis using perfusion, metabolic, or functional imaging. Pooled prevalence and modality-specific estimates were calculated. Subgroup analyses examined diaschisis subtypes, stroke severity, age, and study quality. Results: Sixty-six studies (3021 patients) were included. Overall pooled prevalence was 53% (95% CI: 47-58%). Crossed cerebellar diaschisis was most frequently studied (49%), while thalamic and other remote patterns showed comparable or higher effect sizes. Detection varied primarily by imaging modality: ASL MRI (67%) and PET (58%) showed the highest sensitivity; SPECT (53%) and CTP (49%) were intermediate; DSC-PWI had the lowest (28%). In contrast, age had no measurable effect and stroke severity only modestly increased detection, suggesting that diaschisis is driven predominantly by neuroanatomical disconnection rather than demographic or clinical variables. Egger's tests indicated minimal publication bias. Conclusions: Diaschisis is a common manifestation of network vulnerability after ischemic stroke, determined chiefly by lesion topology and long-range anatomical connectivity. Detection depends more on imaging physiology than patient characteristics. Standardized definitions and longitudinal multimodal studies are needed to clarify its temporal evolution and clinical significance.

背景/目的:在结构完整但解剖相连的脑区,神经活动、灌注和代谢减少是局灶性脑损伤的网络水平后果。尽管有广泛的文献,但其在成像方式和溶出亚型中的患病率尚未系统地综合。本综述旨在寻找缺血性脑卒中后脑内溶的证据,并阐明其检测与神经解剖断开、临床因素和影像学方法的关系。(普洛斯彼罗:CRD420251017909)。方法:到2025年2月,检索PubMed和Embase,报告使用灌注、代谢或功能成像定量测量溶出的研究。计算综合患病率和特定模式估计值。亚组分析检查了脑缺血亚型、脑卒中严重程度、年龄和研究质量。结果:纳入66项研究(3021例患者)。总合并患病率为53% (95% CI: 47-58%)。交叉小脑分裂最常被研究(49%),而丘脑和其他远程模式显示出相当或更高的效应量。检测主要因成像方式而异:ASL MRI(67%)和PET(58%)灵敏度最高;SPECT(53%)和CTP(49%)处于中间水平;DSC-PWI最低(28%)。相比之下,年龄没有可测量的影响,中风严重程度只略微增加了检测,这表明脑溶出主要是由神经解剖断开而不是人口统计学或临床变量驱动的。Egger的测试显示出版偏倚最小。结论:脑缺血后神经网络易损是一种常见的表现,主要由病变拓扑结构和远端解剖连通性决定。检测更多地依赖于成像生理学而非患者特征。需要标准化的定义和纵向多模态研究来阐明其时间演变和临床意义。
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Brain Sciences
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