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Relationship between sensorimotor cortical activation as assessed by functional near infrared spectroscopy and lower extremity motor coordination in bilateral cerebral palsy

机译:功能近红外光谱法评估双侧脑瘫感觉运动皮层激活与下肢运动协调之间的关系

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BackgroundEvaluation of task-evoked cortical responses during movement has been limited in individuals with bilateral cerebral palsy (CP), despite documented alterations in brain structure/function and deficits in motor control.ObjectiveTo systematically evaluate cortical activity associated with lower extremity tasks, and relate activation parameters to clinical measures in CP.Methods28 ambulatory participants (14 with bilateral CP and 14 with typical development) completed five motor tasks (non-dominant ankle dorsiflexion, hip flexion and leg cycling as well as bilateral dorsiflexion and cycling) in a block design while their sensorimotor cortex was monitored using functional near infrared spectroscopy (fNIRS), in addition to laboratory and clinical measures of performance.ResultsMain effects for group and task were found for extent of fNIRS activation (number of active channels;p?
机译:尽管有文献报道大脑结构/功能的改变和运动控制的缺陷,但对双侧脑瘫(CP)患者运动过程中诱发的皮质反应的评估仍然受到限制。目的系统地评估与下肢任务相关的皮质活动并与激活相关方法28名门诊参与者(14名具有双侧CP和14名典型发育)在一个区块设计中完成了五项运动任务(非主要的踝背屈,髋部屈曲和腿部循环以及双侧背屈和循环)除功能的实验室和临床测量外,还使用功能性近红外光谱法(fNIRS)监测其感觉运动皮层。结果发现组和任务的主要影响是fNIRS激活的程度(活动通道数;p≤0.001和p?0.001)。分别为?0.010),激活幅度(β值之和; p?<?0.001两者), d活动肌肉的数量(分别为p?=?0.001和p?<?0.001),但没有按任务交互作用进行分组。总的来说,CP的亚组,尤其是那些损伤更大的亚组,表现出更高的皮层感觉运动激活程度和幅度,以及不需要执行任务的肌肉中更多的同时活动。非显着背屈期间fNIRS激活的幅度与选择性控制的有效量度(r?=?0.60,p?=?0.03)以及活动性和日常活动(r?=?0.55,p?=?)相关。 CP患者的步态函数分别为0.04和r?=?0.52,p?=?0.05)和自我报告的步态功能(r?=?0.68,p?=?0.01)。结论皮质组织选择性降低,提示运动缺陷和干预目标的潜在神经机制。

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