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Borhanazad M, van Wijk BC, Buizer AI, Kerkman JN, Bekius A, Dominici N, Daffertshofer A. Lateralized modulation of cortical beta power during human gait is related to arm swing. iScience 2024; 27:110301. [PMID: 39055930 PMCID: PMC11269954 DOI: 10.1016/j.isci.2024.110301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 05/15/2024] [Accepted: 06/14/2024] [Indexed: 07/28/2024] Open
Abstract
Human gait is a complex behavior requiring dynamic control of upper and lower extremities that is accompanied by cortical activity in multiple brain areas. We investigated the contribution of beta (15-30 Hz) and gamma (30-50 Hz) band electroencephalography (EEG) activity during specific phases of the gait cycle, comparing treadmill walking with and without arm swing. Modulations of spectral power in the beta band during early double support and swing phases source-localized to the sensorimotor cortex ipsilateral, but not contralateral, to the leading leg. The lateralization disappeared in the condition with constrained arms, together with an increase of activity in bilateral supplementary motor areas. By contrast, gamma band modulations that localized to the presumed leg area of sensorimotor cortex around the heel-strike events were unaffected by arm movement. Our findings demonstrate that arm swing is accompanied by considerable cortical activation that should not be neglected in gait-related neuroimaging studies.
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Affiliation(s)
- Marzieh Borhanazad
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - Bernadette C.M. van Wijk
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Department of Neurology, Amsterdam UMC Location University of Amsterdam, Amsterdam 1105 AZ, the Netherlands
| | - Annemieke I. Buizer
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Department of Rehabilitation Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam 1081 HZ, the Netherlands
| | - Jennifer N. Kerkman
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - Annike Bekius
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Department of Neurology and Neurosurgery, UMC Utrecht Brain Centre, Utrecht University, Utrecht 3584 CG, the Netherlands
| | - Nadia Dominici
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - Andreas Daffertshofer
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam 1081 BT, the Netherlands
- Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the Netherlands
- Institute for Brain and Behavior Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
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Adjei ENA, Wright K, Dewald JPA, Yao J. Effect of Motor Task on Cortex Brainstem Modulation: Preliminary Results. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38082632 DOI: 10.1109/embc40787.2023.10340466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Reticulospinal Tracts (RSTs) have divergent connections to multiple spinal segments that innervate many upper extremity muscles. Therefore, increased RST engagement can often lead to muscle coactivation across multiple limb joints. The RST originates from the reticular formation (RF) and receives projections from the cortex. This provides the anatomical basis for cortex-brainstem modulation. Currently, we know little about how cortex modulates the RF to control RST engagement during motor preparation for various motor tasks, such as tasks involving proximal and distal upper limb joint coordination vs. a purely distal task. We hypothesize that since a simultaneous arm lifting and hand opening task (LIFTOPEN) requires more selective muscle recruitment than a hand opening task (OPEN), the cortex will suppress the RF to reduce the RST engagement at distal muscles during LIFTOPEN. To test this hypothesis, we investigated the startReact response in thirteen able-bodied participants performing the OPEN and LIFTOPEN tasks in response to a startling and non-startling acoustic stimulation. Our results showed that activation of distal muscles was significantly decreased, and the startle response was delayed in LIFTOPEN compared to OPEN. Both results suggest that the cortex suppressed RF and reduced the RST engagement in LIFTOPEN compared to OPEN.Clinical Relevance- Our results provide foundational knowledge of the task-specific nature of cortex-brainstem modulation. This scientific finding provides a base to compare how a unilateral brain injury may affect this cortex-brainstem modulation.
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Partamian H, Tabbal J, Hassan M, Karameh F. Analysis of task-related MEG functional brain networks using dynamic mode decomposition. J Neural Eng 2023; 20. [PMID: 36538817 DOI: 10.1088/1741-2552/acad28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022]
Abstract
Objective.Functional connectivity networks explain the different brain states during the diverse motor, cognitive, and sensory functions. Extracting connectivity network configurations and their temporal evolution is crucial for understanding brain function during diverse behavioral tasks.Approach.In this study, we introduce the use of dynamic mode decomposition (DMD) to extract the dynamics of brain networks. We compared DMD with principal component analysis (PCA) using real magnetoencephalography data during motor and memory tasks.Main results.The framework generates dominant connectivity brain networks and their time dynamics during simple tasks, such as button press and left-hand movement, as well as more complex tasks, such as picture naming and memory tasks. Our findings show that the proposed methodology with both the PCA-based and DMD-based approaches extracts similar dominant connectivity networks and their corresponding temporal dynamics.Significance.We believe that the proposed methodology with both the PCA and the DMD approaches has a very high potential for deciphering the spatiotemporal dynamics of electrophysiological brain network states during tasks.
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Affiliation(s)
- Hmayag Partamian
- Electrical and Computer Engineering, American University of Beirut (AUB), Beirut, Lebanon
| | - Judie Tabbal
- MINDig, Rennes F-35000, France.,Institut des Neurosciences Cliniques de Rennes (INCR), Rennes, France
| | - Mahmoud Hassan
- Institut des Neurosciences Cliniques de Rennes (INCR), Rennes, France.,School of Science and Engineering, Reykjavik University, Reykjavik, Iceland
| | - Fadi Karameh
- Electrical and Computer Engineering, American University of Beirut (AUB), Beirut, Lebanon
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Bunketorp Käll L, Björnsdotter M, Wangdell J, Reinholdt C, Cooper R, Skau S. Feasibility of using fNIRS to explore motor-related regional haemodynamic signal changes in patients with sensorimotor impairment and healthy controls: A pilot study. Restor Neurol Neurosci 2023; 41:91-101. [PMID: 37458052 PMCID: PMC10741372 DOI: 10.3233/rnn-221292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
BACKGROUND While functional near-infrared spectroscopy (fNIRS) can provide insight into cortical brain activity during motor tasks in healthy and diseased populations, the feasibility of using fNIRS to assess haemoglobin-evoked responses to reanimated upper limb motor function in patients with tetraplegia remains unknown. OBJECTIVE The primary objective of this pilot study is to determine the feasibility of using fNIRS to assess cortical signal intensity changes during upper limb motor tasks in individuals with surgically restored grip functions. The secondary objectives are: 1) to collect pilot data on individuals with tetraplegia to determine any trends in the cortical signal intensity changes as measured by fNIRS and 2) to compare cortical signal intensity changes in affected individuals versus age-appropriate healthy volunteers. Specifically, patients presented with tetraplegia, a type of paralysis resulting from a cervical spinal cord injury causing loss of movement and sensation in both lower and upper limbs. All patients have their grip functions restored by surgical tendon transfer, a procedure which constitutes a unique, focused stimulus for brain plasticity. METHOD fNIRS is used to assess changes in cortical signal intensity during the performance of two motor tasks (isometric elbow and thumb flexion). Six individuals with tetraplegia and six healthy controls participate in the study. A block paradigm is utilized to assess contralateral and ipsilateral haemodynamic responses in the premotor cortex (PMC) and primary motor cortex (M1). We assess the amplitude of the optical signal and spatial features during the paradigms. The accuracy of channel locations is maximized through 3D digitizations of channel locations and co-registering these locations to template atlas brains. A general linear model approach, with short-separation regression, is used to extract haemodynamic response functions at the individual and group levels. RESULTS Peak oxyhaemoglobin (oxy-Hb) changes in PMC appear to be particularly bilateral in nature in the tetraplegia group during both pinch and elbow trials whereas for controls, a bilateral PMC response is not especially evident. In M1 / primary sensory cortex (S1), the oxy-Hb responses to the pinch task are mainly contralateral in both groups, while for the elbow flexion task, lateralization is not particularly clear. CONCLUSIONS This pilot study shows that the experimental setup is feasible for assessing brain activation using fNIRS during volitional upper limb motor tasks in individuals with surgically restored grip functions. Cortical signal changes in brain regions associated with upper extremity sensorimotor processing appear to be larger and more bilateral in nature in the tetraplegia group than in the control group. The bilateral hemispheric response in the tetraplegia group may reflect a signature of adaptive brain plasticity mechanisms. Larger studies than this one are needed to confirm these findings and draw reliable conclusions.
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Affiliation(s)
- Lina Bunketorp Käll
- Center for Advanced Reconstruction of Extremities (C.A.R.E.), Sahlgrenska University Hospital, Mölndal, Sweden
- Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Malin Björnsdotter
- Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Johanna Wangdell
- Center for Advanced Reconstruction of Extremities (C.A.R.E.), Sahlgrenska University Hospital, Mölndal, Sweden
- Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Carina Reinholdt
- Center for Advanced Reconstruction of Extremities (C.A.R.E.), Sahlgrenska University Hospital, Mölndal, Sweden
- Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Robert Cooper
- Department of Medical Physics and Biomedical Engineering, Biomedical Optics Research Laboratory, University College London, UK
| | - Simon Skau
- Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Comparison of Electroencephalogram Power Spectrum Characteristics of Left and Right Dragon Boat Athletes after 1 km of Rowing. Brain Sci 2022; 12:brainsci12121621. [PMID: 36552080 PMCID: PMC9776062 DOI: 10.3390/brainsci12121621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/20/2022] [Accepted: 11/21/2022] [Indexed: 11/29/2022] Open
Abstract
Purpose: This study aimed to detect differences in post-exercise brain activity between the left and right paddlers due to exercise by analyzing the resting-state electroencephalogram (EEG) power spectrum before and after exercise. Methods: Twenty-one right paddlers and twenty-two left paddlers completed a 1 km all-out test on a dragon boat ergometer, and their heart rate and exercise time were recorded. EEG signals were collected from superficial brain layers before and after exercise; then, the EEG power spectrum was extracted and compared in different frequency bands. In addition, the degree of lateralization in each brain region was assessed by the asymmetry index. Results: There was no significant difference in the power spectrum values and asymmetry indices between the left and right paddlers before rowing (p ˃ 0.05). However, after rowing, the left-paddlers group had significantly higher spectral power values in θ and α bands than the right-paddlers group (p < 0.05), and brain lateralization in both groups of athletes occurred mainly in the ipsilateral hemisphere of the frontal and central regions. Conclusion: The 1 km of rowing induced more brain activation in the left paddlers, and both left and right paddlers showed functional aggregation of hemispheric lateralization.
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Jordon MK, Stewart JC, Silfies SP, Beattie PF. Task-Based Functional Connectivity and Blood-Oxygen-Level-Dependent Activation During Within-Scanner Performance of Lumbopelvic Motor Tasks: A Functional Magnetic Resonance Imaging Study. Front Hum Neurosci 2022; 16:816595. [PMID: 35308606 PMCID: PMC8924587 DOI: 10.3389/fnhum.2022.816595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 02/10/2022] [Indexed: 11/13/2022] Open
Abstract
There are a limited number of neuroimaging investigations into motor control of the lumbopelvic musculature. Most investigation examining motor control of the lumbopelvic musculature utilize transcranial magnetic stimulation (TMS) and focus primarily on the motor cortex. This has resulted in a dearth of knowledge as it relates to how other regions of the brain activate during lumbopelvic movement. Additionally, task-based functional connectivity during lumbopelvic movements has not been well elucidated. Therefore, we used functional magnetic resonance imaging (fMRI) to examine brain activation and ROI-to-ROI task-based functional connectivity in 19 healthy individuals (12 female, age 29.8 ± 4.5 years) during the performance of three lumbopelvic movements: modified bilateral bridge, left unilateral bridge, and right unilateral bridge. The whole brain analysis found robust, bilateral activation within the motor regions of the brain during the bilateral bridge task, and contralateral activation of the motor regions during unilateral bridging tasks. Furthermore, the ROI-to-ROI analysis demonstrated significant connectivity of a motor network that included the supplemental motor area, bilateral precentral gyrus, and bilateral cerebellum regardless of the motor task performed. These data suggest that while whole brain activation reveals unique patterns of activation across the three tasks, functional connectivity is very similar. As motor control of the lumbopelvic area is of high interest to those studying low back pain (LBP), this study can provide a comparison for future research into potential connectivity changes that occur in individuals with LBP.
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Affiliation(s)
- Max K. Jordon
- Department of Physical Therapy, University of Tennessee at Chattanooga, Chattanooga, TN, United States
| | | | - Sheri P. Silfies
- Physical Therapy Program, University of South Carolina, Columbia, SC, United States
- McCausland Center for Brain Imaging, University of South Carolina, Columbia, SC, United States
| | - Paul F. Beattie
- Physical Therapy Program, University of South Carolina, Columbia, SC, United States
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Rossini PM, Miraglia F, Vecchio F, Di Iorio R, Iodice F, Cotelli M. General principles of brain electromagnetic rhythmic oscillations and implications for neuroplasticity. HANDBOOK OF CLINICAL NEUROLOGY 2022; 184:221-237. [PMID: 35034737 DOI: 10.1016/b978-0-12-819410-2.00012-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Neuro-plasticity describes the ability of the brain in achieving novel functions, either by transforming its internal connectivity, or by changing the elements of which it is made, meaning that, only those changes, that affect both structural and functional aspects of the system, can be defined as "plastic." The concept of plasticity can be applied to molecular as well as to environmental events that can be recognized as the basic mechanism by which our brain reacts to the internal and external stimuli. When considering brain plasticity within a clinical context-that is the process linked with changes of brain functions following a lesion- the term "reorganization" is somewhat synonymous, referring to the specific types of structural/functional modifications observed as axonal sprouting, long-term synaptic potentiation/inhibition or to the plasticity related genomic responses. Furthermore, brain rewires during maturation, and aging thus maintaining a remarkable learning capacity, allowing it to acquire a wide range of skills, from motor actions to complex abstract reasoning, in a lifelong expression. In this review, the contribution on the "neuroplasticity" topic coming from advanced analysis of EEG rhythms is put forward.
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Affiliation(s)
- Paolo Maria Rossini
- Brain Connectivity Laboratory, Department of Neuroscience & Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy.
| | - Francesca Miraglia
- Brain Connectivity Laboratory, Department of Neuroscience & Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy
| | - Fabrizio Vecchio
- Brain Connectivity Laboratory, Department of Neuroscience & Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy; Department of Technical and Applied Sciences, eCampus University, Novedrate (Como), Italy
| | | | - Francesco Iodice
- Brain Connectivity Laboratory, Department of Neuroscience & Neurorehabilitation, IRCCS San Raffaele Roma, Rome, Italy
| | - Maria Cotelli
- Neuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
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Gwon D, Ahn M. Alpha and high gamma phase amplitude coupling during motor imagery and weighted cross-frequency coupling to extract discriminative cross-frequency patterns. Neuroimage 2021; 240:118403. [PMID: 34280525 DOI: 10.1016/j.neuroimage.2021.118403] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 06/27/2021] [Accepted: 07/15/2021] [Indexed: 11/27/2022] Open
Abstract
Motor imagery modulates specific neural oscillations like actual movement does. Representatively, suppression of the alpha power (e.g., event-related desynchronization [ERD]) is the typical pattern of motor imagery in the motor cortex. However, in addition to this amplitude-based feature, the coupling across frequencies includes important information about the brain functions and the existence of such complex information has been reported in various invasive studies. Yet, the interaction across multiple frequencies during motor imagery processing is still unclear and has not been widely studied, particularly concerning the non-invasive signals. In this study, we provide empirical evidence of the comodulation between the phase of alpha rhythm and the amplitude of high gamma rhythm during the motor imagery process. We used electroencephalography (EEG) in our investigation during the imagination of left- or right-hand movement recorded from 52 healthy subjects, and quantified the ERD of alpha and phase-amplitude coupling (PAC) which is a relative change of modulation index to the base line period (before the cue). As a result, we found that the coupling between the phase of alpha (8-12 Hz) and the amplitude of high gamma (70-120 Hz) and this PAC decreases during motor imagery and then rebounds to the baseline like alpha ERD (r = 0.29 to 0.42). This correlation between PAC and ERD was particularly stronger in the ipsilateral area. In addition, trials that demonstrated higher alpha power during the ready period (before the cue) showed a larger ERD during motor imagery and similarly, trials with higher modulation index during the ready period yielded a greater decrease in PAC during imagery. In the classification analysis, we found that the effective phase frequency that showed better decoding accuracy in left and right-hand imagery, varied across subjects. Motivated by result, we proposed a weighted cross-frequency coupling (WCFC) method that extracts the maximal discriminative feature by combining band power and CFC. In the evaluation, WCFC with only two electrodes yielded a performance comparable to the conventional algorithm with 64 electrodes in classifying left and right-hand motor imagery. These results indicate that the phase-amplitude frequency plays an important role in motor imagery, and that optimizing this frequency ranges is crucial for extracting information features to decode the motor imagery types.
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Affiliation(s)
- Daeun Gwon
- Department of Information and Communication Engineering, Handong Global University, 37554 South Korea
| | - Minkyu Ahn
- Department of Information and Communication Engineering, Handong Global University, 37554 South Korea; School of Computer Science and Electrical Engineering, Handong Global University, 37554 South Korea.
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Tabbal J, Kabbara A, Khalil M, Benquet P, Hassan M. Dynamics of task-related electrophysiological networks: a benchmarking study. Neuroimage 2021; 231:117829. [PMID: 33549758 DOI: 10.1016/j.neuroimage.2021.117829] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 01/25/2021] [Accepted: 01/29/2021] [Indexed: 12/29/2022] Open
Abstract
Motor, sensory and cognitive functions rely on dynamic reshaping of functional brain networks. Tracking these rapid changes is crucial to understand information processing in the brain, but challenging due to the great variety of dimensionality reduction methods used at the network-level and the limited evaluation studies. Using Magnetoencephalography (MEG) combined with Source Separation (SS) methods, we present an integrated framework to track fast dynamics of electrophysiological brain networks. We evaluate nine SS methods applied to three independent MEG databases (N=95) during motor and memory tasks. We report differences between these methods at the group and subject level. We seek to help researchers in choosing objectively the appropriate SS method when tracking fast reconfiguration of functional brain networks, due to its enormous benefits in cognitive and clinical neuroscience.
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Affiliation(s)
- Judie Tabbal
- Univ Rennes, LTSI - U1099, F-35000 Rennes, France; Azm Center for Research in Biotechnology and Its Applications, EDST, Lebanese University, Beirut, Lebanon.
| | - Aya Kabbara
- Univ Rennes, LTSI - U1099, F-35000 Rennes, France
| | - Mohamad Khalil
- Azm Center for Research in Biotechnology and Its Applications, EDST, Lebanese University, Beirut, Lebanon; CRSI Lab, Engineering Faculty, Lebanese University, Beirut, Lebanon
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Wilkins KB, Dewald JPA, Yao J. Intervention-induced changes in neural connectivity during motor preparation may affect cortical activity at motor execution. Sci Rep 2020; 10:7326. [PMID: 32355238 PMCID: PMC7193567 DOI: 10.1038/s41598-020-64179-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 04/07/2020] [Indexed: 12/22/2022] Open
Abstract
Effective interventions have demonstrated the ability to improve motor function by reengaging ipsilesional resources, which appears to be critical and feasible for hand function recovery even in individuals with severe chronic stroke. However, previous studies focus on changes in brain activity related to motor execution. How changes in motor preparation may facilitate these changes at motor execution is still unclear. To address this question, 8 individuals with severe chronic hemiparetic stroke participated in a device-assisted intervention for seven weeks. We then quantified changes in both coupling between regions during motor preparation and changes in topographical cortical activity at motor execution for both hand opening in isolation and together with the shoulder using high-density EEG. We hypothesized that intervention-induced changes in cortico-cortico interactions during motor preparation would lead to changes in activity at motor execution specifically towards an increased reliance on the ipsilesional hemisphere. In agreement with this hypothesis, we found that, following the intervention, individuals displayed a reduction in coupling from ipsilesional M1 to contralesional M1 within gamma frequencies during motor preparation for hand opening. This was followed by a reduction in activity in the contralesional primary sensorimotor cortex during motor execution. Similarly, during lifting and opening, a shift to negative coupling within ipsilesional M1 from gamma to beta frequencies was accompanied by an increase in ipsilesional primary sensorimotor cortex activity following the intervention. Together, these results show that intervention-induced changes in coupling within or between motor regions during motor preparation may affect cortical activity at execution.
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Affiliation(s)
- Kevin B Wilkins
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL, 60611, USA
- Northwestern University Interdepartmental Neuroscience, Northwestern University, 320 E. Superior St, Chicago, IL, 60611, USA
| | - Julius P A Dewald
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL, 60611, USA
- Northwestern University Interdepartmental Neuroscience, Northwestern University, 320 E. Superior St, Chicago, IL, 60611, USA
- Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL, 60208, USA
- Department of Physical Medicine and Rehabilitation, Northwestern University, 345 East Superior Street, Chicago, IL, 60611, USA
| | - Jun Yao
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL, 60611, USA.
- Northwestern University Interdepartmental Neuroscience, Northwestern University, 320 E. Superior St, Chicago, IL, 60611, USA.
- Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL, 60208, USA.
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