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Mencel J, Marusiak J, Jaskólska A, Kamiński Ł, Kurzyński M, Wołczowski A, Jaskólski A, Kisiel-Sajewicz K. Motor imagery training of goal-directed reaching in relation to imagery of reaching and grasping in healthy people. Sci Rep 2022; 12:18610. [PMID: 36329083 PMCID: PMC9633838 DOI: 10.1038/s41598-022-21890-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 10/05/2022] [Indexed: 11/06/2022] Open
Abstract
The study aimed to determine whether four weeks of motor imagery training (MIT) of goal-directed reaching (reaching to grasp task) would affect the cortical activity during motor imagery of reaching (MIR) and grasping (MIG) in the same way. We examined cortical activity regarding event-related potentials (ERPs) in healthy young participants. Our study also evaluated the subjective vividness of the imagery. Furthermore, we aimed to determine the relationship between the subjective assessment of motor imagery (MI) ability to reach and grasp and the cortical activity during those tasks before and after training to understand the underlying neuroplasticity mechanisms. Twenty-seven volunteers participated in MIT of goal-directed reaching and two measurement sessions before and after MIT. During the sessions 128-channel electroencephalography (EEG) was recorded during MIR and MIG. Also, participants assessed the vividness of the MI tasks using a visual analog scale (VAS). The vividness of imagination improved significantly (P < .05) after MIT. A repeated measures ANOVA showed that the task (MIR/MIG) and the location of electrodes had a significant effect on the ERP's amplitude (P < .05). The interaction between the task, location, and session (before/after MIT) also had a significant effect on the ERP's amplitude (P < .05). Finally, the location of electrodes and the interaction between location and session had a significant effect on the ERP's latency (P < .05). We found that MIT influenced the EEG signal associated with reaching differently than grasping. The effect was more pronounced for MIR than for MIG. Correlation analysis showed that changes in the assessed parameters due to MIT reduced the relationship between the subjective evaluation of imagining and the EEG signal. This finding means that the subjective evaluation of imagining cannot be a simple, functional insight into the bioelectrical activity of the cerebral cortex expressed by the ERPs in mental training. The changes we noted in ERPs after MIT may benefit the use of non-invasive EEG in the brain-computer interface (BCI) context.Trial registration: NCT04048083.
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Affiliation(s)
- Joanna Mencel
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
| | - Jarosław Marusiak
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
| | - Anna Jaskólska
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
| | - Łukasz Kamiński
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
| | - Marek Kurzyński
- grid.7005.20000 0000 9805 3178Department of Field Theory, Electronic Circuits and Optoelectronics, Faculty of Electronics, Photonics and Microsystems, Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Andrzej Wołczowski
- grid.7005.20000 0000 9805 3178Department of Field Theory, Electronic Circuits and Optoelectronics, Faculty of Electronics, Photonics and Microsystems, Wroclaw University of Science and Technology, Wroclaw, Poland
| | - Artur Jaskólski
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
| | - Katarzyna Kisiel-Sajewicz
- grid.8505.80000 0001 1010 5103Department of Kinesiology, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, Al. I. J. Paderewskiego 35, budynek P4, 51-612 Wrocław, Poland
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Sánchez-Herrera-Baeza P, García-Bravo C, Huertas-Hoyas E, Florencio LL, Martínez-Piédrola RM, Pérez-Corrales J, Sánchez-Camarero C, Pérez-de-Heredia-Torres M. Mental Practice and Manipulative Skills Training Among People With Multiple Sclerosis: A Pilot Study. Am J Occup Ther 2022; 76:23207. [PMID: 35175336 DOI: 10.5014/ajot.2022.044479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Multiple sclerosis (MS) is a demyelinating disease of the central nervous system that produces both motor and cognitive dysfunctions. Impairments in limb function as a result of MS cause a decline in the performance of activities of daily living (ADLs). OBJECTIVE To determine whether the use of mental practice (MP) or MP combined with training in motor manipulation skills (skills training) would improve gross and fine motor skills and treatment satisfaction among people with MS. DESIGN Pilot study with a duration of 3 mo plus 3-mo follow-up. SETTING Two MS associations. PARTICIPANTS Thirty-five patients diagnosed with MS of the relapsing-remitting and progressive secondary subtypes, ages 25 to 60 yr. INTERVENTION The participants were allocated to one of three groups according to their order of inclusion in the study: (1) MP, (2) MP + skills training, or (3) control group. The treatment protocol had a 6-wk duration and a total of 12 sessions. Outcomes and Measures: Blinded evaluators performed three assessments for each patient (pretreatment, posttreatment, and 3-mo follow-up) using the Nine-Hole Peg Test, Box and Block Test, ABILHAND, and Canadian Occupational Performance Measure (COPM). RESULTS We found no evidence of benefits in self-perceived performance of ADLs with respect to gross and fine motor skills; however, there was an improvement in perceived satisfaction and in the performance of activities, independent of the treatment received. CONCLUSIONS AND RELEVANCE Perceived ADL performance and satisfaction with performance increases among people with MS when they receive MP, MP + skills training, and conventional rehabilitation treatment. What This Article Adds: Mental practice combined with conventional treatment could contribute to patients perceiving improved performance of ADLs. Self-reported outcome measures, such as the COPM, could provide highly valuable information about occupation performance that may not match the objective evidence.
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Affiliation(s)
- Patricia Sánchez-Herrera-Baeza
- Patricia Sánchez-Herrera-Baeza, PhD, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Cristina García-Bravo
- Cristina García-Bravo, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain;
| | - Elisabet Huertas-Hoyas
- Elisabet Huertas-Hoyas, PhD, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Lidiane-Lima Florencio
- Lidiane-Lima Florencio, PhD, PT, is Professor and Physical Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Rosa M Martínez-Piédrola
- Rosa M. Martínez-Piédrola, PhD, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Jorge Pérez-Corrales
- Jorge Pérez-Corrales, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Carlos Sánchez-Camarero
- Carlos Sánchez-Camarero, PhD, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Marta Pérez-de-Heredia-Torres
- Marta Pérez-de-Heredia-Torres, PhD, OT, is Professor and Occupational Therapist, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
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Kolářová B, Richards J, Haltmar H, Lippertová K, Connell L, Chohan A. The effect of motor imagery on quality of movement when performing reaching tasks in healthy subjects: A proof of concept. J Bodyw Mov Ther 2022; 29:161-166. [DOI: 10.1016/j.jbmt.2021.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 08/07/2021] [Accepted: 10/17/2021] [Indexed: 11/17/2022]
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Haire CM, Vuong V, Tremblay L, Patterson KK, Chen JL, Thaut MH. Effects of therapeutic instrumental music performance and motor imagery on chronic post-stroke cognition and affect: A randomized controlled trial. NeuroRehabilitation 2021; 48:195-208. [PMID: 33664157 DOI: 10.3233/nre-208014] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The burden of post-stroke cognitive impairment, as well as affective disorders, remains persistently high. With improved stroke survival rates and increasing life expectancy, there is a need for effective interventions to facilitate remediation of neurocognitive impairments and post-stroke mood disorders. OBJECTIVE To investigate the effects of Therapeutic Instrumental Music Performance (TIMP) training with and without Motor Imagery on cognitive functioning and affective responding in chronic post-stroke individuals. METHODS Thirty chronic post-stroke, community-dwelling participants were randomized to one of three experimental arms: (1) 45 minutes of active TIMP, (2) 30 minutes of active TIMP followed by 15 minutes of metronome-cued motor imagery (TIMP+cMI), (3) 30 minutes of active TIMP followed by 15 minutes of motor imagery without cues (TIMP+MI). Training took place three times a week for three weeks, using a selection of acoustic and electronic instruments. Assessments, administered at two baselines and post-training, included the Trail Making Test (TMT) - Part B to assess mental flexibility, the Digit Span Test (DST) to determine short-term memory capacity, the Multiple Affect Adjective Checklist - Revised (MAACL-R) to ascertain current affective state, and the General Self-Efficacy Scale (GSE) to assess perceived self-efficacy. The Self-Assessment Maniqin (SAM) was also administered prior to and following each training session. RESULTS Thirty participants completed the protocol, ten per arm [14 women; mean age = 55.9; mean time post-stroke = 66.9 months]. There were no statistically significant differences between pooled group baseline measures. The TIMP+MI group showed a statistically significant decrease in time from pre-test 2 to post-test on the TMT. The TIMP group showed a significant increase on MAACL sensation seeking scores, as well as on the Valence and Dominance portions of the SAM; TIMP+cMI showed respective increases and decreases in positive and negative affect on the MAACL, and increases on the Valence, Dominance, and Arousal portions of the SAM. No statistically significant association between cognitive and affective measures was obtained. CONCLUSIONS The mental flexibility aspect of executive functioning appears to be enhanced by therapeutic instrumental music training in conjunction with motor imagery, possibly due to multisensory integration and consolidation of representations through motor imagery rehearsal following active practice. Active training using musical instruments appears to have a positive impact on affective responding; however, these changes occurred independently of improvements to cognition.
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Affiliation(s)
- Catherine M Haire
- Faculty of Music, Music and Health Science Research Collaboratory, University of Toronto, Toronto, Canada
| | - Veronica Vuong
- Faculty of Music, Music and Health Science Research Collaboratory, University of Toronto, Toronto, Canada.,Faculty of Medicine, Institute of Medical Science, University of Toronto, Toronto, Canada.,Rotman Research Institute, Baycrest Health Sciences, Toronto, Canada
| | - Luc Tremblay
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.,KITE Research Institute, University Health Network, Toronto, Canada
| | - Kara K Patterson
- KITE Research Institute, University Health Network, Toronto, Canada.,Department of Physical Therapy, University of Toronto, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - Joyce L Chen
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - Michael H Thaut
- Faculty of Music, Music and Health Science Research Collaboratory, University of Toronto, Toronto, Canada.,Faculty of Medicine, Institute of Medical Science, University of Toronto, Toronto, Canada
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Mencel J, Jaskólska A, Marusiak J, Kamiński Ł, Kurzyński M, Wołczowski A, Jaskólski A, Kisiel-Sajewicz K. Motor Imagery Training of Reaching-to-Grasp Movement Supplemented by a Virtual Environment in an Individual With Congenital Bilateral Transverse Upper-Limb Deficiency. Front Psychol 2021; 12:638780. [PMID: 33828507 PMCID: PMC8019807 DOI: 10.3389/fpsyg.2021.638780] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 03/03/2021] [Indexed: 11/30/2022] Open
Abstract
This study explored the effect of kinesthetic motor imagery training on reaching-to-grasp movement supplemented by a virtual environment in a patient with congenital bilateral transverse upper-limb deficiency. Based on a theoretical assumption, it is possible to conduct such training in this patient. The aim of this study was to evaluate whether cortical activity related to motor imagery of reaching and motor imagery of grasping of the right upper limb was changed by computer-aided imagery training (CAIT) in a patient who was born without upper limbs compared to a healthy control subject, as characterized by multi-channel electroencephalography (EEG) signals recorded before and 4, 8, and 12 weeks after CAIT. The main task during CAIT was to kinesthetically imagine the execution of reaching-to-grasp movements without any muscle activation, supplemented by computer visualization of movements provided by a special headset. Our experiment showed that CAIT can be conducted in the patient with higher vividness of imagery for reaching than grasping tasks. Our results confirm that CAIT can change brain activation patterns in areas related to motor planning and the execution of reaching and grasping movements, and that the effect was more pronounced in the patient than in the healthy control subject. The results show that CAIT has a different effect on the cortical activity related to the motor imagery of a reaching task than on the cortical activity related to the motor imagery of a grasping task. The change observed in the activation patterns could indicate CAIT-induced neuroplasticity, which could potentially be useful in rehabilitation or brain-computer interface purposes for such patients, especially before and after transplantation. This study was part of a registered experiment (ID: NCT04048083).
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Affiliation(s)
- Joanna Mencel
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
| | - Anna Jaskólska
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
| | - Jarosław Marusiak
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
| | - Łukasz Kamiński
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
| | - Marek Kurzyński
- Department of Systems and Computer Networks, Faculty of Electronics, Wrocław University of Science and Technology, Wrocław, Poland
| | - Andrzej Wołczowski
- Department of Fundamental Cybernetics and Robotics, Institute of Computer Engineering, Control and Robotics, Wrocław University of Science and Technology, Wrocław, Poland
| | - Artur Jaskólski
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
| | - Katarzyna Kisiel-Sajewicz
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
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Abraham A, Duncan RP, Earhart GM. The Role of Mental Imagery in Parkinson's Disease Rehabilitation. Brain Sci 2021; 11:brainsci11020185. [PMID: 33540883 PMCID: PMC7913152 DOI: 10.3390/brainsci11020185] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 01/26/2021] [Accepted: 01/28/2021] [Indexed: 02/06/2023] Open
Abstract
Parkinson’s disease (PD) is a disabling neurodegenerative disease whose manifestations span motor, sensorimotor, and sensory domains. While current therapies for PD include pharmacological, invasive, and physical interventions, there is a constant need for developing additional approaches for optimizing rehabilitation gains. Mental imagery is an emerging field in neurorehabilitation and has the potential to serve as an adjunct therapy to enhance patient function. Yet, the literature on this topic is sparse. The current paper reviews the motor, sensorimotor, and sensory domains impacted by PD using gait, balance, and pain as examples, respectively. Then, mental imagery and its potential for PD motor and non-motor rehabilitation is discussed, with an emphasis on its suitability for addressing gait, balance, and pain deficits in people with PD. Lastly, future research directions are suggested.
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Affiliation(s)
- Amit Abraham
- Department of Physical Therapy, Faculty of Health Sciences, Ariel University, Ariel 4077625, Israel
- Navigation and Accessibility Research Center of Ariel University (NARCA), Ariel University, Ariel 4077625, Israel
- Correspondence:
| | - Ryan P. Duncan
- Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA; (R.P.D.); (G.M.E.)
- Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA
| | - Gammon M. Earhart
- Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA; (R.P.D.); (G.M.E.)
- Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA
- Department of Neuroscience, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA
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Effectiveness of Motor Imagery on Motor Recovery in Patients with Multiple Sclerosis: Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020498. [PMID: 33435410 PMCID: PMC7827037 DOI: 10.3390/ijerph18020498] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 01/03/2021] [Accepted: 01/06/2021] [Indexed: 02/06/2023]
Abstract
The effects of motor imagery (MI) on functional recovery of patients with neurological pathologies, such as stroke, has been recently proven. The aim of this study is to evaluate the effectiveness of MI on motor recovery and quality of life (QOL) in patients with multiple sclerosis (pwMS). A search was carried out in the following scientific databases: PubMed, CINAHL, PEDro, Scopus, Cochrane and Web of Science, up to November 2020. The grey literature and reference lists of potentially relevant articles were also searched. The Checklist for Measuring Quality and The Cochrane collaboration’s tool were used to assess the methodological quality and risk of bias of the studies. Five studies were included in the systematic review. Findings showed that pwMS using MI had significant improvements in walking speed and distance, fatigue and QOL. In addition, several benefits were also found in dynamic balance and perceived walking ability. Although the evidence is limited, rehabilitation using MI with the application of musical and verbal guides (compared to non-intervention or other interventions), can produce benefits on gait, fatigue and QOL in pwMS with a low score in the Expanded Disability Status Scale.
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Stockley RC, Jarvis K, Boland P, Clegg AJ. Systematic Review and Meta-Analysis of the Effectiveness of Mental Practice for the Upper Limb After Stroke: Imagined or Real Benefit? Arch Phys Med Rehabil 2020; 102:1011-1027. [PMID: 33250142 DOI: 10.1016/j.apmr.2020.09.391] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/10/2020] [Accepted: 09/27/2020] [Indexed: 02/08/2023]
Abstract
OBJECTIVES This systematic review sought to determine the effectiveness of mental practice (MP) on the activity limitations of the upper limb in individuals after stroke, as well as when, in whom, and how MP should be delivered. DATA SOURCES Ten electronic databases were searched from November 2009 to May 2020. Search terms included: Arm, Practice, Stroke rehabilitation, Imagination, Paresis, Recovery of function, and Stroke. Studies from a Cochrane review of MP (up to November 2009) were automatically included. The review was registered with the PROSPERO database of systematic reviews (reference no.: CRD42019126044). STUDY SELECTION Randomized controlled trials of adults after stroke using MP for the upper limb were included if they compared MP to usual care, conventional therapy, or no treatment and reported activity limitations of the upper limb as outcomes. Independent screening was conducted by 2 reviewers. DATA EXTRACTION One reviewer extracted data using a tool based on the Template for Intervention Description and Replication. Data extraction was independently verified by a second reviewer. Quality was assessed using the PEDro tool. DATA SYNTHESIS Fifteen studies (n=486) were included and 12 (n=328) underwent meta-analysis. MP demonstrated significant benefit on upper limb activities compared with usual treatment (standardized mean difference [SMD], 0.6; 95% confidence interval [CI], 0.32-0.88). Subgroup analyses demonstrated that MP was most effective in the first 3 months after stroke (SMD, 1.01; 95% CI, 0.53-1.50) and in individuals with the most severe upper limb deficits (weighted mean difference, 7.33; 95% CI, 0.94-13.72). CONCLUSIONS This review demonstrates that MP is effective in reducing activity limitations of the upper limb after stroke, particularly in the first 3 months after stroke and in individuals with the most severe upper limb dysfunction. There was no clear pattern of the ideal dosage of MP.
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Affiliation(s)
- Rachel C Stockley
- Faculty of Health and Wellbeing, University of Central Lancashire, Preston, United Kingdom.
| | - Kathryn Jarvis
- Faculty of Health and Wellbeing, University of Central Lancashire, Preston, United Kingdom
| | - Paul Boland
- Faculty of Health and Wellbeing, University of Central Lancashire, Preston, United Kingdom
| | - Andrew J Clegg
- Faculty of Health and Wellbeing, University of Central Lancashire, Preston, United Kingdom
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Kisiel-Sajewicz K, Marusiak J, Rojas-Martínez M, Janecki D, Chomiak S, Kamiński Ł, Mencel J, Mañanas MÁ, Jaskólski A, Jaskólska A. High-density surface electromyography maps after computer-aided training in individual with congenital transverse deficiency: a case study. BMC Musculoskelet Disord 2020; 21:682. [PMID: 33059684 PMCID: PMC7566138 DOI: 10.1186/s12891-020-03694-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 10/01/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this study was to determine whether computer-aided training (CAT) of motor tasks would increase muscle activity and change its spatial distribution in a patient with a bilateral upper-limb congenital transverse deficiency. We believe that our study makes a significant contribution to the literature because it demonstrates the usefulness of CAT in promoting the neuromuscular adaptation in people with congenital limb deficiencies and altered body image. CASE PRESENTATION The patient with bilateral upper-limb congenital transverse deficiency and the healthy control subject performed 12 weeks of the CAT. The subject's task was to imagine reaching and grasping a book with the hand. Subjects were provided a visual animation of that movement and sensory feedback to facilitate the mental engagement to accomplish the task. High-density electromyography (HD-EMG; 64-electrode) were collected from the trapezius muscle during a shrug isometric contraction before and after 4, 8, 12 weeks of the training. After training, we observed in our patient changes in the spatial distribution of the activation, and the increased average intensity of the EMG maps and maximal force. CONCLUSIONS These results, although from only one patient, suggest that mental training supported by computer-generated visual and sensory stimuli leads to beneficial changes in muscle strength and activity. The increased muscle activation and changed spatial distribution of the EMG activity after mental training may indicate the training-induced functional plasticity of the motor activation strategy within the trapezius muscle in individual with bilateral upper-limb congenital transverse deficiency. Marked changes in spatial distribution during the submaximal contraction in the patient after training could be associated with changes of the neural drive to the muscle, which corresponds with specific (unfamiliar for patient) motor task. These findings are relevant to neuromuscular functional rehabilitation in patients with a bilateral upper-limb congenital transverse deficiency especially before and after upper limb transplantation and to development of the EMG based prostheses.
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Affiliation(s)
- Katarzyna Kisiel-Sajewicz
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland.
| | - Jarosław Marusiak
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Mónica Rojas-Martínez
- Department of Bioengineering, Faculty of Engineering, Universidad El Bosque, No 131 A, Ak. 9 #131a2, Bogotá, Colombia
| | - Damian Janecki
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Sławomir Chomiak
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Łukasz Kamiński
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Joanna Mencel
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Miguel Ángel Mañanas
- Biomedical Engineering Research Centre and Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, Universitat Politècnica de Catalunya, Avinguda Diagonal, 647, 08028, Barcelona, Spain
| | - Artur Jaskólski
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
| | - Anna Jaskólska
- Department of Kinesiology, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Al.I.J. Paderewskiego 35, P4, 51-612, Wrocław, Poland
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Mibu A, Kan S, Nishigami T, Fujino Y, Shibata M. Performing the hand laterality judgement task does not necessarily require motor imagery. Sci Rep 2020; 10:5155. [PMID: 32198401 PMCID: PMC7083854 DOI: 10.1038/s41598-020-61937-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 03/05/2020] [Indexed: 11/23/2022] Open
Abstract
When people judge the laterality of rotated hand images, that is they perform the laterality judgement task (LJT), they are thought to use motor imagery. However, recent studies have suggested that its completion does not necessarily require the use of motor imagery. In this study, we investigated whether and how many people preferentially use motor imagery to perform the LJT in 37 healthy adults. We assessed the presence of behavioural features associated with motor imagery at the individual level, namely, the linear angle-response time (RT) relationship and the biomechanical constraints effect in the LJT and in the same-different judgement task (SDJT), in which people are not thought to use motor imagery. We found that at most 50% of participants showed both behavioural features in the palmar view condition of the LJT. Moreover, this proportion did not differ from that in the dorsal view condition of the LJT or that in both view conditions of the SDJT. These results demonstrate that a motor imagery-based strategy is not universally and specifically used to perform the LJT. Therefore, previous results of the LJT, in particular, regarding the biomechanical constraints effect, should be reinterpreted in light of our findings.
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Affiliation(s)
- Akira Mibu
- Department of Physical Therapy, Konan Women's University, 6-2-23 Morikita-machi, Higashinada-ku, Kobe, Hyogo, 658-0001, Japan
- Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Shigeyuki Kan
- Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Tomohiko Nishigami
- Department of Physical Therapy, Konan Women's University, 6-2-23 Morikita-machi, Higashinada-ku, Kobe, Hyogo, 658-0001, Japan
- Department of Physical Therapy, Prefectural University of Hiroshima, 1-1 Gakuen-cho, Mihara, Hiroshima, 723-0053, Japan
| | - Yuji Fujino
- Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Masahiko Shibata
- Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
- Faculty of Health Science, Naragakuen University, 3-15-1 Nakatomigaoka, Nara, Nara, 631-8524, Japan
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11
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Glover S, Bibby E, Tuomi E. Executive functions in motor imagery: support for the motor-cognitive model over the functional equivalence model. Exp Brain Res 2020; 238:931-944. [PMID: 32179942 PMCID: PMC7181437 DOI: 10.1007/s00221-020-05756-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 02/18/2020] [Indexed: 01/22/2023]
Abstract
The motor-cognitive model holds that motor imagery relies on executive resources to a much greater extent than do overt actions. According to this view, engaging executive resources with an interference task during motor imagery or overt actions will lead to a greater lengthening of the time required to imagine a movement than to execute it physically. This model is in contrast to a currently popular view, the functional equivalence model, which holds that motor imagery and overt action use identical mental processes, and thus should be equally affected by task manipulations. The two competing frameworks were tested in three experiments that varied the amount and type of executive resources needed to perform an interference task concurrent with either an overt or imagined version of a grasping and placing action. In Experiment 1, performing a concurrent calculation task led to a greater lengthening of the time required to execute motor imagery than overt action relative to a control condition involving no interference task. Further, an increase in the number of responses used to index performance affected the timing of motor imagery but not overt actions. In Experiment 2, a low-load repetition task interfered with the timing of motor imagery, but less so than a high load calculation task; both tasks had much smaller effects on overt actions. In Experiment 3, a word generation task also interfered with motor imagery much more than with overt actions. The results of these experiments provide broad support for the motor-cognitive model over the functional equivalence model in showing that interfering with executive functions had a much greater impact on the timing of motor imagery than on overt actions. The possible roles of different executive processes in motor imagery are discussed.
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Affiliation(s)
- Scott Glover
- Department of Psychology, Royal Holloway University of London, Egham, London, TW20 0EX, Surrey, UK.
| | - Elys Bibby
- Department of Psychology, Royal Holloway University of London, Egham, London, TW20 0EX, Surrey, UK
| | - Elsa Tuomi
- Department of Psychology, Royal Holloway University of London, Egham, London, TW20 0EX, Surrey, UK
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12
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Lu RR, Zheng MX, Li J, Gao TH, Hua XY, Liu G, Huang SH, Xu JG, Wu Y. Motor imagery based brain-computer interface control of continuous passive motion for wrist extension recovery in chronic stroke patients. Neurosci Lett 2019; 718:134727. [PMID: 31887332 DOI: 10.1016/j.neulet.2019.134727] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 12/13/2019] [Accepted: 12/26/2019] [Indexed: 11/17/2022]
Abstract
Motor recovery of wrist and fingers is still a great challenge for chronic stroke survivors. The present study aimed to verify the efficiency of motor imagery based brain-computer interface (BCI) control of continuous passive motion (CPM) in the recovery of wrist extension due to stroke. An observational study was conducted in 26 chronic stroke patients, aged 49.0 ± 15.4 years, with upper extremity motor impairment. All patients showed no wrist extension recovery. A 24-channel highresolution electroencephalogram (EEG) system was used to acquire cortical signal while they were imagining extension of the affected wrist. Then, 20 sessions of BCI-driven CPM training were carried out for 6 weeks. Primary outcome was the increase of active range of motion (ROM) of the affected wrist from the baseline to final evaluation. Improvement of modified Barthel Index, EEG classification and motor imagery pattern of wrist extension were recorded as secondary outcomes. Twenty-one patients finally passed the EEG screening and completed all the BCI-driven CPM trainings. From baseline to the final evaluation, the increase of active ROM of the affected wrists was (24.05 ± 14.46)˚. The increase of modified Barthel Index was 3.10 ± 4.02 points. But no statistical difference was detected between the baseline and final evaluations (P > 0.05). Both EEG classification and motor imagery pattern improved. The present study demonstrated beneficial outcomes of MI-based BCI control of CPM training in motor recovery of wrist extension using motor imagery signal of brain in chronic stroke patients.
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Affiliation(s)
- Rong-Rong Lu
- Department of Rehabilitation, Huashan Hospital, Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China
| | - Mou-Xiong Zheng
- Department of Traumatology and Orthopedics, Yueyang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Jie Li
- Department of Computer Science and Technology, Tongji University, No. 4800 Cao'an Highway, Shanghai 200092, China
| | - Tian-Hao Gao
- Department of Rehabilitation, Huashan Hospital, Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China
| | - Xu-Yun Hua
- Department of Traumatology and Orthopedics, Yueyang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Gang Liu
- Department of Rehabilitation, Huashan Hospital, Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China
| | - Song-Hua Huang
- Department of Rehabilitation, Huashan Hospital, Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China
| | - Jian-Guang Xu
- School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
| | - Yi Wu
- Department of Rehabilitation, Huashan Hospital, Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China.
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13
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Effects of adjuvant mental practice using inverse video of the unaffected upper limb in subacute stroke: a pilot randomized controlled study. Int J Rehabil Res 2019; 42:337-343. [DOI: 10.1097/mrr.0000000000000368] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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14
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Machado TC, Carregosa AA, Santos MS, Ribeiro NMDS, Melo A. Efficacy of motor imagery additional to motor-based therapy in the recovery of motor function of the upper limb in post-stroke individuals: a systematic review. Top Stroke Rehabil 2019; 26:548-553. [PMID: 31264520 DOI: 10.1080/10749357.2019.1627716] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Background. Motor imagery (MI) consists of the mental simulation of repetitive movements with the intention of promoting the learning of a motor skill. It seems to be an additional useful tool for motor-based therapy to potentiate the rehabilitation of the upper limb function of post-stroke individuals. Objective. To investigate whether MI combined with motor-based therapy is effective in recovering motor deficits of upper limbs from post-stroke individuals. Method. A systematic review of the literature was performed in the PEDro, LILACS, Cochrane, SCOPUS, Medline/PubMed and SciELO databases. Randomized controlled trials (RCTs) investigating the efficacy of MI associated with motor-based therapy compared with isolated motor-based therapy were included. The included outcomes were gross motor function and functional activities of the upper limb of post-stroke individuals. The physiotherapy evidence database scale was applied for evaluation of methodological quality. Results. Four RCTs were included, with a total of 104 participants, with methodological quality varying from moderate to high. There was a statistically significant improvement in upper limb motor function in all studies. Gross motor function was higher in MI associated with motor-based therapy compared to controls, but only in one study there was superiority in the results of functional activities of the upper limb. Conclusion. There is evidence showing that MI associated with motor-based therapy is an effective tool in improving the motor function of upper limbs of post-stroke individuals. However, more studies are needed to establish criteria for frequency and duration of intervention, and what better type of MI should be used.
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Affiliation(s)
- Tácia Cotinguiba Machado
- Grupo de Pesquisa em Reabilitação Neurofuncional, Divisão de Neurologia e Epidemiologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia , Salvador , Brasil.,Programa de Pós-Graduação em Medicina e Saúde, Faculdade de Medicina da Bahia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia , Salvador , Brasil
| | - Adriani Andrade Carregosa
- Grupo de Pesquisa em Reabilitação Neurofuncional, Divisão de Neurologia e Epidemiologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia , Salvador , Brasil
| | - Matheus S Santos
- Grupo de Pesquisa em Reabilitação Neurofuncional, Divisão de Neurologia e Epidemiologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia , Salvador , Brasil.,Programa de Pós-Graduação em Processos Interativos dos Órgãos e Sistemas, Instituto de Ciências da Saúde, Universidade Federal da Bahia , Salvador , Brasil
| | - Nildo Manoel da Silva Ribeiro
- Grupo de Pesquisa em Reabilitação Neurofuncional, Divisão de Neurologia e Epidemiologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia , Salvador , Brasil.,Departamento de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia , Salvador , Brasil
| | - Ailton Melo
- Departamento de Neurociências e Saúde Mental, Instituto de Ciências da Saúde, Universidade Federal da Bahia , Salvador , Brasil
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15
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Fusco A, Iasevoli L, Iosa M, Gallotta MC, Padua L, Tucci L, Antonucci G, Baldari C, Guidetti L. Dynamic motor imagery mentally simulates uncommon real locomotion better than static motor imagery both in young adults and elderly. PLoS One 2019; 14:e0218378. [PMID: 31242209 PMCID: PMC6594612 DOI: 10.1371/journal.pone.0218378] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Accepted: 05/31/2019] [Indexed: 12/02/2022] Open
Abstract
A new form of Motor Imagery (MI), called dynamic Motor Imagery (dMI) has recently been proposed. The dMI adds to conventional static Motor Imagery (sMI) the presence of simultaneous actual movements partially replicating those mentally represented. In a previous research conducted on young participants, dMI showed to be temporally closer than sMI in replicating the real performance for some specific locomotor conditions. In this study, we evaluated if there is any influence of the ageing on dMI. Thirty healthy participants were enrolled: 15 young adults (27.1±3.8 y.o.) and 15 older adults (65.9±9.6y.o.). The performance time and the number of steps needed to either walk to a target (placed at 10m from participants) or to imagine walking to it, were assessed. Parameters were measured for sMI, dMI and real locomotion (RL) in three different locomotor conditions: forward walking (FW), backward walking (BW), and lateral walking (LW). Temporal performances of sMI and dMI did not differ between RL in the FW, even if significantly different to each other (p = 0.0002). No significant differences were found for dMI with respect to RL for LW (p = 0.140) and BW (p = 0.438), while sMI was significantly lower than RL in LW (p<0.001). The p-value of main effect of age on participants’ temporal performances was p = 0.055. The interaction between age and other factors such as the type of locomotion (p = 0.358) or the motor condition (p = 0.614) or third level interaction (p = 0.349) were not statistically significant. Despite a slight slowdown in the performance of elderly compared to young participants, the temporal and spatial accuracy was better in dMI than sMI in both groups. Motor imagery processes may be strengthened by the feedback generated through dMI, and this effect appears to be unaffected by age.
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Affiliation(s)
- Augusto Fusco
- IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy
- * E-mail:
| | - Luigi Iasevoli
- Department of Movement, Human and Health Sciences, Section of Health Sciences, University of Rome "Foro Italico", Rome, Italy
- IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Marco Iosa
- IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Maria Chiara Gallotta
- Department of Movement, Human and Health Sciences, Section of Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Luca Padua
- Department of Geriatrics, Neurosciences and Orthopaedics, Sacred Heart Catholic University, Rome, Italy
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Livia Tucci
- Department of Movement, Human and Health Sciences, Section of Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Gabriella Antonucci
- IRCCS Fondazione Santa Lucia, Rome, Italy
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Laura Guidetti
- Department of Movement, Human and Health Sciences, Section of Health Sciences, University of Rome "Foro Italico", Rome, Italy
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16
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Romkema S, Bongers RM, van der Sluis CK. Influence of mirror therapy and motor imagery on intermanual transfer effects in upper-limb prosthesis training of healthy participants: A randomized pre-posttest study. PLoS One 2018; 13:e0204839. [PMID: 30300378 PMCID: PMC6177130 DOI: 10.1371/journal.pone.0204839] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Accepted: 09/13/2018] [Indexed: 12/13/2022] Open
Abstract
The effect that a motor skill trained on one side can lead to improvement in the untrained side is called intermanual transfer. Intermanual transfer can help enhance upper limb prosthetic training. To determine the influence of mirror therapy and motor imagery on intermanual transfer in upper limb prosthesis training, a pseudo-randomized clinical trial, single blinded, with a pre-posttest design was used. Forty-seven able-bodied, right-handed participants were pseudo-randomly assigned to two training groups and one control group. One training group undertook an intermanual transfer training program, using an upper-limb prosthetic simulator with added mirror therapy and motor imagery. The second training group completed only the intermanual transfer training program. The control group completed a sham training: a dummy training without using the prosthesis simulator. The program lasted five consecutive days. To determine the improvement in skill, a test was administered before, immediately after, and six days after the training program. Training used the "unaffected" arm; tests were performed with the "affected" arm, resembling the amputated limb. Movement time, the time from the beginning of the movement until completion of the task; hand opening, the duration of the maximum prosthetic hand opening; and grip-force control, the deviation from the required force during a tracking task. No intermanual transfer effects were found: neither the intermanual transfer training program, nor the additional mirror therapy and motor imagery affected prosthesis skills. A limitation of the study was that the training program was applied to able-bodied subjects instead of patients with an amputation. Contrary to previous studies, no intermanual transfer effects were found. Additional mirror therapy and motor imagery did not ameliorate intermanual transfer effects.
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Affiliation(s)
- Sietske Romkema
- University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands
- * E-mail:
| | - Raoul M. Bongers
- University of Groningen, University Medical Center Groningen, Center of Human Movement Sciences, Groningen, the Netherlands
| | - Corry K. van der Sluis
- University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands
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17
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Xygonakis I, Athanasiou A, Pandria N, Kugiumtzis D, Bamidis PD. Decoding Motor Imagery through Common Spatial Pattern Filters at the EEG Source Space. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2018; 2018:7957408. [PMID: 30154834 PMCID: PMC6092991 DOI: 10.1155/2018/7957408] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Revised: 05/30/2018] [Accepted: 06/10/2018] [Indexed: 11/18/2022]
Abstract
Brain-Computer Interface (BCI) is a rapidly developing technology that aims to support individuals suffering from various disabilities and, ultimately, improve everyday quality of life. Sensorimotor rhythm-based BCIs have demonstrated remarkable results in controlling virtual or physical external devices but they still face a number of challenges and limitations. Main challenges include multiple degrees-of-freedom control, accuracy, and robustness. In this work, we develop a multiclass BCI decoding algorithm that uses electroencephalography (EEG) source imaging, a technique that maps scalp potentials to cortical activations, to compensate for low spatial resolution of EEG. Spatial features were extracted using Common Spatial Pattern (CSP) filters in the cortical source space from a number of selected Regions of Interest (ROIs). Classification was performed through an ensemble model, based on individual ROI classification models. The evaluation was performed on the BCI Competition IV dataset 2a, which features 4 motor imagery classes from 9 participants. Our results revealed a mean accuracy increase of 5.6% with respect to the conventional application method of CSP on sensors. Neuroanatomical constraints and prior neurophysiological knowledge play an important role in developing source space-based BCI algorithms. Feature selection and classifier characteristics of our implementation will be explored to raise performance to current state-of-the-art.
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Affiliation(s)
- Ioannis Xygonakis
- Biomedical Electronics Robotics and Devices (BERD) Group, Lab of Medical Physics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
- Department of Electrical and Computer Engineering, Faculty of Engineering, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
| | - Alkinoos Athanasiou
- Biomedical Electronics Robotics and Devices (BERD) Group, Lab of Medical Physics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
| | - Niki Pandria
- Biomedical Electronics Robotics and Devices (BERD) Group, Lab of Medical Physics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
| | - Dimitris Kugiumtzis
- Department of Electrical and Computer Engineering, Faculty of Engineering, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
| | - Panagiotis D. Bamidis
- Biomedical Electronics Robotics and Devices (BERD) Group, Lab of Medical Physics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki (AUTH), 54124 Thessaloniki, Greece
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18
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Tanaka H, Matsugi A, Okada Y. The effects of imaginary voluntary muscle contraction and relaxation on cerebellar brain inhibition. Neurosci Res 2018; 133:15-20. [DOI: 10.1016/j.neures.2017.11.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Revised: 11/13/2017] [Accepted: 11/13/2017] [Indexed: 11/24/2022]
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19
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Functional Brain Connectivity during Multiple Motor Imagery Tasks in Spinal Cord Injury. Neural Plast 2018; 2018:9354207. [PMID: 29853852 PMCID: PMC5954936 DOI: 10.1155/2018/9354207] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Revised: 03/06/2018] [Accepted: 03/21/2018] [Indexed: 12/18/2022] Open
Abstract
Reciprocal communication of the central and peripheral nervous systems is compromised during spinal cord injury due to neurotrauma of ascending and descending pathways. Changes in brain organization after spinal cord injury have been associated with differences in prognosis. Changes in functional connectivity may also serve as injury biomarkers. Most studies on functional connectivity have focused on chronic complete injury or resting-state condition. In our study, ten right-handed patients with incomplete spinal cord injury and ten age- and gender-matched healthy controls performed multiple visual motor imagery tasks of upper extremities and walking under high-resolution electroencephalography recording. Directed transfer function was used to study connectivity at the cortical source space between sensorimotor nodes. Chronic disruption of reciprocal communication in incomplete injury could result in permanent significant decrease of connectivity in a subset of the sensorimotor network, regardless of positive or negative neurological outcome. Cingulate motor areas consistently contributed the larger outflow (right) and received the higher inflow (left) among all nodes, across all motor imagery categories, in both groups. Injured subjects had higher outflow from left cingulate than healthy subjects and higher inflow in right cingulate than healthy subjects. Alpha networks were less dense, showing less integration and more segregation than beta networks. Spinal cord injury patients showed signs of increased local processing as adaptive mechanism. This trial is registered with NCT02443558.
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20
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Li F, Zhang T, Li BJ, Zhang W, Zhao J, Song LP. Motor imagery training induces changes in brain neural networks in stroke patients. Neural Regen Res 2018; 13:1771-1781. [PMID: 30136692 PMCID: PMC6128064 DOI: 10.4103/1673-5374.238616] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Motor imagery is the mental representation of an action without overt movement or muscle activation. However, the effects of motor imagery on stroke-induced hand dysfunction and brain neural networks are still unknown. We conducted a randomized controlled trial in the China Rehabilitation Research Center. Twenty stroke patients, including 13 males and 7 females, 32–51 years old, were recruited and randomly assigned to the traditional rehabilitation treatment group (PP group, n = 10) or the motor imagery training combined with traditional rehabilitation treatment group (MP group, n = 10). All patients received rehabilitation training once a day, 45 minutes per session, five times per week, for 4 consecutive weeks. In the MP group, motor imagery training was performed for 45 minutes after traditional rehabilitation training, daily. Action Research Arm Test and the Fugl-Meyer Assessment of the upper extremity were used to evaluate hand functions before and after treatment. Transcranial magnetic stimulation was used to analyze motor evoked potentials in the affected extremity. Diffusion tensor imaging was used to assess changes in brain neural networks. Compared with the PP group, the MP group showed better recovery of hand function, higher amplitude of the motor evoked potential in the abductor pollicis brevis, greater fractional anisotropy of the right dorsal pathway, and an increase in the fractional anisotropy of the bilateral dorsal pathway. Our findings indicate that 4 weeks of motor imagery training combined with traditional rehabilitation treatment improves hand function in stroke patients by enhancing the dorsal pathway. This trial has been registered with the Chinese Clinical Trial Registry (registration number: ChiCTR-OCH-12002238).
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Affiliation(s)
- Fang Li
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Tong Zhang
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Bing-Jie Li
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Wei Zhang
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Jun Zhao
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Lu-Ping Song
- Capital Medical University School of Rehabilitation Medicine; Neurorehabilitation Center, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing, China
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21
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Raffin E, Hummel FC. Restoring Motor Functions After Stroke: Multiple Approaches and Opportunities. Neuroscientist 2017; 24:400-416. [DOI: 10.1177/1073858417737486] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
More than 1.5 million people suffer a stroke in Europe per year and more than 70% of stroke survivors experience limited functional recovery of their upper limb, resulting in diminished quality of life. Therefore, interventions to address upper-limb impairment are a priority for stroke survivors and clinicians. While a significant body of evidence supports the use of conventional treatments, such as intensive motor training or constraint-induced movement therapy, the limited and heterogeneous improvements they allow are, for most patients, usually not sufficient to return to full autonomy. Various innovative neurorehabilitation strategies are emerging in order to enhance beneficial plasticity and improve motor recovery. Among them, robotic technologies, brain-computer interfaces, or noninvasive brain stimulation (NIBS) are showing encouraging results. These innovative interventions, such as NIBS, will only provide maximized effects, if the field moves away from the “one-fits all” approach toward a “patient-tailored” approach. After summarizing the most commonly used rehabilitation approaches, we will focus on NIBS and highlight the factors that limit its widespread use in clinical settings. Subsequently, we will propose potential biomarkers that might help to stratify stroke patients in order to identify the individualized optimal therapy. We will discuss future methodological developments, which could open new avenues for poststroke rehabilitation, toward more patient-tailored precision medicine approaches and pathophysiologically motivated strategies.
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Affiliation(s)
- Estelle Raffin
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Clinique Romande de Réadaptation, Sion, Switzerland
| | - Friedhelm C. Hummel
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
- Defitech Chair of Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), Swiss Federal Institute of Technology (EPFL Valais), Clinique Romande de Réadaptation, Sion, Switzerland
- Clinical Neuroscience, University of Geneva Medical School, Geneva, Switzerland
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22
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Li RQ, Li ZM, Tan JY, Chen GL, Lin WY. Effects of motor imagery on walking function and balance in patients after stroke: A quantitative synthesis of randomized controlled trials. Complement Ther Clin Pract 2017; 28:75-84. [DOI: 10.1016/j.ctcp.2017.05.009] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 05/19/2017] [Accepted: 05/22/2017] [Indexed: 10/19/2022]
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23
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Kurzynski M, Jaskolska A, Marusiak J, Wolczowski A, Bierut P, Szumowski L, Witkowski J, Kisiel-Sajewicz K. Computer-aided training sensorimotor cortex functions in humans before the upper limb transplantation using virtual reality and sensory feedback. Comput Biol Med 2017. [PMID: 28641235 DOI: 10.1016/j.compbiomed.2017.06.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
One of the biggest problems of upper limb transplantation is lack of certainty as to whether a patient will be able to control voluntary movements of transplanted hands. Based on findings of the recent research on brain cortex plasticity, a premise can be drawn that mental training supported with visual and sensory feedback can cause structural and functional reorganization of the sensorimotor cortex, which leads to recovery of function associated with the control of movements performed by the upper limbs. In this study, authors - based on the above observations - propose the computer-aided training (CAT) system, which generating visual and sensory stimuli, should enhance the effectiveness of mental training applied to humans before upper limb transplantation. The basis for the concept of computer-aided training system is a virtual hand whose reaching and grasping movements the trained patient can observe on the VR headset screen (visual feedback) and whose contact with virtual objects the patient can feel as a touch (sensory feedback). The computer training system is composed of three main components: (1) the system generating 3D virtual world in which the patient sees the virtual limb from the perspective as if it were his/her own hand; (2) sensory feedback transforming information about the interaction of the virtual hand with the grasped object into mechanical vibration; (3) the therapist's panel for controlling the training course. Results of the case study demonstrate that mental training supported with visual and sensory stimuli generated by the computer system leads to a beneficial change of the brain activity related to motor control of the reaching in the patient with bilateral upper limb congenital transverse deficiency.
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Affiliation(s)
- Marek Kurzynski
- Wroclaw University of Science and Technology, Faculty of Electronics, Department of Systems and Computer Networks, Wyb. Wyspianskiego 27, 50-370 Wroclaw, Poland.
| | - Anna Jaskolska
- University School of Physical Education, Faculty of Physiotherapy, Department of Kinesiology, ul. I. Paderewskiego 35, 51-612 Wroclaw, Poland
| | - Jaroslaw Marusiak
- University School of Physical Education, Faculty of Physiotherapy, Department of Kinesiology, ul. I. Paderewskiego 35, 51-612 Wroclaw, Poland
| | - Andrzej Wolczowski
- Wroclaw University of Science and Technology, Faculty of Electronics, Department of Cybernetics and Robotics, Wyb. Wyspianskiego 27, 50-370 Wroclaw, Poland
| | - Przemyslaw Bierut
- Wroclaw University of Science and Technology, Faculty of Electronics, Department of Systems and Computer Networks, Wyb. Wyspianskiego 27, 50-370 Wroclaw, Poland
| | - Lukasz Szumowski
- University School of Physical Education, Faculty of Physiotherapy, Department of Kinesiology, ul. I. Paderewskiego 35, 51-612 Wroclaw, Poland
| | - Jerzy Witkowski
- Wroclaw University of Science and Technology, Faculty of Electronics, Department of Cybernetics and Robotics, Wyb. Wyspianskiego 27, 50-370 Wroclaw, Poland
| | - Katarzyna Kisiel-Sajewicz
- University School of Physical Education, Faculty of Physiotherapy, Department of Kinesiology, ul. I. Paderewskiego 35, 51-612 Wroclaw, Poland
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Moriya M, Sakatani K. Effects of Motor Imagery on Cognitive Function and Prefrontal Cortex Activity in Normal Adults Evaluated by NIRS. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2017; 977:227-231. [PMID: 28685450 DOI: 10.1007/978-3-319-55231-6_31] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Recent near-infrared spectroscopy (NIRS) studies demonstrated that physical exercise enhances working memory (WM) performance and prefrontal cortex (PFC) activity during WM tasks in normal adults. Interestingly, the effects of rehabilitation (i.e. physiotherapy) on post-stroke patients could be enhanced by motor imagery (MI), an active process during which the specified action is reproduced within WM without any actual physical movement. However, it is not known whether MI can enhance cognitive function and associated brain activity. To clarify these issues, we evaluated the effect of MI on WM performance and PFC activity during WM tasks in normal adults, employing NIRS. We studied 10 healthy adults. The present study was a crossover comparison test; the MI training and control condition (rest) were applied to the subjects at random. The Time Up and Go method was used for MI training: the subject sat on a chair and conducted MI for 3 min, three times. Neuronal activity (oxyhemoglobin concentration) in the bilateral PFC was measured using 2-CH NIRS during WM tasks. We found that MI improved the behavioral performance of WM compared with the control (p < 0.01). NIRS revealed that MI enhanced PFC activity induced by the WM task compared with the control task (p < 0.01). These results suggest that MI can improve cognitive function and increase associated PFC activity in normal adults.
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Affiliation(s)
- M Moriya
- Department of Rehabilitation, Nihon University Itabashi Hospital, Tokyo, Japan
| | - K Sakatani
- NEWCAT Research Institute, Department of Electrical and Electronics Engineering, College of Engineering, Fukushima, Japan.
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