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Updated: May 16, 2026

Event-related Potentials During Target-response Tasks to Study Cognitive Processes of Upper Limb Use in Children with Unilateral Cerebral Palsy
Published on: January 11, 2016
A novel EEG-based brain mapping to determine cortical activation patterns in normal children and children with
Yoon Kyum Shin1, Dong Ryul Lee, Han Jeong Hwang
1Movement Healing Laboratory, Department of Physical Therapy, Yonsei University, Wonju, Korea.
Insights
This study reveals distinct brain activity patterns during motor imagery tasks in children with cerebral palsy (CP) compared to typically developing children. These findings highlight differences in neural substrates for motor control and imagery in CP.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Motor Control
Background:
- Cerebral palsy (CP) affects motor function due to brain injury.
- Understanding the neural basis of motor control and imagery in CP is crucial for rehabilitation.
Purpose of the Study:
- To compare electroencephalography (EEG) topographical maps between normal children and those with CP.
- To investigate neural activity during motor execution and motor imagery tasks.
Main Methods:
- Utilized an EEG-based brain mapping system with 30 scalp sites.
- Examined four motor tasks: movement execution (ME), kinesthetic-motor imagery (KMI), observation of movement (OOM), and visual motor imagery (VMI).
- Focused on key regions of interest (ROIs) including the sensorimotor cortex (SMC), premotor cortex (PMC), and supplementary motor area (SMA).
Main Results:
- Normal children exhibited increased SMC activation during ME and KMI, and SMC/visual cortex (VC) activation during KMI.
- Children with CP showed comparable SMC and motor network area (PMC, SMA, VC) activation.
- During OOM and VMI, normal children primarily activated the VC, while children with CP activated the VC, SMC, and auditory areas.
Conclusions:
- This research is the first to demonstrate differing neural substrates for motor imagery tasks in children with and without CP.
- Findings suggest unique cortical reorganization and functional networks underlying motor imagery in children with CP.
Purpose:
The purpose of this study was to compare EEG topographical maps in normal children and children with cerebral palsy (CP) during motor execution and motor imagery tasks.
Method:
Four normal children and four children with CP (mean age 11.6 years) were recruited from a community medical center. An EEG-based brain mapping system with 30 scalp sites (extended 10--20 system) was used to determine cortical reorganization in the regions of interest (ROIs) during four motor tasks: movement execution (ME), kinesthetic-motor imagery (KMI), observation of movement (OOM), and visual motor imagery (VMI). ROIs included the primary sensorimotor cortex (SMC), premotor cortex (PMC), and supplementary motor area (SMA).
Design:
Descriptive analysis.
Results:
Normal children showed increased SMC activation during the ME and KMI aswell as SMC and visual cortex (VC) activation during KMI. Children with CP showed similar activation in the SMC and other motor network areas (PMC, SMA, and VC). During the OOM and VMI tasks, the VC or occipital area were primarily activated in normal children, whereas the VC, SMC, and bilateral auditory areas were activated in children with CP.
Discussion:
This is the first study demonstrating different neural substrates for motor imagery tasks in normal and children with CP.

