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Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
Published on: July 14, 2023
Specific effects of EEG based neurofeedback training on memory functions in post-stroke victims
Silvia Erika Kober1,2, Daniela Schweiger3, Matthias Witte4
1Department of Psychology, University of Graz, Universitaetsplatz 2/III, Graz, 8010, Austria. silvia.kober@uni-graz.at.
Electroencephalogram-based neurofeedback (NF) training improved memory in stroke patients, similar to healthy individuals. Different NF protocols specifically enhanced verbal, visuo-spatial, and working memory, offering a promising cognitive rehabilitation tool.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Rehabilitation Medicine
Background:
- Electroencephalogram (EEG) based neurofeedback (NF) directly modulates brain activity and its cortical substrates.
- Investigated stroke patients' ability to control brain activity via NF and its effects on cognitive recovery, particularly memory.
Purpose of the Study:
- To evaluate the efficacy of different NF protocols in stroke patients.
- To assess the impact of NF on memory recovery and other cognitive functions post-stroke.
Main Methods:
- 17 stroke patients underwent up to ten sessions of either Sensorimotor Rhythm (SMR) or Upper Alpha NF training.
- A control group of 7 stroke patients received treatment as usual.
- 40 healthy controls also performed NF training for comparison.
- Cognitive functions were assessed using a test battery before and after NF training.
Main Results:
- Approximately 70% of both stroke patients and healthy controls showed improved NF performance and enhanced verbal memory.
- SMR NF group demonstrated specific improvements in visuo-spatial short-term memory.
- Upper Alpha NF group showed specific improvements in working memory.
- NF training effects on memory were more pronounced than traditional cognitive training methods in stroke patients.
Conclusions:
- Stroke survivors with memory deficits can benefit from NF training comparably to healthy individuals.
- Specific and unspecific memory improvements were observed with SMR and Upper Alpha NF protocols.
- NF presents a potential effective cognitive rehabilitation strategy for post-stroke memory impairments.
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