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Exploring Hemodynamic Responses Using Mirror Visual Feedback With Electromyogram-Triggered Stimulation and Functional
Yuji Inagaki1, Kazunori Seki2, Hitoshi Makino3
1Department of Rehabilitation Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Mirror visual feedback (MVF) activates the postcentral gyrus during movement observation. Combining MVF with electromyogram-triggered electrical stimulation (ETES) reduced cortical activation in healthy subjects.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
Background:
- Mirror visual feedback (MVF) and electrical stimulation (ES) are explored for hemiparesis.
- The neurophysiological impact of these combined therapies remains unclear.
Purpose of the Study:
- To investigate the hemodynamic brain responses to MVF alone and with electromyogram-triggered ES (ETES).
- To determine the contribution of different visual feedback components and ES to cortical activation.
Main Methods:
- Functional near-infrared spectroscopy (fNIRS) measured brain oxygenation in 18 healthy subjects.
- NIRS assessed activation in precentral gyrus, postcentral gyrus, SMA, SMG, and AG.
- Effects of visual feedback (mark, right hand, mirrored movements) with/without ES were analyzed.
Main Results:
- Mirrored tasks (MT) significantly activated the left postcentral gyrus (PoG) more than other tasks.
- The right PoG and right supplementary motor area (SMA) showed higher activation in MT compared to MT + ES.
- Observation of movements via mirror primarily activated the PoG, not the precentral gyrus (PrG).
Conclusions:
- MVF observation of movements activates the postcentral gyrus.
- Combined MVF and ETES therapy may decrease cortical activation compared to MVF alone.
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