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Connectivity Analysis during Rubber Hand Illusion-A Pilot TMS-EEG Study in a Patient with SCI
Vanessa N Frey1,2, Aljoscha Thomschewski1,2,3, Patrick B Langthaler1,2,3
1Department of Neurology, Christian Doppler University Hospital, Paracelsus Medical University and Centre for Cognitive Neuroscience, Austria.
Brain connectivity in spinal cord injury (SCI) patients shows higher laterality, suggesting neuroplasticity. This pattern, while similar to healthy individuals, indicates unique adaptations in response to bodily self-perception changes like the rubber hand illusion (RHI).
Area of Science:
- Neuroscience
- Neuroimaging
- Brain Connectivity
Background:
- Bodily self-perception is crucial in neurological disorders like spinal cord injury (SCI).
- The rubber hand illusion (RHI) alters sensory pathways and brain connectivity.
- Understanding these changes is key to addressing functional impairments.
Purpose of the Study:
- To investigate if cortical excitability manipulation affects bodily self-perception.
- To compare brain connectivity when RHI is not evoked.
- To examine these effects in a patient with SCI.
Main Methods:
- Applied RHI and theta burst stimulation (TBS) to the somatosensory cortex.
- Recorded high-density electroencephalography (HD-EEG) in 18 healthy participants and one SCI patient.
- Analyzed directed and non-directed connectivity measures.
Main Results:
- No significant difference in connectivity between sham and real TBS or RHI effectiveness.
- The SCI patient exhibited higher right and lower left hemisphere connectivity (laterality).
- Overall connectivity patterns were similar between healthy participants and the SCI patient.
Conclusions:
- The observed laterality in the SCI patient may reflect neuroplasticity to compensate for functional deficits.
- Cortico-cortical communication remained unaltered regardless of RHI provocation.
- The rubber hand illusion's effect was not detectable via EEG analysis in this study.
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