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Quantitative Assessment of Cortical Auditory-tactile Processing in Children with Disabilities
Published on: January 29, 2014
Secondary somatosensory cortex evoked responses and 6-year neurodevelopmental outcome in extremely preterm children
Piia Lönnberg1, Elina Pihko2, Leena Lauronen3
1Child Neurology, New Children's Hospital, Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Insights
Secondary somatosensory cortex (SII) responses in extremely preterm born (EPB) children at term-equivalent age (TEA) can predict motor outcomes at age 6. SII responses were similar between EPB and term-born children at age 6.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Neurophysiology
Background:
- Extremely preterm birth (EPB) poses risks for neurodevelopmental outcomes.
- The secondary somatosensory cortex (SII) plays a role in sensory processing and motor control.
- Early neurophysiological markers are needed for outcome prediction in EPB children.
Purpose of the Study:
- To investigate the correlation between SII responses at term-equivalent age (TEA) and neurodevelopmental outcomes at age 6 in EPB children.
- To compare SII responses between 6-year-old EPB and term-born (TB) children.
Main Methods:
- Magnetoencephalography (MEG) was used to record SII responses to tactile stimulation in 39 EPB children at TEA.
- At age 6, MEG was performed on 32 EPB and 26 TB children, including a sensorimotor task.
- Neurological, motor, and cognitive outcomes were assessed at age 6.
Main Results:
- A unilaterally absent SII response at TEA predicted poorer motor competence in EPB children at age 6 (p=0.03).
- SII responses were bilaterally detectable in most EPB (88%) and TB (92%) children at age 6 (p=0.69).
- EPB children, unlike TB children, did not show decreased SII peak latencies during a motor inhibition task (p=0.02).
Conclusions:
- The presence of SII responses at TEA is a significant predictor of motor development in EPB children.
- Neurophysiological assessments, such as MEG-based SII response evaluation, offer potential for early prognostication in EPB populations.
Objective:
We assessed in extremely preterm born (EPB) children whether secondary somatosensory cortex (SII) responses recorded with magnetoencephalography (MEG) at term-equivalent age (TEA) correlate with neurodevelopmental outcome at age 6 years. Secondly, we assessed whether SII responses differ between 6-year-old EPB and term-born (TB) children.
Methods:
39 EPB children underwent MEG with tactile stimulation at TEA. At age 6 years, 32 EPB and 26 TB children underwent MEG including a sensorimotor task requiring attention and motor inhibition. SII responses to tactile stimulation were modeled with equivalent current dipoles. Neurological outcome, motor competence, and general cognitive ability were prospectively evaluated at age 6 years.
Results:
Unilaterally absent SII response at TEA was associated with abnormal motor competence in 6-year-old EPB children (p = 0.03). At age 6 years, SII responses were bilaterally detectable in most EPB (88%) and TB (92%) children (group comparison, p = 0.69). Motor inhibition was associated with decreased SII peak latencies in TB children, but EPB children lacked this effect (p = 0.02).
Conclusions:
Unilateral absence of an SII response at TEA predicted poorer motor outcome in EPB children.
Significance:
Neurophysiological methods may provide new means for outcome prognostication in EPB children.
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