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Neural correlation between swallowing motor imagery and execution: an EEG analysis
Xiang Qiu1,2, Zhi-Yong Wang1,2, Xiao-Hong Jiang3,4
1Department of Rehabilitation, The First Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China.
Journal of Neural Engineering
|December 10, 2025
Summary
Swallowing motor imagery (MI) shows similar brain activation patterns to actual swallowing, particularly in central and parietal regions. This supports using MI-based brain-computer interfaces (BCIs) for dysphagia rehabilitation.
Area of Science:
- Neuroscience
- Rehabilitation Engineering
- Clinical Neurophysiology
Background:
- The physiological basis for using swallowing motor imagery (MI) in brain-computer interface (BCI) paradigms for rehabilitation is not well understood.
- Clarifying the relationship between swallowing execution and MI is crucial for optimizing BCI applications for patients with dysphagia.
Purpose of the Study:
- To investigate the neural dynamics and physiological similarities between swallowing motor imagery and actual swallowing execution.
- To provide a stronger physiological foundation for the use of swallowing MI-based BCIs in dysphagia rehabilitation.
Main Methods:
- Thirty healthy participants underwent electroencephalography (EEG) and electromyography (EMG) recordings during swallowing MI and saliva swallowing tasks.
- Analysis included EMG-based onset detection, EEG time-frequency analysis, functional connectivity, and sample entropy (SampEn) to explore neural dynamics.
Main Results:
- Both swallowing MI and execution demonstrated event-related desynchronization (ERD) in central and parietal regions, with a weak but significant correlation.
- ERD during MI resembled the pharyngeal stage of swallowing more closely than other stages.
- Functional connectivity showed greater central region activation during MI, while motor execution exhibited higher signal complexity (SampEn).
Conclusions:
- Swallowing imagery and execution share significant neural activation similarities, particularly in central and parietal brain regions.
- These findings support the use of swallowing imagery paradigms within these regions for BCI-based rehabilitation strategies.
- Further research is needed to refine BCI applications for swallowing disorders based on these insights.

