在中风后反应平衡期间延迟皮层反应与较慢的动力学和临床平衡功能障碍有关
Jacqueline A Palmer1, Aiden M Payne2, Jasmine L Mirdamadi1
1Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University, Atlanta, GA, USA.
Neurorehabilitation and neural repair
|September 27, 2024
概括
卒中幸存者表现出延迟的皮质反应,影响平衡控制. 神经机械反应受损,特别是在加重腿时,与运动能力和平衡功能受损相关.
科学领域:
- 神经科学是一个神经科学.
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
背景情况:
- 卒中幸存者经常经历平衡和运动能力受损.
- 了解中风后全身神经机械的皮质控制至关重要,特别是与年龄相关的皮质依赖平衡的增加.
研究的目的:
- 为了调查个人是否在中风后在反应平衡期间有皮质反应受损.
- 检查不对称的肢体间贡献如何影响中风后的平衡恢复和皮质反应.
主要方法:
- 脑电图 (EEG) 测量了脑皮层N1对中风幸存者和年龄匹配对照者的支表面扰动的反应.
- 评估皮质反应,临床平衡/移动性测量和压力中心 (CoP) 升高率 (RoR) 之间的关系.
主要成果:
- 与对照人群相比,脑皮层N1反应在中风后的个体中较小且延迟.
- 在中风幸存者中,较慢的皮层延迟与较差的临床平衡和移动功能相关.
- 在平衡恢复期间,帕雷斯腿部负载与非帕雷斯或双边负载不同,显示了与皮质反应延迟相关的较慢的CoP RoR.
结论:
- 皮质反应速度减慢可能会限制个人中风后平衡能力.
- 腿负荷突出显示皮质反应障碍,可能反映了腿运动能力的降低.
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