Application of fMRI and Simultaneous fMRI-EEG Neurofeedback in Post-Stroke Motor Rehabilitation

Autor: Andrey A. Savelov, E. V. Predtechenskaya, P. E. Maximova, A. A. Semenikhina, E. D. Petrovskii, T. N. Tsaplina, K. V. Kalgin, M. Ye Mel’nikov, A. V. Shurunova, D. D. Bezmaternykh, M. B. Shtark
Rok vydání: 2021
Předmět:
Zdroj: Bulletin of Experimental Biology and Medicine. 171:379-383
ISSN: 1573-8221
0007-4888
Popis: This article discusses the contribution of fMRI- and fMRI-EEG-neurofeedback into recovery of motor function in two subacute stroke patients during the early post-stroke period. Premotor and supplementary motor zones of the cortex were chosen as the targets of voluntary control. Patient 1 received 6 sessions of motor imagery-based fMRI neurofeedback of secondary motor areas activity and Patient 2 received a similar course with the addition of μ- and β-EEG activity suppression. Both reduced the motor deficit severity, improved on the quality of life, and increased the C3/C4 coherence to other central leads within EEG μ-band. Patient 1 reliably increased the fMRI signal in target areas and improved on the strength and speed of hand movements. Patient 2 (fMRI-EEG) mastered the EEG activity regulation to a greater degree. The authors conclude that pure fMRI neurofeedback and bi-modal fMRI-EEG neurofeedback produce different clinical effects in motor rehabilitation, which confirms the prospect of the closed-loop stroke treatment.
Databáze: OpenAIRE