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 |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
genetic structures Supplementary motor area medicine.diagnostic_test business.industry General Medicine Electroencephalography behavioral disciplines and activities General Biochemistry Genetics and Molecular Biology Motor rehabilitation medicine.anatomical_structure Physical medicine and rehabilitation Motor imagery nervous system Cortex (anatomy) medicine Post stroke Neurofeedback business Motor Deficit psychological phenomena and processes |
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 |
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