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Brain stroke after the gait and balance disorders can significantly affect the overall quality of life of patients, even after rehabilitation, 20% -30% of patients can not walk independently.
Brain stroke after the gait and balance disorders can significantly affect the overall quality of life of patients, even after rehabilitation, 20% -30% of patients can not walk independently.
As a result of research that neural network-based functional reorganization is crucial to functional recovery after stroke, the neuromodulation that promotes plastic reorganization is a feasible research goal.
In neuromodulation, the choice of target cortex area is based on the expected effect; for example, the lateral motor area is used to treat upper limb dysfunction, and the parietal cortex is used to treat vision loss.
In neuromodulation, the choice of target cortex area is based on the expected effect; for example, the lateral motor area is used to treat upper limb dysfunction, and the parietal cortex is used to treat vision loss.
Among the various neural structures involved in gait and posture regulation, previous studies have proved the important role of the cerebral cortex, especially the auxiliary motor area (SMA) and its descending projection.
In order to test the hypothesis that SMA promotes fNIRS-NFB to enhance post-stroke gait and balance recovery, experts from the Neuroengineering Department of Global Medical Engineering and Informatics Center, Osaka University, Japan conducted a double-center, double-blind, randomized controlled trial involving 54 A Japanese patient used a 3-meter timed start-up (TUG) test.
In order to test the hypothesis that SMA promotes fNIRS-NFB to enhance post-stroke gait and balance recovery, experts from the Neuroengineering Department of Global Medical Engineering and Informatics Center, Osaka University, Japan conducted a double-center, double-blind, randomized controlled trial involving 54 A Japanese patient used a 3-meter timed start-up (TUG) test.
The researchers included patients with mild to moderate gait disorder caused by subcortical stroke, and used fNIRS-NFB for 6 SMA neurofeedback facilitation treatments in gait and balance-related motor imaging.
Research plan and setting of functional near infrared spectroscopy (fNIRS) neurofeedback
Research plan and setting of functional near infrared spectroscopy (fNIRS) neurofeedbackThe results showed that the improvement of the intervention group in the TUG test (12.
The results showed that the improvement of the intervention group in the TUG test (12.
At the same time, only the intervention group showed a significant increase in image-related SMA activation, and the static connection between the SMA and the lateral premotor zone was enhanced.
Changes in the cortical activation and the resting state connection of the auxiliary motor area (SMA) related to the gait image after neurofeedback
Changes in the cortical activation and the resting state connection of the auxiliary motor area (SMA) related to the gait image after neurofeedbackIn summary, the use of fNIRS neurofeedback may enhance gait and balance recovery after stroke by adjusting SMA and its related networks.
In summary, the use of fNIRS neurofeedback may enhance gait and balance recovery after stroke by adjusting SMA and its related networks.
references:
references:neurology.
neurology.
org/content/96/21/e2587" target="_blank" rel="noopener">Effect of Neurofeedback Facilitation on Poststroke Gait and Balance Recovery A Randomized Controlled Trial.
DOI: https://doi.
org/10.
1212/WNL.
0000000000011989 neurology.
org/content/96/21/e2587" target="_blank" rel="noopener">Effect of Neurofeedback Facilitation on Poststroke Gait and Balance Recovery A Randomized Controlled Trial.
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