Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Brain Connectivity in Mental Practice and Physical Performance of Bilateral Upper Extremity Function in a Healthy Adult: A Case Study

건강한 성인의 양측상지기능의 상상훈련과 신체적 수행의 대뇌 연결성 비교: 사례 연구

  • Jeong, Eun-Hwa (Dept. of Occupational Therapy, College of Health Science, Far East University) ;
  • Kim, Hee (Dept. of Occupational Therapy, College of Medical Science, Konyang University)
  • 정은화 (극동대학교 의료보건과학대학 작업치료학과) ;
  • 김희 (건양대학교 의과학대학 작업치료학과)
  • Received : 2019.01.09
  • Accepted : 2019.01.31
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study was to investigate whether there is a difference in the brain connectivity in mental practice and physical performance of training bilateral upper extremity function. Method: The subject performed activities involving mental tasks and physical exercise for bilateral upper extremity functioning during each phase of EEG measurements. The subject performed a symmetrical task(lifting a box and placing it back) that involved moving both arms at the same time and an asymmetrical task(opening and closing a bottle cap) in order to perform functional tasks. EEG electrodes were attached to Fp1, Fp2, F3, F4, T3, T4, P3, and P4. Data analysis was performed using Cross-Line Mapping for correlational analyses between EEG electrode pairs. Conclusion: This study found that the brain connectivity patterns of symmetrical and asymmetric upper extremity tasks have similar patterns for the motor and sensory area, and that the correlation of the physical practice is generally higher than that of the mental practice.

목적: 본 연구의 목적은 건강한 성인을 대상으로 양측상지기능 훈련을 통해서 활성화 되는 대뇌 연결성에서 상상 훈련과 신체적 수행 간에 차이가 있는지를 알아보고자 한다. 연구방법: 연구 대상자는 건강한 성인 1명으로 상상훈련과 신체적 수행 시 EEG 측정이 이루어졌다. 양측상지기능 훈련은 대칭 과제와 비대칭 과제로 구성되었다. 대칭 과제는 양손으로 박스를 잡고 동시에 위의 선반으로 올렸다가 다시 내려놓는 과제이고, 비대칭 과제는 한 손으로 병을 잡고 다른 한 손으로 뚜껑을 여는 과제였다. EEG 전극은 Fp1, Fp2, F3, F4, T3, T4, P3 및 P4에 부착되었다. 데이터 분석은 EEG 전극 쌍 간의 상관 분석을 위해 Cross-Line Mapping을 사용하였다. 결론: 본 연구 결과 대칭 및 비대칭의 양측 상지 과제에서 대뇌 연결성 패턴은 운동과 감각 영역에서 유사한 패턴을 가지는 것으로 나타났다. 또한 본 연구를 통해 양측상지기능 훈련 시 상상훈련보다 신체적 수행에서 대뇌 연결성이 더 높은 상호상관을 갖는다는 것을 확인하였다.

Keywords

SGJOBA_2019_v8n1_41_f0001.png 이미지

Figure 1. Electrode Region

SGJOBA_2019_v8n1_41_f0002.png 이미지

Figure 2. Brain Connectivity Using EEG Cross-Line Mapping Analysis. a) resting status, b) symmetry task-physical practice, c) symmetry task-mental practice, d) asymmetry task-physical practice, e) asymmetry task-mental practice

References

  1. Ang, K. K., Chua, K. S. G., Phua, K. S., Wang, C., Chin, Z. Y., Kuah, C. W. K., ... Guan, C. (2015). A randomized controlled trial of EEG-based motor imagery brain-computer interface robotic rehabilitation for stroke. Clinical EEG and Neuroscience, 46(4), 310-320. doi:10.1177/1550059414522229
  2. Arnadottir, G. (1990). The brain and behavior: Assessing cortical dysfunction through activities of daily living (ADL). St. Louis: Mosby.
  3. Braun, S. M., Beurskens, A. J., Borm, P. J., Schack, T., & Wade, D. T. (2006). The effects of mental practice in stroke rehabilitation: A systematic review. Archives of Physical Medicine and Rehabilitation, 87, 842-852. doi:10.1016/j.apmr. 2006.02.034
  4. Braun, S., Kleynen, M., van Heel, T., Kruithof, N., Wade, D., & Beurskens, A. (2013). The effects of mental practice in neurological rehabilitation: A systematic review and meta-analysis. Frontiers in Human Neuroscience, 7, 390. doi:10.3389/fnhum.2013.00390
  5. Choi, E. H., Yoo, W. K., Jung, K. I., Park, D. S., Nam, H. S., & Jun, A. Y. (2008). The modulation of cortical excitability by observation and/or imagery of action. Annals of Rehabilitation Medicine, 32(4), 388-393. doi:10.3389/fnhum.2014.00951
  6. Chu, C. J., Tanaka, N., Diaz, J., Edlow, B. L., Wu, O., Hamalainen, M., ... Kramer, M. A. (2015). EEG functional connectivity is partially predicted by underlying white matter connectivity. Neuroimage, 108, 23-33. doi:10.1016/j.neuroimage.2014.12.033
  7. da Silva, L. C. P., Paz, C. C. S. C., de S, A. M., & Tierra-Criollo, C. J. (2019). EEG coherence analysis in subjects after rehabilitation from stroke with motor imagery. In World Congress on Medical Physics and Biomedical Engineering 2018 (pp. 325-329). Springer, Singapore. doi: 10.1007/978-981-10-9038-7_61
  8. Decety, J., & Ingvar, D. (1990). Brain structures participating in mental simulation of motor behavior: A neuropsychological interpretation. Acta Psychologica, 73, 13-34. doi:10.1016/0001-6918(90)90056-L
  9. Wu, J., Srinivasan, R., Burke Quinlan, E., Solodkin, A., Small, S. L., & Cramer, S. C. (2016). Utility of EEG measures of brain function in patients with acute stroke. Journal of Neurophysiology, 115(5), 2399-2405. doi:10.1152/jn.00978.2015
  10. Decety, J., & Grezes, J. (1999). Neural mechanisms subserving the perception of human actions. Trends in Cognitive Sciences, 3(5), 172-178. doi:10.1016/S1364-6613(99)01312-1
  11. Deiber, M. P., Ibanez, V., Honda, M., Sadato, N., Raman, R., & Hallett, M. (1998). Cerebral processes related to visuomotor imagery and generation of simple finger movements studied with positron emission tomography. Neuroimage, 7(2), 73-85. doi:10.1006/nimg. 1997.0314
  12. Green, J. B., Bialy, Y., Sora, E., & Thatcher, R. W. (1997). An electroencephalographic study of imagined movement. Archives of Physical Medicine and Rehabilitation, 78(6), 578-581. doi:0.1016/S0003-9993(97)90421-4 https://doi.org/10.1016/S0003-9993(97)90421-4
  13. Guillot, A., Collet, C., Nguyen, V. A., Malouin, F., Richards, C., & Doyon, J. (2009). Brain activity during visual versus kinesthetic imagery: An fMRI study. Human Brain Mappping, 30, 2157-2172. doi:10.1002/hbm.20658
  14. Hanakawa, T., Dimyan, M. A., & Hallett, M. (2008). Motor planning, imagery, and execution in the distributed motor network: A time-course study with functional MRI. Cerebral Cortex, 18, 2775-2788. doi:10.1093/cercor/bhn036
  15. Jackson, P. L., Lafleur, M. F., Malouin, F., Richards, C., & Doyon, J. (2001). Potential role of mental practice using motor imagery in neurologic rehabilitation. Archives of Physical Medicine and Rehabilitation, 82(8), 1133-1141. doi:10.1053/apmr.2001.24286
  16. Liu, H., Song, L., & Zhang, T. (2014). Changes in brain activation in stroke patients after mental practice and physical exercise: A functional MRI study. Neural Regeneration Research, 9(15), 1474-1484. doi:10.4103/1673-5374.139465
  17. Luft, A. R., Skalej, M., Stefanou, A., Klose, U., & Voigt, K. (1998). Comparing motion-and imagery-related activation in the human cerebellum: A functional MRI study. Human Brain Mapping, 6(2), 105-113. doi:10.1002/(SICI)1097-0193(1998)6:2<105::AID-HBM3>3.0.CO;2-7
  18. Malouin, F., & Richards, C. L. (2010). Mental practice for relearning locomotor skills. Physical Therapy, 90(2), 240-251. doi: 10.2522/ptj.20090029
  19. Sabbah, P., Simond, G., Levrier, O., Habib, M., Trabaud, V., Murayama, N., ... Salamon, G. (1995). Functional magnetic resonance imaging at 1.5 T during sensorimotor and cognitive task. European Neurology, 35(3), 131-136. doi:10.1159/000117108
  20. Saito, K., Yamaguchi, T., Yoshida, N., Tanabe, S., Kondo, K., & Sugawara, K. (2013). Combined effect of motor imagery and peripheral nerve electrical stimulation on the motor cortex. Experimental Brain Research, 227, 333-342. doi:10.1007/s00221-013-3513-5
  21. Skold, A. (2010). Performing bimanual activities in everyday life-experiences of children with unilateral cerebral palsy (Doctoral theses). Department of Woman and Child Health Karolinska Institutet, Stockholm.
  22. Szameitat, A. J., McNamara, A., Shen, S., & Sterr, A. (2012). Neural activation and functional connectivity during motor imagery of bimanual everyday actions. PloS one, 7(6), e38506. doi:10.1371/journal.pone.0038506
  23. Tyszka, J. M., Grafton, S. T., Chew, W., Woods, R. P., & Colletti, P. M. (1994). Parceling of mesial frontal motor areas during ideation and movement using functional magnetic resonance imaging at 1.5 tesla. Annals of Neurology, 35(6), 746-749. doi:10.1002/ana.410350617