Lin Qiang, Li Hai, Mao Yu-Rong, Lo Wai-Leung, Zhao Jiang-Li, Chen Ling, Leng Yan, Huang Dong-Feng, Li Le
Department of Rehabilitation Medicine, Guangdong Engineering Technology Research Center for Rehabilitation Medicine and Clinical Translation, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Behav Neurol. 2017;2017:8041962. doi: 10.1155/2017/8041962. Epub 2017 Jun 20.
Most daily movements require some degree of collaboration between the upper limbs. The neural mechanisms are bimanual-condition specific and therefore should be different between different activities. In this study, we aimed to explore intraregional activation and interregional connectivity during bimanual movement by functional magnetic resonance imaging (fMRI). Ten right-handed, normal subjects were recruited. The neural correlates of unimanual (right side) and bimanual (in-phase and antiphase) upper limb movements were investigated. Connectivity analyses were carried out using the psychophysiological interaction (PPI) model. The cerebellum was strongly activated in both unimanual and bimanual movements, and the cingulate motor area (CMA) was the most activated brain area in antiphase bimanual movement. Moreover, compared with unimanual movement, CMA activation was also observed in antiphase bimanual movement, but not in in-phase bimanual movement. In addition, we carried out the PPI model to study the differences of effective connectivity and found that the cerebellum was more connected with the CMA during antiphase bimanual movement than in-phase bimanual movement. Our findings elucidate the differences of the cerebellar-cerebral functional connectivity between antiphase and in-phase bimanual movements, which could be used to facilitate the development of a neuroscience perspective on bimanual movement control in patients with motor impairments.
大多数日常活动都需要上肢之间一定程度的协作。其神经机制具有双手运动条件特异性,因此在不同活动之间应有所不同。在本研究中,我们旨在通过功能磁共振成像(fMRI)探索双手运动过程中的脑区激活和脑区之间的连接。招募了10名右利手的正常受试者。研究了单手(右侧)和双手(同相和反相)上肢运动的神经关联。使用心理生理交互作用(PPI)模型进行连接性分析。小脑在单手和双手运动中均被强烈激活,扣带运动区(CMA)是反相双手运动中激活程度最高的脑区。此外,与单手运动相比,反相双手运动中也观察到CMA激活,但同相双手运动中未观察到。此外,我们采用PPI模型研究有效连接的差异,发现反相双手运动中小脑与CMA的连接比同相双手运动中更紧密。我们的研究结果阐明了反相和同相双手运动中小脑-大脑功能连接的差异,这可用于促进从神经科学角度对运动障碍患者双手运动控制的研究。