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脑电图显示,有脑震荡病史的无症状成年人存在感觉门控和认知加工缺陷。

EEG reveals deficits in sensory gating and cognitive processing in asymptomatic adults with a history of concussion.

作者信息

Tapper Anthony, Staines W Richard, Niechwiej-Szwedo Ewa

机构信息

Department of Kinesiology, University of Waterloo, Waterloo, Canada.

出版信息

Brain Inj. 2022 Sep 19;36(10-11):1266-1279. doi: 10.1080/02699052.2022.2120210. Epub 2022 Sep 7.

Abstract

OBJECTIVE

Individuals with a concussion history tend to perform worse on dual-tasks compared controls but the underlying neural mechanisms contributing to these deficits are not understood. This study used event-related potentials (ERPs) to investigate sensory gating and cognitive processing in athletes with and without a history of concussion while they performed a challenging dual-task.

METHODS

We recorded sensory (P50, N100) and cognitive (P300) ERPs in 30 athletes (18 no previous concussion; 12 history of concussion) while they simultaneously performed an auditory oddball task and a working memory task that progressively increased in difficulty.

RESULTS

The concussion group had reduced auditory performance as workload increased compared to the no-concussion group. Sensory gating and cognitive processing were reduced in the concussion group indicating problems with filtering relevant from irrelevant information and appropriately allocating resources. Sensory gating (N100) was positively correlated with cognitive processing (P300) at the hardest workload in the no-concussion group but negatively correlated in the concussion group.

CONCLUSION

Concussions result in long-term problems in behavioral performance, which may be due to poorer sensory gating that impacts cognitive processing.

SIGNIFICANCE

Problems effectively gating sensory information may influence the availability or allocation of attention at the cognitive stage in those with a concussion.

摘要

目的

有脑震荡病史的个体在执行双重任务时往往比对照组表现更差,但导致这些缺陷的潜在神经机制尚不清楚。本研究使用事件相关电位(ERP)来调查有和无脑震荡病史的运动员在执行具有挑战性的双重任务时的感觉门控和认知处理情况。

方法

我们记录了30名运动员(18名无既往脑震荡;12名有脑震荡病史)的感觉(P50、N100)和认知(P300)ERP,同时他们执行一项听觉Oddball任务和一项难度逐渐增加的工作记忆任务。

结果

与无脑震荡组相比,脑震荡组随着工作量增加听觉表现下降。脑震荡组的感觉门控和认知处理能力下降,表明在过滤相关和不相关信息以及适当分配资源方面存在问题。在最难的工作量下,无脑震荡组的感觉门控(N100)与认知处理(P300)呈正相关,而脑震荡组呈负相关。

结论

脑震荡会导致行为表现长期出现问题,这可能是由于较差的感觉门控影响了认知处理。

意义

在脑震荡患者中,有效门控感觉信息的问题可能会影响认知阶段注意力的可用性或分配。

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