Ulanov Maxim, Shtyrov Yury
Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, HSE University, Moscow, Russia.
Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Front Hum Neurosci. 2022 Sep 26;16:940845. doi: 10.3389/fnhum.2022.940845. eCollection 2022.
Stroke remains one of the leading causes of various disabilities, including debilitating motor and language impairments. Though various treatments exist, post-stroke impairments frequently become chronic, dramatically reducing daily life quality, and requiring specific rehabilitation. A critical goal of chronic stroke rehabilitation is to induce, usually through behavioral training, experience-dependent plasticity processes in order to promote functional recovery. However, the efficiency of such interventions is typically modest, and very little is known regarding the neural dynamics underpinning recovery processes and possible biomarkers of their efficiency. Some studies have emphasized specific alterations of excitatory-inhibitory balance within distributed neural networks as an important recovery correlate. Neural processes sensitive to these alterations, such as task-dependent oscillatory activity in beta as well as alpha bands, may be candidate biomarkers of chronic stroke functional recovery. In this review, we discuss the results of studies on motor and language recovery with a focus on oscillatory processes centered around the beta band and their modulations during functional recovery in chronic stroke. The discussion is based on a framework where task-dependent modulations of beta and alpha oscillatory activity, generated by the deep cortical excitatory-inhibitory microcircuits, serve as a neural mechanism of domain-general top-down control processes. We discuss the findings, their limitations, and possible directions for future research.
中风仍然是导致各种残疾的主要原因之一,包括使人衰弱的运动和语言障碍。尽管存在各种治疗方法,但中风后的损伤常常会变成慢性的,极大地降低生活质量,并需要特定的康复治疗。慢性中风康复的一个关键目标是通常通过行为训练来诱导依赖经验的可塑性过程,以促进功能恢复。然而,这种干预措施的效率通常不高,对于恢复过程背后的神经动力学以及其效率的可能生物标志物知之甚少。一些研究强调分布式神经网络内兴奋-抑制平衡的特定改变是重要的恢复相关因素。对这些改变敏感的神经过程,如β波段以及α波段中与任务相关的振荡活动,可能是慢性中风功能恢复的候选生物标志物。在这篇综述中,我们讨论了关于运动和语言恢复的研究结果,重点关注以β波段为中心的振荡过程及其在慢性中风功能恢复期间的调制。讨论基于一个框架,即由深层皮质兴奋-抑制微电路产生的β和α振荡活动的任务相关调制,作为领域通用的自上而下控制过程的神经机制。我们讨论了这些发现、它们的局限性以及未来研究的可能方向。
Hum Brain Mapp. 2021-12-1
Hum Brain Mapp. 2020-4-1
Eur J Neurosci. 2018-3-9
Neuroimage. 2018-4-7
Front Syst Neurosci. 2022-9-15
Motor Control. 2024-8-22
J Neurodev Disord. 2024-7-16
Brain Commun. 2020-10-7
Front Hum Neurosci. 2020-9-2
Neurorehabil Neural Repair. 2020-6
Arch Phys Med Rehabil. 2020-5-15
Hum Brain Mapp. 2020-4-1