Ko Na-Hyeon, Laine Christopher M, Valero-Cuevas Francisco J
Department of Physical Therapy, California State University, Fresno, CA, United States.
Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
Front Sports Act Living. 2023 Jul 28;5:1177004. doi: 10.3389/fspor.2023.1177004. eCollection 2023.
Beta-band (15-30 Hz) synchronization between the EMG signals of active limb muscles can serve as a non-invasive assay of corticospinal tract integrity. Tasks engaging a single limb often primarily utilize one corticospinal pathway, although bilateral neural circuits can participate in goal-directed actions involving multi-muscle coordination and utilization of feedback. Suboptimal utilization of such circuits after CNS injury can result in unintended mirror movements and activation of pathological synergies. Accordingly, it is important to understand how the actions of one limb (e.g., a less-affected limb after strokes) influence the opposite corticospinal pathway for the rehabilitation target. Certain unimanual actions decrease the excitability of the "unengaged" corticospinal tract, presumably to prevent mirror movement, but there is no direct way to predict the extent to which this will occur. In this study, we tested the hypothesis that task-dependent changes in beta-band drives to muscles of one hand will inversely correlate with changes in the opposite corticospinal tract excitability. Ten participants completed spring pinching tasks known to induce differential 15-30 Hz drive to muscles. During compressions, transcranial magnetic stimulation single pulses to the ipsilateral M1 were delivered to generate motor-evoked potentials in the unengaged hand. The task-induced changes in ipsilateral corticospinal excitability were inversely correlated with associated changes in EMG-EMG coherence of the task hand. These results demonstrate a novel connection between intermuscular coherence and the excitability of the "unengaged" corticospinal tract and provide a springboard for further mechanistic studies of unimanual tasks of varying difficulty and their effects on neural pathways relevant to rehabilitation.
主动肢体肌肉的肌电信号之间的β波段(15 - 30Hz)同步可作为皮质脊髓束完整性的一种非侵入性检测方法。涉及单肢体的任务通常主要利用一条皮质脊髓通路,尽管双侧神经回路可参与涉及多肌肉协调和反馈利用的目标导向动作。中枢神经系统损伤后这些回路利用不佳可导致意外的镜像运动和病理性协同作用的激活。因此,了解一个肢体(例如中风后受影响较小的肢体)的动作如何影响康复目标的对侧皮质脊髓通路很重要。某些单手动作会降低“未参与”皮质脊髓束的兴奋性,推测是为了防止镜像运动,但没有直接方法预测这种情况发生的程度。在本研究中,我们测试了以下假设:对一只手肌肉的β波段驱动的任务依赖性变化将与对侧皮质脊髓束兴奋性的变化呈负相关。10名参与者完成了已知会对肌肉产生不同15 - 30Hz驱动的弹簧捏取任务。在按压过程中,向同侧M1施加经颅磁刺激单脉冲,以在未参与的手产生运动诱发电位。任务诱导的同侧皮质脊髓兴奋性变化与任务手的肌电 - 肌电相干性的相关变化呈负相关。这些结果证明了肌间相干性与“未参与”皮质脊髓束兴奋性之间的一种新联系,并为进一步研究不同难度的单手任务及其对与康复相关神经通路的影响提供了一个跳板。