IEEE Trans Neural Syst Rehabil Eng. 2023;31:3772-3780. doi: 10.1109/TNSRE.2023.3317055. Epub 2023 Sep 28.
There is a need to develop appropriate balance training interventions to minimize the risk of falls. Recently, we found that intermittent visual occlusions can substantially improve the effectiveness and retention of balance beam walking practice (Symeonidou & Ferris, 2022). We sought to determine how the intermittent visual occlusions affect electrocortical activity during beam walking. We hypothesized that areas involved in sensorimotor processing and balance control would demonstrate spectral power changes and inter-trial coherence modulations after loss and restoration of vision. Ten healthy young adults practiced walking on a treadmill-mounted balance beam while wearing high-density EEG and experiencing reoccurring visual occlusions. Results revealed spectral power fluctuations and inter-trial coherence changes in the visual, occipital, temporal, and sensorimotor cortex as well as the posterior parietal cortex and the anterior cingulate. We observed a prolonged alpha increase in the occipital, temporal, sensorimotor, and posterior parietal cortex after the occlusion onset. In contrast, the anterior cingulate showed a strong alpha and theta increase after the occlusion offset. We observed transient phase synchrony in the alpha, theta, and beta bands within the sensory, posterior parietal, and anterior cingulate cortices immediately after occlusion onset and offset. Intermittent visual occlusions induced electrocortical spectral power and inter-trial coherence changes in a wide range of frequencies within cortical areas relevant for multisensory integration and processing as well as balance control. Our training intervention could be implemented in senior and rehabilitation centers, improving the quality of life of elderly and neurologically impaired individuals.
需要开发适当的平衡训练干预措施,以最大限度地降低跌倒风险。最近,我们发现间歇性视觉遮挡可以显著提高平衡木行走练习的效果和保持(Symeonidou & Ferris,2022)。我们试图确定间歇性视觉遮挡如何影响平衡木行走过程中的脑电活动。我们假设,涉及感觉运动处理和平衡控制的区域在视觉丧失和恢复后会表现出频谱功率变化和试验间相干调制。10 名健康的年轻人在跑步机-mounted 平衡木上行走时,戴着高密度脑电图(EEG),并经历反复的视觉遮挡。结果显示,视觉、枕叶、颞叶和感觉运动皮层以及顶后皮层和前扣带皮层的频谱功率波动和试验间相干性变化。我们观察到,在遮挡开始后,枕叶、颞叶、感觉运动和顶后皮层的 alpha 波持续增加。相比之下,前扣带皮层在遮挡结束后显示出强烈的 alpha 和 theta 波增加。我们观察到在遮挡开始和结束后,alpha、theta 和 beta 波段的瞬时相位同步在感觉、顶后和前扣带皮层内。间歇性视觉遮挡会引起与多感觉整合和处理以及平衡控制相关的皮层区域的广泛频率范围内的脑电频谱功率和试验间相干性变化。我们的训练干预可以在高级和康复中心实施,提高老年人和神经受损个体的生活质量。
IEEE Trans Neural Syst Rehabil Eng. 2023
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