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先天性耳聋的神经适应:通过跨模态神经可塑性增强触觉辨别能力 - fMRI 研究。

Neural adaptations to congenital deafness: enhanced tactile discrimination through cross-modal neural plasticity - an fMRI study.

机构信息

Centre of Bio-Medical Research, Sanjay Gandhi Postgraduate Institute of Medical Sciences Campus, Lucknow, Uttar Pradesh, 226014, India.

Department of Special Education (Hearing Impairments), Dr. Shakuntala Misra National Rehabilitation University, Lucknow, India.

出版信息

Neurol Sci. 2024 Nov;45(11):5489-5499. doi: 10.1007/s10072-024-07615-4. Epub 2024 May 27.

Abstract

BACKGROUND

This study explores the compensatory neural mechanisms associated with congenital deafness through an examination of tactile discrimination abilities using high-resolution functional magnetic resonance imaging (fMRI).

OBJECTIVE

To analyze the neural substrates underlying tactile processing in congenitally deaf individuals and compare them with hearing controls.

METHODS

Our participant pool included thirty-five congenitally deaf individuals and thirty-five hearing controls. All participants engaged in tactile discrimination tasks involving the identification of common objects by touch. We utilized an analytical suite comprising voxel-based statistics, functional connectivity multivariate/voxel pattern analysis (fc-MVPA), and seed-based connectivity analysis to examine neural activity.

RESULTS

Our findings revealed pronounced neural activity in congenitally deaf participants within regions typically associated with auditory processing, including the bilateral superior temporal gyrus, right middle temporal gyrus, and right rolandic operculum. Additionally, unique activation and connectivity patterns were observed in the right insula and bilateral supramarginal gyrus, indicating a strategic reorganization of neural pathways for tactile information processing. Behaviorally, both groups demonstrated high accuracy in the tactile tasks, exceeding 90%. However, the deaf participants outperformed their hearing counterparts in reaction times, showcasing significantly enhanced efficiency in tactile information processing.

CONCLUSION

These insights into the brain's adaptability to sensory loss through compensatory neural reorganization highlight the intricate mechanisms by which tactile discrimination is enhanced in the absence of auditory input. Understanding these adaptations can help develop strategies to harness the brain's plasticity to improve sensory processing in individuals with sensory impairments, ultimately enhancing their quality of life through improved tactile perception and sensory integration.

摘要

背景

本研究通过高分辨率功能磁共振成像(fMRI)检查触觉辨别能力,探索了与先天性耳聋相关的代偿性神经机制。

目的

分析先天性耳聋个体触觉加工的神经基础,并与听力对照组进行比较。

方法

我们的研究对象包括 35 名先天性耳聋者和 35 名听力对照组。所有参与者都参与了触觉辨别任务,通过触摸来识别常见物体。我们使用了一个分析套件,包括基于体素的统计、功能连接多元/体素模式分析(fc-MVPA)和基于种子的连接分析,以检查神经活动。

结果

我们的研究结果显示,先天性耳聋者在与听觉处理相关的区域内表现出明显的神经活动,包括双侧颞上回、右颞中回和右 Rolandic 脑回。此外,在右侧岛叶和双侧缘上回观察到独特的激活和连接模式,表明触觉信息处理的神经通路发生了策略性重组。行为上,两组在触觉任务中的准确率都很高,超过 90%。然而,耳聋组的反应时间优于听力对照组,表明他们在触觉信息处理方面的效率显著提高。

结论

这些关于大脑通过代偿性神经重组适应感觉丧失的见解突出了在没有听觉输入的情况下增强触觉辨别能力的复杂机制。了解这些适应性可以帮助我们制定策略,利用大脑的可塑性来改善感觉障碍个体的感觉处理,最终通过提高触觉感知和感觉整合来提高他们的生活质量。

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