Center for Neuromotor and Biomechanics Research, Department of Health and Human Performance, University of Houston, 3875 Holman Street, suite 104R GAR, Houston, TX, 77204, USA.
Yale Child Study Center, Yale University, New Haven, Connecticut, USA.
Exp Brain Res. 2024 Sep;242(9):2093-2112. doi: 10.1007/s00221-024-06884-x. Epub 2024 Jul 4.
Balance control is an important indicator of mobility and independence in activities of daily living. How the functional coupling between the cortex and the muscle for balance control is affected following stroke remains to be known. We investigated the changes in coupling between the cortex and leg muscles during a challenging balance task over multiple frequency bands in chronic stroke survivors. Fourteen participants with stroke and ten healthy controls performed a challenging balance task. They stood on a computerized support surface that was either fixed (low difficulty condition) or sway-referenced with varying gain (medium and high difficulty conditions). We computed corticomuscular coherence between electrodes placed over the sensorimotor area (electroencephalography) and leg muscles (electromyography) and assessed balance performance using clinical and laboratory-based tests. We found significantly lower delta frequency band coherence in stroke participants when compared with healthy controls under medium difficulty condition, but not during low and high difficulty conditions. These differences were found for most of the distal but not for proximal leg muscle groups. No differences were found at other frequency bands. Participants with stroke showed poor balance clinical scores when compared with healthy controls, but no differences were found for laboratory-based tests. The observation of effects at distal but not at proximal muscle groups suggests differences in the (re)organization of the descending connections across two muscle groups for balance control. We argue that the observed group difference in delta band coherence indicates balance context-dependent alteration in mechanisms for the detection of somatosensory modulation resulting from sway-referencing of the support surface for balance maintenance following stroke.
平衡控制是日常生活活动中移动性和独立性的重要指标。中风后,大脑皮层和肌肉之间用于平衡控制的功能耦合如何受到影响仍不清楚。我们研究了慢性中风幸存者在多个频带下进行挑战性平衡任务时皮层和腿部肌肉之间耦合的变化。14 名中风患者和 10 名健康对照者完成了一项具有挑战性的平衡任务。他们站在计算机化的支撑表面上,支撑表面要么是固定的(低难度条件),要么是根据变化的增益进行摇摆参考(中难度和高难度条件)。我们在放置在感觉运动区(脑电图)和腿部肌肉(肌电图)上的电极之间计算皮质肌相干性,并使用临床和基于实验室的测试评估平衡性能。我们发现,与健康对照组相比,中风患者在中难度条件下的 delta 频带相干性显著降低,但在低难度和高难度条件下则没有。这些差异存在于大多数远端肌肉群,但不存在于近端肌肉群。在其他频带未发现差异。与健康对照组相比,中风患者的平衡临床评分较差,但基于实验室的测试则没有差异。在近端肌肉群没有观察到差异,而在远端肌肉群观察到差异,这表明在平衡控制的下行连接中存在两种肌肉群之间的(重新)组织差异。我们认为,观察到的 delta 频带相干性的组间差异表明,在中风后为了维持平衡而对支撑表面进行摇摆参考时,用于检测躯体感觉调制的机制在平衡环境中发生了依赖于上下文的改变。