Gamwell-Muscarello Hope E, Needle Alan R, Meucci Marco, Skinner Jared W
Department of Public Health and Exercise Science, Appalachian State University, Boone, NC, USA.
Department of Rehabilitation Sciences, Appalachian State University, Boone, NC, USA.
Sci Rep. 2025 Jan 11;15(1):1748. doi: 10.1038/s41598-025-86039-2.
The study aimed to assess the feasibility and potential efficacy of a non-motor intervention utilizing motor imagery (MI) and transcranial direct current stimulation (tDCS) to enhance motor function. The research involved a double-blind, randomized, controlled trial with three groups: MIActive, MISham, and Control. Participants engaged in a cognitively demanding obstacle course, with time and prefrontal activation (ΔO2Hb and ΔHHb) measured across three-time points (Baseline, Post-test, 1-week follow-up). Following a pretest, active or sham tDCS was administered during an MI session, while the Control group did not receive this intervention. The MIActive group showed significant improvements in time-to-completion immediately after the intervention and one week later. Additionally, ΔO2Hb levels were lower in the MIActive group than in the other groups. These findings suggest that the combination of MI and tDCS could lead to motor improvements. The study outcomes support the feasibility and initial effectiveness of using MI and tDCS as a non-motor intervention to enhance motor outcomes in short and medium terms. Further research is recommended to explore the impact of this intervention in individuals with existing motor impairments. This study contributes to the growing body of evidence on the potential of non-motor interventions to induce neuroplastic changes that improve motor function. Clinical trial registration: ClinicalTrials.gov, identifier NCT06414213 16/05/2024.
该研究旨在评估利用运动想象(MI)和经颅直流电刺激(tDCS)的非运动干预措施增强运动功能的可行性和潜在疗效。该研究涉及一项双盲、随机、对照试验,分为三组:运动想象激活组(MIActive)、运动想象假刺激组(MISham)和对照组。参与者参与了一项对认知要求较高的障碍课程,并在三个时间点(基线、测试后、1周随访)测量了时间和前额叶激活情况(ΔO2Hb和ΔHHb)。在进行预测试后,在运动想象训练期间给予主动或假刺激tDCS,而对照组未接受此干预。运动想象激活组在干预后立即和1周后在完成时间上有显著改善。此外,运动想象激活组的ΔO2Hb水平低于其他组。这些发现表明,运动想象和tDCS的结合可能会导致运动功能改善。该研究结果支持了将运动想象和tDCS作为一种非运动干预措施在短期和中期增强运动效果的可行性和初步有效性。建议进一步研究探索这种干预措施对现有运动障碍个体的影响。这项研究为越来越多关于非运动干预措施诱导神经可塑性变化以改善运动功能潜力的证据做出了贡献。临床试验注册:ClinicalTrials.gov,标识符NCT06414213,2024年5月16日。