Yamauchi Ryosuke, Ito Hiroki, Kitai Ken, Okuyama Kohei, Katayama Osamu, Morita Kiichiro, Murata Shin, Kodama Takayuki
The Graduate School of Health Science, Kyoto Tachibana University, Kyoto 607-8175, Japan.
Otemae Rehabilitation Center with Physical Disabilities, Osaka Red Cross Hospital, Osaka 543-8555, Japan.
Brain Sci. 2025 Apr 15;15(4):397. doi: 10.3390/brainsci15040397.
: Motivation is a key factor for improving motor function and cognitive control in patients. Motivation for rehabilitation is influenced by the relationship between the therapist and patient, wherein appropriate voice encouragement is necessary to increase motivation. Therefore, we examined the differences between mothers and other individuals, such as physical therapists (PTs), in their verbal interactions with children with cerebral palsy who have poor communication abilities, as well as the neurological and physiological effects of variations in the tone of their speech. : The three participants were children with cerebral palsy (Participant A: boy, 3 years; Participant B: girl, 7 years; Participant C: girl, 9 years). Participants' mothers and the assigned PTs were asked to speak under three conditions. During this, the brain activity of the participants was measured using a 19-channel electroencephalogram. The results were further analyzed using Independent Component Analysis frequency analysis with exact Low-Resolution Brain Electromagnetic Tomography, allowing for the identification and visualization of neural activity in three-dimensional brain functional networks. : The results of the ICA frequency analysis for each participant revealed distinct patterns of brain activity in response to verbal encouragement from the mother and PT, with differences observed across the theta, alpha, and beta frequency bands. : Our study suggests that the children were attentive to their mothers' inquiries and focused on their internal experiences. Furthermore, it was indicated that when addressed by the PT, the participants found it easier to grasp the meanings and intentions of the words.
动机是改善患者运动功能和认知控制的关键因素。康复动机受治疗师与患者关系的影响,其中适当的言语鼓励对于增强动机是必要的。因此,我们研究了母亲与其他个体(如物理治疗师)在与沟通能力较差的脑瘫儿童进行言语互动时的差异,以及他们言语语调变化的神经学和生理学影响。
三名参与者为脑瘫儿童(参与者A:男孩,3岁;参与者B:女孩,7岁;参与者C:女孩,9岁)。要求参与者的母亲和指定的物理治疗师在三种条件下说话。在此期间,使用19通道脑电图测量参与者的大脑活动。使用具有精确低分辨率脑电磁断层扫描的独立成分分析频率分析对结果进行进一步分析,从而在三维脑功能网络中识别和可视化神经活动。
对每位参与者的独立成分分析频率分析结果显示,在theta、alpha和beta频段观察到差异,大脑对母亲和物理治疗师言语鼓励的反应呈现出不同的活动模式。
我们的研究表明,孩子们关注母亲的询问并专注于他们的内在体验。此外,结果表明,当物理治疗师与他们交谈时,参与者更容易理解话语的含义和意图。