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Métodos Terapéuticos y Terapias MTCI
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1.
IEEE Trans Neural Syst Rehabil Eng ; 28(1): 287-296, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31567095

RESUMEN

Studies of sensorimotor integration often use sensory stimuli that require a simple motor response, such as a reach or a grasp. Recent advances in neural recording techniques, motion capture technologies, and time-synchronization methods enable studying sensorimotor integration using more complex sensory stimuli and performed actions. Here, we demonstrate that prehensile actions that require using complex sensory instructions for manipulating different objects can be characterized using high-density electroencephalography and motion capture systems. In 20 participants, we presented stimuli in different sensory modalities (visual, auditory) containing different contextual information about the object with which to interact. Neural signals recorded near motor cortex and posterior parietal cortex discharged based on both the instruction delivered and object manipulated. Additionally, kinematics of the wrist movements could be discriminated between participants. These findings demonstrate a proof-of-concept behavioral paradigm for studying sensorimotor integration of multidimensional sensory stimuli to perform complex movements. The designed framework will prove vital for studying neural control of movements in clinical populations in which sensorimotor integration is impaired due to information no longer being communicated correctly between brain regions (e.g. stroke). Such a framework is the first step towards developing a neural rehabilitative system for restoring function more effectively.


Asunto(s)
Electroencefalografía/instrumentación , Electroencefalografía/métodos , Movimiento (Física) , Movimiento/fisiología , Sensación/fisiología , Estimulación Acústica , Adolescente , Adulto , Fenómenos Biomecánicos , Mapeo Encefálico , Femenino , Fuerza de la Mano/fisiología , Humanos , Masculino , Estimulación Luminosa , Desempeño Psicomotor/fisiología , Detección de Señal Psicológica , Muñeca/fisiología , Adulto Joven
2.
Artículo en Inglés | MEDLINE | ID: mdl-22255658

RESUMEN

The overall objective of this project is to develop a feedback-driven intraspinal microstimulation (ISMS) system. We hypothesize that ISMS will enhance the functionality of stepping by reducing muscle fatigue and producing synergistic movements by activating neural networks in the spinal cord. In the present pilot study, the controller was tested with ISMS and external sensors (force plates, gyroscopes, and accelerometers). Cats were partially supported in a sling and bi-laterally stepped overground on a 4-m instrumented walkway. The walkway had variable friction. Limb angle was controlled to within 10° even in the presence of variable friction. Peak ground reaction forces in each limb were approximately 12% of body weight (12.5% was full load bearing in this experimental setup); rarely, the total supportive force briefly decreased to as low as 4.1%. Magnetic resonance images were acquired of the excised spinal cord and the implanted array. The majority of electrodes (75%) were implanted successfully into their target regions. This represents the first successful application of ISMS for overground walking.


Asunto(s)
Terapia por Estimulación Eléctrica/métodos , Trastornos Neurológicos de la Marcha/fisiopatología , Trastornos Neurológicos de la Marcha/rehabilitación , Marcha , Traumatismos de la Médula Espinal/fisiopatología , Traumatismos de la Médula Espinal/rehabilitación , Médula Espinal/fisiopatología , Animales , Biorretroalimentación Psicológica/métodos , Gatos , Femenino , Trastornos Neurológicos de la Marcha/etiología , Recuperación de la Función , Traumatismos de la Médula Espinal/complicaciones , Resultado del Tratamiento , Caminata
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