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1.
Proc Natl Acad Sci U S A ; 112(22): 7085-90, 2015 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-25901330

RESUMO

Figure-ground discrimination refers to the perception of an object, the figure, against a nondescript background. Neural mechanisms of figure-ground detection have been associated with feedback interactions between higher centers and primary visual cortex and have been held to index the effect of global analysis on local feature encoding. Here, in recordings from visual thalamus of alert primates, we demonstrate a robust enhancement of neuronal firing when the figure, as opposed to the ground, component of a motion-defined figure-ground stimulus is located over the receptive field. In this paradigm, visual stimulation of the receptive field and its near environs is identical across both conditions, suggesting the response enhancement reflects higher integrative mechanisms. It thus appears that cortical activity generating the higher-order percept of the figure is simultaneously reentered into the lowest level that is anatomically possible (the thalamus), so that the signature of the evolving representation of the figure is imprinted on the input driving it in an iterative process.


Assuntos
Discriminação Psicológica/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Tálamo/fisiologia , Percepção Visual/fisiologia , Animais , Corpos Geniculados/fisiologia , Macaca mulatta , Estimulação Luminosa
2.
Cereb Cortex ; 26(2): 628-638, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25260705

RESUMO

Noninvasive brain stimulation techniques have been successfully used to modulate brain activity, have become a highly useful tool in basic and clinical research and, recently, have attracted increased attention due to their putative use as a method for neuro-enhancement. In this scenario, transcranial static magnetic stimulation (SMS) of moderate strength might represent an affordable, simple, and complementary method to other procedures, such as Transcranial Magnetic Stimulation or direct current stimulation, but its mechanisms and effects are not thoroughly understood. In this study, we show that static magnetic fields applied to visual cortex of awake primates cause reversible deficits in a visual detection task. Complementary experiments in anesthetized cats show that the visual deficits are a consequence of a strong reduction in neural activity. These results demonstrate that SMS is able to effectively modulate neuronal activity and could be considered to be a tool to be used for different purposes ranging from experimental studies to clinical applications.


Assuntos
Potenciais de Ação/fisiologia , Neurônios/fisiologia , Estimulação Magnética Transcraniana/efeitos adversos , Córtex Visual/patologia , Córtex Visual/fisiopatologia , Percepção Visual/fisiologia , Potenciais de Ação/efeitos dos fármacos , Análise de Variância , Anestésicos Locais/farmacologia , Animais , Gatos , Modelos Animais de Doenças , Feminino , Lidocaína/farmacologia , Macaca mulatta , Masculino , Neurônios/efeitos dos fármacos , Paralisia , Tempo de Reação , Fatores de Tempo , Transtornos da Visão/etiologia , Transtornos da Visão/patologia , Transtornos da Visão/terapia , Córtex Visual/efeitos dos fármacos , Vigília
3.
J Comput Neurosci ; 38(3): 577-87, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25868704

RESUMO

A new cross-correlation synchrony index for neural activity is proposed. The index is based on the integration of the kernel estimation of the cross-correlation function. It is used to test for the dynamic synchronization levels of spontaneous neural activity under two induced brain states: sleep-like and awake-like. Two bootstrap resampling plans are proposed to approximate the distribution of the test statistics. The results of the first bootstrap method indicate that it is useful to discern significant differences in the synchronization dynamics of brain states characterized by a neural activity with low firing rate. The second bootstrap method is useful to unveil subtle differences in the synchronization levels of the awake-like state, depending on the activation pathway.


Assuntos
Encéfalo/fisiologia , Fenômenos Eletrofisiológicos/fisiologia , Neurônios/fisiologia , Potenciais de Ação , Algoritmos , Animais , Gatos , Simulação por Computador , Sincronização Cortical , Eletrodos Implantados , Eletroencefalografia , Distribuição de Poisson , Sono/fisiologia , Córtex Visual/fisiologia , Vigília/fisiologia
4.
J Appl Biomech ; 31(3): 189-94, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25536440

RESUMO

Parkinson's disease (PD) and aging lead to gait impairments. Some of the disturbances of gait are focused on step length, cadence, and temporal variability of gait cycle. Under experimental conditions gait can be overtly evaluated, but patients with PD are prone to expectancy effects; thus it seems relevant to determine if such evaluation truly reflects the spontaneous gait pattern in such patients, and also in healthy subjects. Thirty subjects (15 subjects with PD and 15 healthy control subjects) were asked to walk using their natural, preferred gait pattern. In half of the trials subjects were made aware that they were being evaluated (overt evaluation), while in the rest of the trials the evaluation was performed covertly (covert evaluation). During covert evaluation the gait pattern was modified in all groups. Gait speed was significantly increased (P = .022); step cadence and average step length were also significantly modified, the average step length increased (P = .002) and the cadence was reduced (P ≤ .001). Stride cycle time variability was unchanged significantly (P = .084). These changes were not significantly different compared between elderly and young healthy controls either. Due to the small sample size, a note of caution is in order; however, the significant results suggest that covert evaluation of gait might be considered to complement experimental evaluations of gait.


Assuntos
Transtornos Neurológicos da Marcha/fisiopatologia , Marcha , Doença de Parkinson/fisiopatologia , Desempenho Psicomotor , Caminhada , Adulto , Idoso , Idoso de 80 Anos ou mais , Modificador do Efeito Epidemiológico , Feminino , Transtornos Neurológicos da Marcha/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/complicações , Valores de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Método Simples-Cego , Análise Espaço-Temporal , Adulto Jovem
5.
J Neurophysiol ; 111(7): 1479-86, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24401710

RESUMO

The corticospinal tract excitability is modulated when preparing movements. Earlier to movement execution, the excitability of the spinal cord increases waiting for supraspinal commands to release the movement. Movement execution and movement observation share processes within the motor system, although movement observation research has focused on processes later to movement onset. We used single and paired pulse transcranial magnetic stimulation on M1 (n = 12), and electrical cervicomedullary stimulation (n = 7), to understand the modulation of the corticospinal system during the "preparation" to observe a third person's movement. Subjects passively observed a hand that would remain still or make an index finger extension. The observer's corticospinal excitability rose when "expecting to see a movement" vs. when "expecting to see a still hand." The modulation took origin at a spinal level and not at the corticocortical networks explored. We conclude that expectancy of seeing movements increases the excitability of the spinal cord.


Assuntos
Atenção/fisiologia , Potencial Evocado Motor/fisiologia , Movimento/fisiologia , Observação , Tratos Piramidais/fisiologia , Adulto , Análise de Variância , Eletromiografia , Feminino , Mãos/fisiologia , Humanos , Masculino , Percepção de Movimento/fisiologia , Músculo Esquelético/fisiologia , Estimulação Luminosa , Estimulação Magnética Transcraniana , Adulto Jovem
6.
BMC Neurosci ; 15: 96, 2014 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-25112283

RESUMO

BACKGROUND: Pairwise association between neurons is a key feature in understanding neural coding. Statistical neuroscience provides tools to estimate and assess these associations. In the mammalian brain, activating ascending pathways arise from neuronal nuclei located at the brainstem and at the basal forebrain that regulate the transition between sleep and awake neuronal firing modes in extensive regions of the cerebral cortex, including the primary visual cortex, where neurons are known to be selective for the orientation of a given stimulus. In this paper, the estimation of neural synchrony as a function of time is studied in data obtained from anesthetized cats. A functional data analysis of variance model is proposed. Bootstrap statistical tests are introduced in this context; they are useful tools for the study of differences in synchrony strength regarding 1) transition between different states (anesthesia and awake), and 2) affinity given by orientation selectivity. RESULTS: An analysis of variance model for functional data is proposed for neural synchrony curves, estimated with a cross-correlation based method. Dependence arising from the experimental setting needs to be accounted for. Bootstrap tests allow the identification of differences between experimental conditions (modes of activity) and between pairs of neurons formed by cells with different affinities given by their preferred orientations. In our test case, interactions between experimental conditions and preferred orientations are not statistically significant. CONCLUSIONS: The results reflect the effect of different experimental conditions, as well as the affinity regarding orientation selectivity in neural synchrony and, therefore, in neural coding. A cross-correlation based method is proposed that works well under low firing activity. Functional data statistical tools produce results that are useful in this context. Dependence is shown to be necessary to account for, and bootstrap tests are an appropriate method with which to do so.


Assuntos
Potenciais de Ação , Análise de Variância , Modelos Neurológicos , Modelos Estatísticos , Neurônios/fisiologia , Processamento de Sinais Assistido por Computador , Algoritmos , Animais , Prosencéfalo Basal/fisiologia , Tronco Encefálico/fisiologia , Gatos , Estimulação Elétrica , Microeletrodos , Estimulação Luminosa , Córtex Visual/fisiologia , Percepção Visual/fisiologia
7.
Neuroscience ; 554: 128-136, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39019392

RESUMO

Aftereffects of non-invasive brain stimulation techniques may be brain state-dependent. Either continuous theta-burst stimulation (cTBS) as transcranial static magnetic field stimulation (tSMS) reduce cortical excitability. Our objective was to explore the aftereffects of tSMS on a M1 previously stimulated with cTBS. The interaction effect of two inhibitory protocols on cortical excitability was tested on healthy volunteers (n = 20), in two different sessions. A first application cTBS was followed by real-tSMS in one session, or sham-tSMS in the other session. When intracortical inhibition was tested with paired-pulse transcranial magnetic stimulation, LICI (ie., long intracortical inhibition) increased, although the unconditioned motor-evoked potential (MEP) remained stable. These effects were observed in the whole sample of participants regardless of the type of static magnetic field stimulation (real or sham) applied after cTBS. Subsequently, we defined a group of good-responders to cTBS (n = 9) on whom the unconditioned MEP amplitude reduced after cTBS and found that application of real-tSMS (subsequent to cTBS) increased the unconditioned MEP. This MEP increase was not found when sham-tSMS followed cTBS. The interaction of tSMS with cTBS seems not to take place at inhibitory cortical interneurons tested by LICI, since LICI was not differently affected after real and sham tSMS. Our results indicate the existence of a process of homeostatic plasticity when tSMS is applied after cTBS. This work suggests that tSMS aftereffects arise at the synaptic level and supports further investigation into tSMS as a useful tool to restore pathological conditions with altered cortical excitability.

8.
J Neurosci ; 32(45): 15946-51, 2012 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-23136432

RESUMO

Many cells in both the central visual system and other sensory systems exhibit a center surround organization in their receptive field, where the response to a centrally placed stimulus is modified when a surrounding area is also stimulated. This can follow from laterally directed connections in the local circuit at the level of the cell in question but could also involve more complex interactions. In the lateral geniculate nucleus (LGN), the cells relaying the retinal input display a concentric, center surround organization that in part follows from the similar organization characterizing the retinal cells providing their input. However, local thalamic inhibitory interneurons also play a role, and as we examine here, feedback from the visual cortex too. Here, we show in the primate (macaque) that spatially organized cortical feedback provides a clear and differential influence serving to enhance both responses to stimulation within the center of the receptive field and the ability of the nonclassical surround mechanism to attenuate this. In short, both center and surround mechanisms are influenced by the feedback. This dynamically sharpens the spatial focus of the receptive field and introduces nonlinearities from the cortical mechanism into the LGN.


Assuntos
Retroalimentação Fisiológica/fisiologia , Neurônios/fisiologia , Tálamo/fisiologia , Vias Visuais/fisiologia , Percepção Visual/fisiologia , Animais , Feminino , Corpos Geniculados/fisiologia , Macaca mulatta , Estimulação Luminosa , Córtex Visual/fisiologia
9.
Sci Rep ; 13(1): 214, 2023 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-36604478

RESUMO

The lithium-pilocarpine rat model is a well-known model of temporal epilepsy. Recently we found that transcranial static magnetic stimulation (tSMS) delay and reduce the signs of EEG in this model. We aim to test the effect of combining the therapeutic action of tSMS and diazepam, a drug used to treat status epilepticus. We induce epilepsy in 12 Sprague-Dawley rats. Animals were classified as "magnet" when a magnetic neodymium cylinder was placed over the skull or "control" when a stainless-steel replica was used. Diazepam was injected 60-min after the second doses of pilocarpine injection. We found a reduction in the number of spikes/minute for magnet condition compared with sham condition, reaching significance at 60 min after diazepam injection. The Root-Mean-Square shown a significant reduction in magnet animals compared with those receiving diazepam (Tukey's-test 30 and 60 min after diazepam injection, p < 0.01; 40 and 50 min after diazepam injection, p < 0.05). Furthermore, the power spectrum analysis shown a reduction in delta, theta, alpha and beta bands, on the diazepam + magnet animals compared to the diazepam + sham group. Analysis of high-frequency oscillations revealed an increased in the ripples due to pilocarpine being reduced by diazepam. Our results demonstrate that application of tSMS previously to diazepam potentiates the effect of the drug by reducing the electroencephalographic pattern associated with epileptiform discharges. We suggest a new synergistic cooperation between pharmacology and neuromodulation as a future treatment for epilepsy.


Assuntos
Epilepsia , Estado Epiléptico , Animais , Ratos , Diazepam/farmacologia , Modelos Animais de Doenças , Eletroencefalografia , Epilepsia/induzido quimicamente , Epilepsia/tratamento farmacológico , Campos Magnéticos , Pilocarpina/uso terapêutico , Ratos Sprague-Dawley , Estado Epiléptico/induzido quimicamente , Estado Epiléptico/tratamento farmacológico
10.
Physiol Rep ; 11(12): e15748, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37332040

RESUMO

Neurodynamic techniques have yielded good clinical results in the treatment of various pathologies. The objective of this study is to examine the short-term effects of neurodynamic techniques of the sciatic nerve on hip ROM (range of motion) and on the amplitude and latency of the soleus H-reflex and M-waves, in young asymptomatic subjects. In a double-blind controlled trial design, 60 young asymptomatic participants were randomly assigned into six groups with different levels of manipulation of the sciatic nerve. The passive straight leg raise test was used to evaluate the hip ROM amplitude. All evaluations were performed before, 1 min after, and 30 min after intervention. For each time-point, spinal and muscle excitability were also tested. ROM increased in all groups, but none of the treatment groups had superior effects than the group with no treatment. This means that ROM testing maneuvers increased ROM amplitude, with no add-on effect of the proposed neurodynamic techniques. Neurophysiological responses changed similarly in all groups, showing that the aftereffects were not intervention-specific. We observed a significant negative association between the change in limb temperature and the change in latencies of all potentials. ROM-testing procedures performed repeatedly increase ROM amplitude. This observation should be considered when evaluating the aftereffects of therapeutic interventions on ROM amplitude. None of the explored neurodynamic techniques produced acute aftereffects on hip ROM amplitude, spinal or muscle excitability different to the induced by the ROM testing maneuver.


Assuntos
Reflexo H , Exercícios de Alongamento Muscular , Humanos , Amplitude de Movimento Articular/fisiologia , Músculo Esquelético/fisiologia , Método Duplo-Cego
11.
Front Pediatr ; 11: 1081042, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37009286

RESUMO

Introduction: Topographical memory is crucial for navigation and environmental representation. The Walking Corsi Test (WalCT) has been used to evaluate topographical memory in children from 4 years upward. The present study aims to determine whether adapted versions of the WalCT- by simplifying instructions and increasing motivation- can be adopted to test topographical memory in 2- and 3-year-old toddlers born at term and preterm. Assessing this skill in such young children is important in light of recent studies that have shown how spatial cognition underlies the development of skills in other cognitive domains as well. Methods: For this purpose, 47 toddlers (27.39 ± 4.34 months, 38.3% females), 20 born at term and 27 preterm, performed two aimed-designed versions of WalCT. Results: The results showed better performance of the term groups with increasing age and for both versions. On the other hand, performance was better in 2-year-old term toddlers vs. preterm. When rising motivation, 2-year-old preterm toddlers improve their performance but differences between both groups were still significant. The preterm group showed lower performance related to lower levels of attention. Discussion: This study provides preliminary data on the suitability of the adapted versions of WalCT in early ages and prematurity conditions.

12.
Ultrasound Med Biol ; 49(10): 2302-2315, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37474432

RESUMO

OBJECTIVE: Despite being a low-cost, portable and safe medical imaging technique, transcranial ultrasound imaging is not used widely in adults because of the severe degradation and distortion of signals caused by the skull. Full-waveform inversion (FWI) has recently been found to have potential as an effective method for transcranial ultrasound tomography to obtain high-quality, subwavelength-resolution acoustic models of the brain using low-frequency ultrasound data. In this study is the first demonstration of this method in recovering a high-resolution 2-D reconstruction of a brain and skull ultrasound imaging phantom using experimentally acquired data. METHODS: A 2:5 scale brain phantom encased within a 3-D-printed skull-mimicking layer was created to simulate a clinical transcranial imaging target. To obtain tomographic ultrasound data on the brain and skull phantom, a tomographic ultrasound acquisition system was designed and implemented using commercially available low-frequency cardiac probes. FWI reconstructions of the brain and skull phantom were performed using the acquired tomographic data and were compared with corresponding synthetic reconstructions. This comparison was used to evaluate the feasibility of the proposed imaging system when employing different transducer array configurations. RESULTS: We demonstrate the successful FWI reconstruction of the brain phantom within the skull mimic from experimentally acquired tomographic ultrasound data. To mitigate the effects of the skull-mimicking material, a reflection-matching algorithm was applied to model the morphology of the skull layer prior to performing the inversion. CONCLUSION: The findings of this study provide a promising step toward the clinical use of FWI for transcranial ultrasound imaging in adults.


Assuntos
Encéfalo , Cabeça , Estudos de Viabilidade , Encéfalo/diagnóstico por imagem , Encéfalo/anatomia & histologia , Crânio/diagnóstico por imagem , Ultrassonografia , Imagens de Fantasmas
13.
Comput Methods Programs Biomed ; 221: 106855, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35588663

RESUMO

BACKGROUND AND OBJECTIVE: Advanced ultrasound computed tomography techniques like full-waveform inversion are mathematically complex and orders of magnitude more computationally expensive than conventional ultrasound imaging methods. This computational and algorithmic complexity, and a lack of open-source libraries in this field, represent a barrier preventing the generalised adoption of these techniques, slowing the pace of research, and hindering reproducibility. Consequently, we have developed Stride, an open-source Python library for the solution of large-scale ultrasound tomography problems. METHODS: On one hand, Stride provides high-level interfaces and tools for expressing the types of optimisation problems encountered in medical ultrasound tomography. On the other, these high-level abstractions seamlessly integrate with high-performance wave-equation solvers and with scalable parallelisation routines. The wave-equation solvers are generated automatically using Devito, a domain-specific language, and the parallelisation routines are provided through the custom actor-based library Mosaic. RESULTS: We demonstrate the modelling accuracy achieved by our wave-equation solvers through a comparison (1) with analytical solutions for a homogeneous medium, and (2) with state-of-the-art modelling software applied to a high-contrast, complex skull section. Additionally, we show through a series of examples how Stride can handle realistic numerical and experimental tomographic problems, in 2D and 3D, and how it can scale robustly from a local multi-processing environment to a multi-node high-performance cluster. CONCLUSIONS: Stride enables researchers to rapidly and intuitively develop new imaging algorithms and to explore novel physics without sacrificing performance and scalability. This will lead to faster scientific progress in this field and will significantly ease clinical translation.


Assuntos
Algoritmos , Software , Reprodutibilidade dos Testes , Tomografia , Ultrassonografia
14.
Artigo em Inglês | MEDLINE | ID: mdl-34383648

RESUMO

Ultrasound computed tomography techniques have the potential to provide clinicians with 3-D, quantitative and high-resolution information of both soft and hard tissues such as the breast or the adult human brain. Their practical application requires accurate modeling of the acquisition setup: the spatial location, orientation, and impulse response (IR) of each ultrasound transducer. However, the existing calibration methods fail to accurately characterize these transducers unless their size can be considered negligible when compared with the dominant wavelength, which reduces signal-to-noise ratios below usable levels in the presence of high-contrast tissues such as the skull. In this article, we introduce a methodology that can simultaneously estimate the location, orientation, and IR of the ultrasound transducers in a single calibration. We do this by extending spatial response identification (SRI), an algorithm that we have recently proposed to estimate transducer IRs. Our proposed methodology replaces the transducers in the acquisition device with a surrogate model whose effective response matches the experimental data by fitting a numerical model of wave propagation. This results in a flexible and robust calibration procedure that can accurately predict the behavior of the ultrasound acquisition device without ever having to know where the real transducers are or their individual IR. Experimental results using a ring acquisition system show that SRI produces calibrations of significantly higher quality than standard methodologies across all transducers, both in transmission and in reception. Experimental full-waveform inversion (FWI) reconstructions of a tissue-mimicking phantom demonstrate that SRI generates more accurate reconstructions than those produced with standard calibration techniques.


Assuntos
Tomografia Computadorizada por Raios X , Transdutores , Adulto , Encéfalo/diagnóstico por imagem , Humanos , Imagens de Fantasmas , Ultrassonografia
15.
Psychophysiology ; 59(10): e14078, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35428988

RESUMO

Understanding central fatigue during motor activities is important in neuroscience and different medical fields. The central mechanisms of motor fatigue are known in depth for isometric muscle contractions; however, current knowledge about rhythmic movements and central fatigue is rather scarce. In this study, we explored the role of an executive area (left dorsolateral prefrontal cortex [DLPFC]) in fatigue development during rhythmic movement execution, finger tapping (FT) at the maximal rate, and fatigue after effects on the stability of rhythmic patterns. Participants (n = 19) performed six sets of unresisted FT (with a 3 min rest in-between). Each set included four interleaved 30 s repetitions of self-selected (two repetitions) and maximal rate FT (two repetitions) without rest in-between. Left DLPFC involvement in the task was perturbed by transcranial static magnetic stimulation (tSMS) in two sessions (one real and one sham). Moreover, half of the self-selected FT repetitions were performed concurrently with a demanding cognitive task, the Stroop test. Compared with sham stimulation, real tSMS stimulation prevented waning in tapping frequency at the maximal rate without affecting perceived levels of fatigue. Participants' engagement in the Stroop test just prior to maximal FT reduced the movement amplitude during this mode of execution. Movement variability at self-selected rates increased during Stroop execution, especially under fatigue previously induced by maximal FT. Our results indicate cognitive-motor interactions and a prominent role of the prefrontal cortex in fatigue and the motor control of simple repetitive movement patterns. We suggest the need to approach motor fatigue including cognitive perspectives.


Assuntos
Córtex Pré-Frontal , Estimulação Magnética Transcraniana , Humanos , Contração Isométrica/fisiologia , Córtex Pré-Frontal/fisiologia , Descanso , Teste de Stroop , Estimulação Magnética Transcraniana/métodos
16.
Arch Phys Med Rehabil ; 92(8): 1202-10, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21807139

RESUMO

OBJECTIVES: To assess and compare 2 different protocols of physiotherapy (land or water therapy) for people with Parkinson's disease (PD) focused on postural stability and self-movement, and to provide methodological information regarding progression within the program for a future larger trial. DESIGN: Randomized, controlled, open-label pilot trial. SETTING: Outpatients, Parkinson's disease Center of Ferrol-Galicia (Spain). PARTICIPANTS: Individuals (N=11) with idiopathic PD in stages 2 or 3 according to the Hoehn and Yahr Scale completed the investigation (intervention period plus follow-up). INTERVENTIONS: After baseline evaluations, participants were randomly assigned to a land-based therapy (active control group) or a water-based therapy (experimental group). Participants underwent individual sessions for 4 weeks, twice a week, for 45 minutes per session. Both interventions were matched in terms of exercise features, which were structured in stages with clear objectives and progression criteria to pass to the next phase. MAIN OUTCOME MEASURES: Participants underwent a first baseline assessment, a posttest immediately after 4 weeks of intervention, and a follow-up assessment after 17 days. Evaluations were performed OFF-dose after withholding medication for 12 hours. Functional assessments included the Functional Reach Test (FRT), the Berg Balance Scale (BBS), the UPDRS, the 5-m walk test, and the Timed Up and Go test. RESULTS: A main effect of both therapies was seen for the FRT. Only the aquatic therapy group improved in the BBS and the UPDRS. CONCLUSIONS: In this pilot study, physiotherapy protocols produced improvement in postural stability in PD that was significantly larger after aquatic therapy. The intervention protocols are shown to be feasible and seem to be of value in amelioration of postural stability-related impairments in PD. Some of the methodological aspects detailed here can be used to design larger controlled trials.


Assuntos
Hidroterapia/métodos , Doença de Parkinson/reabilitação , Idoso , Progressão da Doença , Feminino , Humanos , Masculino , Doença de Parkinson/fisiopatologia , Projetos Piloto , Equilíbrio Postural/fisiologia , Estatísticas não Paramétricas , Resultado do Tratamento
17.
Sci Rep ; 11(1): 2075, 2021 01 22.
Artigo em Inglês | MEDLINE | ID: mdl-33483562

RESUMO

Maximal-rate rhythmic repetitive movements cannot be sustained for very long, even if unresisted. Peripheral and central mechanisms of fatigue, such as the slowing of muscle relaxation and an increase in M1-GABAb inhibition, act alongside the reduction of maximal execution rates. However, maximal muscle force appears unaffected, and it is unknown whether the increased excitability of M1 GABAergic interneurons is an adaptation to the waning of muscle contractility in these movements. Here, we observed increased M1 GABAb inhibition at the end of 30 s of a maximal-rate finger-tapping (FT) task that caused fatigue and muscle slowdown in a sample of 19 healthy participants. The former recovered a few seconds after FT ended, regardless of whether muscle ischaemia was used to keep the muscle slowed down. Therefore, the increased excitability of M1-GABAb circuits does not appear to be mediated by afferent feedback from the muscle. In the same subjects, continuous (inhibitory) and intermittent (excitatory) theta-burst stimulation (TBS) was used to modulate M1 excitability and to understand the underlying central mechanisms within the motor cortex. The effect produced by TBS on M1 excitability did not affect FT performance. We conclude that fatigue during brief, maximal-rate unresisted repetitive movements has supraspinal components, with origins upstream of the motor cortex.


Assuntos
Movimento , Fadiga Muscular/fisiologia , Músculo Esquelético/irrigação sanguínea , Receptores de GABA-B/efeitos dos fármacos , Dedos/fisiologia , Voluntários Saudáveis , Humanos , Desempenho Psicomotor/fisiologia , Estimulação Magnética Transcraniana
18.
Front Syst Neurosci ; 15: 709337, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34566589

RESUMO

Currently, the role of hypothermia in electroencephalography (EEG) is well-established. However, few studies have investigated the effect of hyperthermia on EEG, an important physiological parameter governing brain function. The aim of this work was to determine how neuronal activity in anesthetized mice is affected when the temperature rises above the physiological threshold mandatory to maintain the normal body functions. In this study, a temperature-elevation protocol, from 37 to 42°C, was applied to four female mice of 2-3 months old while EEG was recorded simultaneously. We found that hyperthermia reduces EEG amplitude by 4.36% when rising from 37 to 38 degrees and by 24.33% when it is increased to 42 degrees. Likewise, increasing the body temperature produces a very large impact on the EEG spectral parameters, reducing the frequency power at the delta, theta, alpha, and beta bands. Our results show that hyperthermia has a global effect on the EEG, being able to change the electrical activity of the brain.

19.
Brain Sci ; 11(6)2021 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-34204420

RESUMO

BACKGROUND: In a stroke, the importance of initial functional status is fundamental for prognosis. The aim of the current study was to investigate functional status, assessed by the Functional Independence Measure (FIM) scale, and possible predictors of functional outcome at discharge from inpatient rehabilitation. METHODS: This is a retrospective study that was carried out at the Physical Medicine and Rehabilitation Service in A Coruña (Spain). A total of 365 consecutive patients with primary diagnosis of stroke were enrolled. The functional assessments of all patients were performed through the FIM. A descriptive and a bivariate analysis of the variables included in the study was made and a succession of linear regression models was used to determine which variables were associated with the total FIM at discharge. RESULTS: Prior to having the stroke, 76.7% were totally independent in activities of daily living. The FIM scale score was 52.5 ± 25.5 points at admission and 83.4 ± 26.3 at hospital discharge. The multivariate analysis showed that FIM scores on admission were the most important predictors of FIM outcomes. CONCLUSIONS: Our study indicates that the degree of independence prior to admission after suffering a stroke is the factor that will determine the functionality of patients at hospital discharge.

20.
Artigo em Inglês | MEDLINE | ID: mdl-32776878

RESUMO

Accurate wave-equation modeling is becoming increasingly important in modern imaging and therapeutic ultrasound methodologies, such as ultrasound computed tomography, optoacoustic tomography, or high-intensity-focused ultrasound. All of them rely on the ability to accurately model the physics of wave propagation, including accurate characterization of the ultrasound transducers, the physical devices that are responsible for generating and recording ultrasound energy. However, existing methods fail to characterize the transducer response with the accuracy required to fully exploit the capabilities of these emerging imaging and therapeutic techniques. Consequently, we have designed a new algorithm for ultrasound transducer calibration and modeling: spatial response identification (SRI). This method introduces a parameterization of the ultrasound transducer and provides a method to calibrate the transducer model using experimental data, based on a formulation of the problem that is completely independent of the discretization chosen for the transducer or the number of parameters used. The proposed technique models the transducer as a linear time-invariant system that is spatially heterogeneous, and identifies the model parameters that are best at explaining the experimental data while honoring the full wave equation. SRI generates a model that can accommodate the complex, heterogeneous spatial response seen experimentally for ultrasound transducers. Experimental results show that SRI outperforms standard methods both in transmission and reception modes. Finally, numerical experiments using full-waveform inversion demonstrate that existing transducer-modeling approaches are insufficient to produce successful reconstructions of the human brain, whereas errors in our SRI algorithm are sufficiently small to allow accurate image reconstructions.


Assuntos
Transdutores , Terapia por Ultrassom , Encéfalo/diagnóstico por imagem , Calibragem , Humanos , Neuroimagem
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