Neurology: Neurofeedback technology is conducive to the improvement of gait after stroke

Brain stroke after the gait and balance disorders affecting the overall quality of life, even after rehabilitation, 20-30% of patients can not walk independently.

Stroke

The actual reorganization based on neural networks is a research result that is crucial to functional recovery after stroke, and neuromodulation to promote plastic reorganization is a feasible research goal.

In neuromodulation, the choice of target cortical area is based on the desired effect, for example, the lateral motor area is used to treat upper limb dysfunction.

In view of the potential beneficial effects on the postural control of healthy young subjects, they conducted this double-center, double-blind, randomized controlled trial to test the hypothesis: the promotion of SMA with fNIRS-NFB would enhance walking by 3 meters (TUG ) Assessment of posture and gait recovery.

In this way, Masahito Mihara and others of Osaka University in Japan conducted a central, double-blind, randomized controlled trial that included 54 patients.

In patients with mild to moderate gait disturbance caused by subcortical stroke, they used fNIRS-NFB for 6 times of SMA neurofeedback promotion in the gait and balance-related motor imagination.

They found that the REAL group had significantly better gait than the SHAM group.

Only the image-related SMA activation in the REAL group was significantly increased, and the static connection between the SMA and the lateral premotor zone was enhanced.

Only the image-related SMA activation in the REAL group was significantly increased, and the static connection between the SMA and the lateral premotor zone was enhanced.

Using fNIRS neurofeedback to promote SMA in motor imagination can enhance gait and balance recovery after stroke by adjusting SMA and its related networks.

neurology.
org/content/early/2021/04/20/WNL.
0000000000011989.
long" target="_blank" rel="noopener">Effect of Neurofeedback Facilitation on Post-stroke Gait and Balance Recovery: A Randomized Controlled Trial
neurology.
org/content/early/2021/04/20/WNL.
0000000000011989.
long" target="_blank" rel="noopener">Masahito Mihara, Hiroaki Fujimoto, Noriaki Hattori, Hironori Otomune, Yuta Kajiyama, Kuni Konaka, Yoshiyuki Watanabe, Yuichi Hiramatsu, Yoshihide Sunada, Ichiro Miyai,
neurology.
org/content/early/2021/04/20/WNL.
0000000000011989.
long" target="_blank" rel="noopener">Neurology apr 2021, 10.
1212 / WNL.
0000000000011989; DOI : 10.
1212 / WNL.
0000000000011989

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