Quantitative EEG Metrics for Determining HD-tDCS Induced Alteration of Brain Activity in Stroke Rehabilitation.

IF 1.9 4区 医学 Q4 NEUROSCIENCES
Jordan N Williamson, Shirley A James, Beni Mulyana, Sally Kim, Dorothy He, Sheng Li, Evgeny V Sidorov, Yuan Yang
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Abstract

High-definition transcranial direct current stimulation (HD-tDCS) is a promising approach for stroke rehabilitation, which may induce functional changes in the cortical sensorimotor areas to facilitate movement recovery. However, it lacks an objective measure that can indicate the effect of HD-tDCS on alteration of brain activity. Quantitative electroencephalography (qEEG) has shown promising results as an indicator of post-stroke functional recovery. Therefore, this study aims to determine whether qEEG metrics could serve as quantitative measures to assess alteration in brain activity induced by HD-tDCS. Resting state EEG was collected from stroke participants before and after (1) anodal HD-tDCS of the lesioned hemisphere, (2) cathodal stimulation of the non-lesioned hemisphere, and (3) sham. The average power spectrum was calculated using the Fast Fourier Transform for frequency bands alpha, beta, delta, and theta. In addition, delta-alpha ratio (DAR), Delta-alpha-beta-theta ratio (DTABR), and directional brain symmetry index (BSI) were also evaluated. We found that both anodal and cathodal stimulation significantly decreased the DAR and BSI over various frequency bands, which are associated with reduced motor impairments and improved nerve conduction velocity from the brain to muscles. This result indicates that qEEG metrics DAR and BSI could be quantitative indicators to assess alteration of brain activity induced by HD-tDCS in stroke rehabilitation. This would allow future development of EEG-based neurofeedback system to guide and evaluate the effect of HD-tDCS on improving movement-related brain function in stroke.

定量脑电测量测定脑卒中康复中HD-tDCS诱导的脑活动改变。
高清晰度经颅直流电刺激(HD-tDCS)是一种很有前景的脑卒中康复方法,它可以诱导皮层感觉运动区功能改变,促进运动恢复。然而,缺乏一种客观的测量方法可以表明HD-tDCS对脑活动改变的影响。定量脑电图(qEEG)作为脑卒中后功能恢复的指标已经显示出有希望的结果。因此,本研究旨在确定qEEG指标是否可以作为定量指标来评估HD-tDCS诱导的脑活动改变。在(1)损伤半球的阳极HD-tDCS,(2)未损伤半球的阴极刺激和(3)假手术前后收集卒中参与者的静息状态脑电图。使用快速傅立叶变换计算alpha、beta、delta和theta频段的平均功率谱。此外,还评估了δ - α比(DAR)、δ - α - β - θ比(DTABR)和脑定向对称指数(BSI)。我们发现,阳极和阴极刺激都能显著降低不同频段的DAR和BSI,这与减少运动损伤和提高从大脑到肌肉的神经传导速度有关。提示qEEG指标DAR和BSI可作为定量评价HD-tDCS对脑卒中康复后脑活动改变的指标。这将有助于未来基于脑电图的神经反馈系统的发展,以指导和评估HD-tDCS对改善卒中患者运动相关脑功能的影响。
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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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