Unisensory and multisensory Self-referential stimulation of the lower limb: An exploratory fMRI study on healthy subjects.
Background: The holistic view of the person is the essence of the physiotherapy. Knowledge of approaches that develop the whole person promotes better patient outcomes. Multisensory Self-referential stimulation, more than a unisensory one, seems to produce a holistic experience of the Self (“Core-Se...
| Publicado en: | Physiotherapy Theory & Practice Vol. 34; no. 1; pp. 22 - 41 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126917761&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126917761 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jan2018 vid: 34 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 126917761 126917761 126917761 10.1080/09593985.2017.1368758 126917761 ppf: 22 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Unisensory and multisensory Self-referential stimulation of the lower limb: An exploratory fMRI study on healthy subjects. aug: au: Vieira, Ana Isabel Almeida, Patrícia Canário, Nádia Castelo-Branco, Miguel Nunes, Maria Vânia Castro-Caldas, Alexandre affil: Department of Physiotherapy, Alcoitão School of Health Sciences, Alcabideche, Portugal sug: subj: Ego Brain Physiology Personality Magnetic Resonance Imaging Methods Simulations Sensation Image Processing, Computer Assisted State-Trait Anxiety Inventory Brain Mapping Clinical Assessment Tools Questionnaires Psychological Tests Exploratory Research Scales Middle Age Aged Aged, 80 and Over Female Male Human Funding Source Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: Background: The holistic view of the person is the essence of the physiotherapy. Knowledge of approaches that develop the whole person promotes better patient outcomes. Multisensory Self-referential stimulation, more than a unisensory one, seems to produce a holistic experience of the Self (“Core-Self”).Objectives: (1) To analyze the somatotopic brain activation during unisensory and multisensorial Self-referential stimulus; and (2) to understand if the areas activated by multisensorial Self-referential stimulation are the ones responsible for the “Core-Self.”Methods: An exploratory functional magnetic resonance imaging (fMRI) study was performed with 10 healthy subjects, under the stimulation of the lower limbs with three Self-referential stimuli: unisensory auditory-verbal, unisensory tactile-manual, and multisensory, applying the unisensory stimuli simultaneously.Results: Unisensory stimulation elicits bilateral activations of the temporoparietal junction (TPJ), of the primary somatosensory cortex (S1), of the primary motor cortex (BA4), of the premotor cortex (BA6) and of BA44; multisensory stimulation also elicits activity in TPJ, BA4, and BA6, and when compared with unisensory stimuli, activations were found in: (1) Cortical and subcortical midline structures—BA7 (precuneus), BA9 (medial prefrontal cortex), BA30 (posterior cingulated), superior colliculum and posterior cerebellum; and (2) Posterior lateral cortex—TPJ, posterior BA13 (insula), BA19, and BA37. Bilateral TPJ is the one that showed the biggest activation volume.Conclusion: This specific multisensory stimulation produces a brain activation map in regions that are responsible for multisensory Self-processing and may represent the Core-Self. We recommend the use of this specific multisensory stimulation as a physiotherapy intervention strategy that might promote the Self-reorganization. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|