Supplementary and Premotor Cortical Activation During Manual Dexterity Involving Motor Imagery in Multiple Sclerosis: A Functional Near-Infrared Spectroscopy Study.

Background: Investigating brain activation during motor imagery (MI) tasks in people with multiple sclerosis (pwMS) can increase the knowledge of the neural mechanisms underlying motor dysfunction in MS and, hopefully, aid in developing improved rehabilitation strategies. Objective: To investigate b...

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Published in:Neurorehabilitation & Neural Repair Vol. 39; no. 2; pp. 102 - 114
Main Authors: Sadot, Shaked, Dreyer-Alster, Sapir, Kalron, Alon
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Feb2025
Online Access:View this record in EBSCOhost
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      dt: Feb2025
      vid: 39
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      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Supplementary and Premotor Cortical Activation During Manual Dexterity Involving Motor Imagery in Multiple Sclerosis: A Functional Near-Infrared Spectroscopy Study.
      aug:
        au:
          Sadot, Shaked
          Dreyer-Alster, Sapir
          Kalron, Alon
        affil: Department of Physical Therapy, School of Health Professions, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel
      sug:
        subj:
          Multiple Sclerosis Diagnosis
          Psychomotor Performance Evaluation
          Brain Physiology
          Frontal Lobe Physiology
          Agility
          Hand Physiopathology
          Task Performance and Analysis
          Guided Imagery Methods
          Spectroscopy, Near-Infrared
          Human
          Israel
          Male
          Female
          Adult
          Middle Age
          Nonexperimental Studies
          Case Control Studies
          Comparative Studies
          Descriptive Statistics
          Hemoglobins
          Oxygen
          Dominance, Cerebral
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Investigating brain activation during motor imagery (MI) tasks in people with multiple sclerosis (pwMS) can increase the knowledge of the neural mechanisms underlying motor dysfunction in MS and, hopefully, aid in developing improved rehabilitation strategies. Objective: To investigate brain activation in the supplementary motor area and premotor cortex via functional near-infrared spectroscopy (fNIRS) during a hand manipulation task, and comparing MI with actual practice (AP) in pwMS. Methods: Each subject completed a sequence of 4 consecutive manual dexterity trials wearing an fNIRS device. The tasks included the following conditions: AP dominant hand, MI dominant hand, AP non-dominant hand, and MI non-dominant hand. Results: Twenty pwMS (mean Expanded Disability Status Scale = 4.75 [3.0-6.5]) and 20 healthy controls (HC) participated in the study. According to the fNIRS timeline course, a similar increase (compared with baseline) was observed in the relative oxygenated hemoglobin (HbO) concentration during the MI and AP tasks, which was immediately followed by a decrease (for either hand) in the pwMS and the HC groups. A difference in the relative HbO concentration between the HC and pwMS was detected solely when the 2 groups mentally replicated the manual dexterity task movements in the MI condition (dominant hand). The increase was higher in the HC group (P =.030). Conclusions: Despite exhibiting manual dexterity difficulties, pwMS demonstrated comparable neural activation patterns as the HCs during MI tasks in regions associated with motor planning and complex movement control, thus, suggesting that deficits in manual dexterity among pwMS may not solely originate from impairments in the motor planning processes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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